I have a friend who has both polycystic ovaries and endometriosis. She is 40 years old, and had a termination in her early 20's. She and her partner have been told that they cannot conceive because he has azospermia. Last night she had severe abdominal pain that brought her to all fours and analgesia had no impact. She was having what sound like uterine contractions on a regular basis. She bled heavily and then passed a clot that was the approximate size of a satsuma, that also had some brown colouring and mucus. She reduced to a very heavy flow about 15 minutes later, but has continued to have the abdominal pain. It has been approximately 17 hours since the onset. No pyrexia. Thank you