Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Seek emergency care for sudden or severe pelvic pain with fainting, marked weakness, shoulder-tip pain, trouble breathing, or heavy vaginal bleeding.
These symptoms are especially important if you could be pregnant.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Arrange same-day medical care if pelvic pain occurs with:
A positive pregnancy test or a missed period
Fever or chills
Repeated vomiting
Pain that is severe, rapidly worsening, or painful to touch
Unusual vaginal bleeding or foul-smelling discharge
Difficulty passing urine or blood in the urine
And for anyone, someone who:
has abdominal pain that is severe, constant, or getting worse
3
Does any of this apply?
Book an appointment
Book a routine appointment if the pain keeps returning, is getting worse, lasts longer than a day or two, or interferes with sleep, work, exercise, or sex.
You should also make an appointment if your bleeding pattern has changed or you are unsure whether the pain follows ovulation.
Every sign above is quoted from the sofidex article on Ovulation pain. If you are not sure, err upward — it is always reasonable to be checked.