Objective: To identify the most common signs, symptoms, and symptom combinations associated with gynecological conditions leading to an emergency care recommendation by the Symptomate virtual triage (VT) application. The study aimed to enhance understanding of how patients present with gynecological emergencies and evaluate VT's potential in supporting timely care-seeking.

Methods: A retrospective analysis was conducted on anonymized data from 39,110 female Symptomate users who completed VT interviews between January 1st and December 31st, 2024, and received an emergency care recommendation with gynecological conditions among the potential diagnoses. Analyzed data points included common differential diagnoses, initial chief complaints, overall present symptoms, and common symptom tuples.

Results: Ovarian torsion (37.06%) and complicated ovarian cyst (30.07%) were the most frequent potential diagnoses. Abdominal pain was the most common initial symptom (27.50%), followed by nausea (24.89%). Overall, abdominal pain was present in 83.45% of interviews, with fatigue (56.79%) and moderate abdominal pain (53.62%) also highly prevalent. The most common symptom tuple was "Abdominal pain, sharp and stabbing & Abdominal tenderness" (13.11% of interviews with tuples). On average, users reported 5.6 initial symptoms and 23 present symptoms/risk factors.

Conclusion: Symptomate VT data reveals that abdominal pain (in various forms), nausea, and fatigue are prominent in users recommended for emergency gynecological care. Specific symptom combinations, particularly pain with tenderness, are frequently identified. These findings can inform clinical triage and highlight VT's potential role in early symptom assessment and guiding appropriate care navigation for gynecological emergencies.