Get immediate emergency assessment for sudden severe pelvic or lower abdominal pain, especially if it is on one side or comes with nausea or vomiting. One possible cause is ovarian torsion, where the ovary twists and may lose its blood supply. Call 995 for collapse, unresponsiveness, uncontrolled bleeding or another life-threatening sign. KKH Urgent O&G Centre · ACOG guidance on ovarian torsion in adolescents · SCDF emergency medical services
If pregnancy is possible, tell the emergency team. Pelvic pain with vaginal bleeding can occur with ectopic pregnancy, and shoulder-tip pain, marked dizziness or fainting can be warning signs of internal bleeding. Call 995 if you feel faint and very unwell or collapse. SingHealth and KKH ectopic pregnancy warning signs · MOH guidance on calling 995
- Sudden severe pelvic pain → seek immediate emergency assessment.
- Tell staff whether pregnancy is possible and whether there is bleeding.
- Call 995 for collapse, unresponsiveness or uncontrolled bleeding.
On this page · Tell Triage How the Pain Started · Where to Seek Help · Frequently Asked Questions
Tell Triage How the Pain Started
Say when it began, where you feel it and whether it is constant or comes in waves. Mention vomiting, a known ovarian cyst, any bleeding and the date of your last period if known. Tell the team if the pain eased and came back. ACOG guidance on ovarian torsion in adolescents · SingHealth and KKH ectopic pregnancy warning signs
Where to Seek Help
KKH’s 24-hour Urgent O&G Centre assesses severe pelvic pain and urgent problems in early pregnancy. Follow your own maternity team’s directions if you are pregnant. For serious deterioration or a life-threatening sign, call 995. KKH Urgent O&G Centre · SCDF emergency medical services
Frequently Asked Questions
Can torsion pain come and go?
Yes. Intermittent pain can occur. Seek immediate assessment for a sudden severe episode even if it eases. ACOG guidance on ovarian torsion in adolescents
Should I wait until I have a home pregnancy test?
Get assessed promptly and tell the team that pregnancy may be possible. Avoid delaying care to test at home. SingHealth and KKH ectopic pregnancy warning signs · KKH Urgent O&G Centre