Genitourinary Emergencies in the Nonpregnant Woman

Gillian Schmitz, Carrie Tibbles

Research output: Contribution to journalReview articlepeer-review


Lower abdominal and pelvic pains are common symptoms in women who present to the emergency department (ED). Once pregnancy has been ruled out, attention should focus on other potential life or fertility threats. Ultrasound remains the most helpful initial diagnostic modality. Time-sensitive and serious conditions, such as large ovarian masses or abnormal vaginal bleeding, need gynecologic consultation. Because many patients do not have access to primary care, ED physicians should be familiar with the treatment of sexually transmitted diseases. However, most nonpregnant women with pelvic complaints can safely be managed in the outpatient setting after ED evaluation.

Original languageEnglish (US)
Pages (from-to)621-635
Number of pages15
JournalEmergency Medicine Clinics of North America
Issue number3
StatePublished - Aug 2011
Externally publishedYes


  • Abnormal vaginal bleeding
  • Bartholin cyst
  • Emergency contraception
  • Ovarian cysts
  • Ovarian torsion
  • Pelvic inflammatory disease
  • Pelvic pain

ASJC Scopus subject areas

  • Emergency Medicine


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