Direct to an emergency department that can provide a gynaecology assessment:
- Uncontrolled vaginal bleeding, or if the woman is haemodynamically unstable.
Criteria for referral to public hospital specialist clinic services
- Persistent, heavy menstrual bleeding that has not responded to adequate trial of medical treatment.
Information to be included in the referral
Information that must be provided
- Findings from physical examination
- Past medical history (e.g. diabetes, polycystic ovary syndrome)
- Transvaginal pelvic ultrasound results. (Transabdominal pelvic ultrasound results can be provided for women who have not become sexually active, are a survivor of sexual assault or have declined a transvaginal pelvic ultrasound.)
- Full blood count
- Iron studies.
Provide if available
- Thyroid stimulating hormone (TSH)
- Most recent human papillomavirus (HPV) and liquid-based cytology (LBC) co-test result or cervical screening test results
The Summary and referral information lists the information that should be included in a referral request.
Referrals should be made to suitable community-based services wherever possible (see 1800 My Options).
Where a public health service also operates a community health service or GP clinic, demand for reproductive health services should be met through these GP clinics.
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