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

  • Post-menopausal bleeding with a thickened endometrium (>4mm measured on transvaginal pelvic ultrasound)
  • Post-menopausal bleeding with polyp confirmed by imaging
  • Post-menopausal bleeding in a woman taking tamoxifen.

Information to be included in the referral

Information that must be provided

  • Findings from physical examination
  • Most recent cervical screening results
  • 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.)
  • Past medical history (e.g. diabetes, polycystic ovary syndrome)
  • Sexually transmitted infections test results.

Provide if available

  • Recent human papillomavirus (HPV) and liquid-based cytology (LBC) co-test result
  • Weight
  • Body mass index.

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

  • Single episode of bleeding with an endometrium (<4mm measured on transvaginal pelvic ultrasound), with negative cervical screening results.