Urgent symptoms
Clear, practical information for your next step.
Topics to discuss
- Any bleeding after 12 months without a period needs prompt evaluation, even if it is light
- Chest pain, trouble breathing, sudden weakness on one side or trouble speaking may be an emergency: call 911
- Severe pain or swelling in one leg, especially if you use hormones, needs care right away
- A very fast or irregular heartbeat, fainting or severe confusion: call 911
- Heavy bleeding with dizziness or fainting, or a pad soaked through in under an hour: seek emergency care
Choosing the next step
Use the warning signs above to decide when emergency help is needed. This page cannot check your symptoms or tell you that it is safe to wait. If symptoms are severe, sudden, or getting worse quickly, seek urgent medical help. A routine appointment request is not an emergency service, and a message may not be read right away.
For a life-threatening emergency, call 911. Do not drive yourself if you feel faint, confused, or unable to travel safely. If possible, have someone stay with you while help arrives. Bring your medicine list and allergy information if they are easy to reach, but do not delay emergency care to collect records.
Content approved by Viva Centers
Sources
- Hormonal Imbalance: Causes, Symptoms & Treatment — Cleveland Clinic
- Hypothyroidism (Underactive Thyroid) — NIDDK (NIH)
- Thyroid Function Tests — American Thyroid Association
- Insulin Resistance & Prediabetes — NIDDK (NIH)
- The 2022 hormone therapy position statement of The North American Menopause Society — The Menopause Society (formerly NAMS)
- Hormone Therapy for Menopause (FAQ) — American College of Obstetricians and Gynecologists
- Testosterone therapy in men with hypogonadism: an Endocrine Society clinical practice guideline — Endocrine Society
- 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome — ESHRE/ASRM/Monash-led international guideline
