Immediately contact the gynaecology registrar to arrange an urgent gynaecological assessment for:

  • Visible suspicious cervical mass.

Criteria for referral to public hospital specialist clinic services

  • Positive Human papillomavirus, types 16 or 18 or both detected
  • Positive Human papillomavirus detected (but not types 16 or 18) and either:
    • possible or confirmed high-grade squamous intraepithelial lesions or any glandular abnormality
    • gynaecology assessment recommended by cytology service
  • Human papillomavirus, (not 16/18) with negative or possible or confirmed low-grade squamous intraepithelial lesion with either:
    • persistent across two tests (index test with a 12-months repeat) if the patient has any of the following:
      • unscreened or overdue for screening by at least 2 years at the time of the index test
      • identifies as Aboriginal and/ or Torres Strait Islander
      • is 50 years or older
    • persistent across three tests (index test, 12-months repeat, and 24-months repeat)
  • People aged between 70 and 74 years of age, a history of immunosuppression or diethylstilbesterol (DES) exposure and human papillomavirus (any type) detected
  • Colposcopy assessment recommended by cytology service.

Information to be included in the referral

Information that must be provided

  • Most recent human papillomavirus (HPV) and liquid-based cytology (LBC) co-test result or cervical screening test results
  • History of any abnormal bleeding or abnormal change
  • If the woman has an immune-deficiency or is immunosuppressed
  • If the woman is pregnant.

Provide if available

  • If the person identifies as an Aboriginal and Torres Strait Islander.
  • History of exposure to diethylstilbesterol (DES)

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

Cervical screening test results may be provided from either self-collected or clinician collected samples.

Where appropriate and available the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

In line with the cervical screening pathway:

  • human papillomavirus is not detected
  • when there is unsatisfactory liquid-based cytology (LBC) or human papillomavirus (HPV) results
  • possible, or confirmed, low-grade squamous intraepithelial lesions where human papillomavirus is not detected.