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Call 999 or go to A&E immediately if you experience: Severe pelvic pain with dizziness, fainting, or collapse Severe pain with a high temperature or fever (possible pelvic infection or sepsis) A positive pregnancy test with pelvic pain and/or vaginal bleeding (possible ectopic pregnancy) Contact your GP promptly if you experience: Menstrual cramps that are severe, worsening, or not responding to safe pain relief Unusually heavy bleeding — for example, flooding, passing clots larger than a 10p coin, needing to change protection every hour for two or more consecutive hours, or needing to use double protection Periods that are absent for three months or more (secondary amenorrhoea) following initial post-operative irregularity, once pregnancy has been excluded Pelvic pain outside of menstruation , which may suggest endometriosis, ovarian cysts, or pelvic inflammatory disease Symptoms of anaemia such as extreme fatigue, breathlessness, or pallor, which may be exacerbated by heavy periods and nutritional deficiencies Any new or unusual symptoms that concern you, particularly in the first 12–18 months post-surgery when hormonal changes are most pronounced Your GP may arrange investigations including a pelvic ultrasound, full blood count, ferritin, thyroid function, hormone profile, and STI testing where indicated, and will refer you via local pathways if needed
