Gynecologic Emergencies

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• A surgical emergency in which an ovary twists on its blood supply, causing sudden severe one-sided lower abdominal pain.

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• Mid-cycle, one-sided lower-abdominal pain associated with ovulation.

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• A pregnancy implanted outside the uterus, most often in a fallopian tube; rupture causes life-threatening internal bleeding.

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• Steps that protect physical evidence — avoiding washing, discouraging changing clothes, transporting to a SANE-capable facility.

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• Bleeding from the vagina that is not part of a normal menstrual period; can result from many causes including pregnancy complications and trauma.

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