dr9ohm · Pelvic / Gyn Urgency Score

Pelvic pain, ovarian cysts, and fertility
Pelvic layer (not the HPV layer)

Quick answer (BLUF): A 0–15 score for pelvic symptom density and exam gaps. Not an ovarian-cyst or infertility diagnosis. Sudden severe pain or heavy bleeding needs care now. Separate from the cervical/HPV score.
5 core items (0–3) + profile + urgent — not a diagnosis
How to answer
Symptoms: 0/1/2/3 · Other: Yes/No.
ACOG — Ovarian cysts · ASRM ·

Symptom score (Raw Score)
0 / 15
Symptoms answered 0/5 · Profile 0/5 · Urgent 0/5

Part 1 — Core symptoms (scored)

Q1: Lower abdominal / pelvic pain
How intense is lower abdominal or period pain?



Q2: Cyst / uterine mass
How advanced is a known pelvic mass?



Q3: Abnormal bleeding
How severe is heavy menses, flooding, or intermenstrual bleeding?



Q4: AMH / stimulation / ICSI
How much are you delaying fertility counseling because of ads?



Q5: Skipping exams for hormones or herbs
How much are you delaying ultrasound or gynecology for medicines/bottles?



Part 2 — Profile (not in the 15)

1. Using dienogest or hormones with severe insomnia not discussed with a clinician

2. Menstrual migraine with vomiting to the point of dehydration

3. Mass pressing bowel with chronic hard stools

4. Age >35, trying to conceive >6–12 months without fertility evaluation

5. Post-coital symptoms or abnormal bleeding without Pap/HPV testing

Part 3 — Urgent symptoms (not in the 15)

1. Sudden severe lower abdominal pain, nausea, cold sweat

2. Soaking a pad in 1 hour, or fainting

3. Fever with severe lower abdominal tenderness

4. Suspected ectopic: pain with bleeding and positive pregnancy test

5. Postmenopausal bleeding or repeated post-coital bleeding

0 points
Start assessment

When complete, the score updates — a high score is not a cyst diagnosis

Important notes (Red Flags)

Sudden severe pain, soaking bleeding, or suspected ectopic → emergency now. For cervix/HPV issues use the separate screening-gap score.

What a 0–15 score means

Symptom-density bands — not a diagnosis

ScoreBandMeaningWhat not to do
0–4Not dense yetKeep tracking; do not skip red-flag signalsDo not delay exams because of ads
5–7Starting to recurPlan to see a clinician for this systemDo not add supplements on your own
8–10Clearly disruptiveDo not ignore — book a visitDo not use a quiz instead of a clinic visit
11–15High densityCheck Red Flags nowDo not treat this as a diagnosis

Frequently asked questions

Does a 4 cm cyst need immediate surgery?

Not always. Many are watched by gynecology — this score does not order surgery.

Does low AMH mean immediate ICSI?

No. AMH is one planning piece — separate from age and tubes.

How is this different from the cervical score?

This layer focuses on pain, masses, bleeding, fertility — PCERV focuses on Pap/HPV gaps.

Fibroid pressing bowel — also do IBS score?

Yes if stool symptoms dominate, but the mass still needs gynecology follow-up.

Sudden pain after a known cyst?

May fit torsion or rupture — urgent; do not wait to finish the quiz.

Medical Disclaimer: For general education only — not personalized medical advice. Not a cyst diagnosis and not a Pap/HPV DNA substitute.
Seek care immediately for dangerous signals ·
· Thai twin: https://dr9ohm.com/pelvic-gyn-urgency-score/