E - Ectopic (This is your priority rule out always)Endometriosis
C - Cyst rupture (corpus leutium cyst rupture) T - Torsion of ovary or cyst O - Ovulation: Mittelschmerz P - Pelvic Inflammatory Disease, salpingitis, tubo - ovarian abscess I - Incomplete abortion C - Cystitis/pyelonephritis