"Extreme" sounds bad: A woman with new "extreme" pain should call her primary doctor or Ob-Gyn doctor right away. Possible causes include infection, obstruction, twisted ovary, cyst or tumor problem, pregnancy problem, etc. If she has no personal doctor, she has to go where she will be examined. Usually, that would be an Emergency Room. Can call 911 (in US) for an ambulance if there is no safe way to get to an ER.
Answered 9/10/2019
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