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
Call emergency services for severe pelvic or abdominal pain with fainting, marked weakness, heavy bleeding, or signs of a severe allergic reaction such as breathing difficulty or swelling of the face or throat.
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
Seek prompt medical advice if you are pregnant and develop vaginal symptoms, particularly with bleeding, fever, abdominal pain, or leaking fluid.
Get urgent medical help for:
Fever with lower abdominal or pelvic pain
Rapidly worsening pain, swelling, or redness
Genital sores or blisters with severe pain
Trouble passing urine
A possible retained object that you cannot remove safely
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if this is your first episode, you are unsure of the cause, or symptoms do not improve after an appropriate treatment.
Assessment is also sensible if symptoms repeatedly return, discharge has a strong new odor, or symptoms began after sex with a new partner.
Every sign above is quoted from the sofidex article on Vaginitis. If you are not sure, err upward — it is always reasonable to be checked.