When to Seek Medical Care

A healthcare provider should be contacted if the following symptoms occur:

• Fever
  
  
• Abnormal pain or tenderness in the abdominal or pelvic area
  
  
• Nausea or vomiting
  
  
• Weakness, dizziness, or fainting
  
  
• Pallor or anemia (possibly from loss of blood)
  
  
• Abnormally heavy or irregular menstruation
  
  
• Abdominal swelling or unusual increased abdominal girth
  
  
• Abdominal pain if blood thinners such as warfarin (Coumadin) are taken
  
  
• Increased facial hair similar to a male pattern
  
  
• High or low blood pressure unrelated to medications
  
  
• Excessive thirst or urination
  
  
• Unexplained weight loss
  
  
• A noticeable abdominal or pelvic mass

A woman with the following symptoms should go immediately to a hospital's emergency department:

• Weakness, dizziness, or faintness, especially from standing
  
  
• Fainting
  
  
• Persistent fever
  
  
• Severe lower abdominal or pelvic pain
  
  
• High or low blood pressure unrelated to medications
  
  
• Excessive thirst or urination
  
  
• Unexplained shoulder pain combined with abdominal pain
  
  
• Persistent nausea and vomiting