Democratic nominee Hillary Clinton has stepped up her attacks on rival Donald Trump, labelling him a “bully” for criticising women for their looks.
Mrs Clinton said Mr Trump had a 30-year history of “demeaning, degrading, insulting and assaulting” women.
Meanwhile, Mr Trump has branded Mrs Clinton “corrupt” and said she would “destroy American healthcare forever”.
He told early Clinton voters with “buyer’s remorse” they could change their vote in four states.
The clashes came as the fractious contest entered its final week, with opinion polls appearing to show the race getting tighter.
The prospect of a Trump presidency sent Asian financial markets tumbling – appearing to confirm some analysts’ view that the markets believe a Clinton victory would bring more stability for the US economy.
Speaking in Florida – and appearing on stage with former Miss Universe Alicia Machado, who has previously claimed Mr Trump once called her “Miss Piggy” after she put on weight – Mrs Clinton said she had “learned way back in elementary school that it’s not OK to insult people”.
For her part, Ms Machado called Mr Trump “cruel” and said she had spent years “sick, fighting back eating disorders” as a result of the Republican nominee’s comments.
Echoing Mrs Clinton’s comments at a rally in Ohio, President Barack Obama said the Republican candidate had spent a “lifetime calling women pigs and dogs and slobs”.
The focus on Mr Trump’s treatment of women coincided with a new TV advert put out by the Democrats which showed archive footage of Mr Trump making remarks such as: “Putting a wife to work is a very dangerous thing.”
The Republican nominee has faced a string of sexual harassment allegations in the last month, after a 2005 video tape that saw him making obscene remarks about women emerged.
He has denied any wrongdoing and threatened to sue those involved after the election.
Donald Trump focused his attacks on the Affordable Care Act, dubbed Obamacare, which he believes is becoming increasingly unpopular with low income families he needs to vote for him, amid reports of higher premiums and less choice.
Appearing on stage with his running mate Mike Pence and Governor Scott Walker in Wisconsin, Mr Trump called Obamacare “a catastrophe” and said he would immediately convene a special session of Congress to repeal and replace it if he becomes president.
He also urged early voters who had “made a mistake” by voting for Mrs Clinton to change their ballots before Thursday’s deadline.
Wisconsin, Michigan, Minnesota and Pennsylvania allow early vote switches but the practice is extremely rare, according to the Early Voting Information Center at Reed College.
- A week before the election, more than 20 million Americans have already cast their vote
- Early voting data suggests a dip in turnout by African-American voters, but a rise in Hispanic voters
- Absentee ballot, postal voting, but also an in-person vote at a polling booth are all means of early voting
- At least four states allow voters to change or cancel their early ballots, including battlegrounds Michigan, Pennsylvania and Wisconsin
- In Wisconsin, voters are allowed to change their vote twice
- About a third of all voters participated early in 2012, but this number is expected to be higher this year
Both sides also continued to spar over the recent revelation that FBI investigators are again probing Mrs Clinton’s email practices on Tuesday.
The news has put Democrats on the defensive and hurt Mrs Clinton’s plans to promote a positive message over the campaign’s final week.