Direct to an emergency department that can provide a gynaecology assessment:
- Acute, severe pelvic or abdominal pain
- Ectopic pregnancy
- Suspected torsion of ovary
- Suspected pelvic sepsis
- If the woman is haemodynamically unstable.
Criteria for referral to public hospital specialist clinic services
- Suspected malignancy identified on clinical examination or imaging
- Pre-menopausal complex ovarian cyst, suspected endometrioma, or dermoid
- Persistent and enlarging ovarian cyst confirmed with imaging performed at least three months apart
- Symptomatic hydrosalpinx.
Information to be included in the referral
Information that must be provided
- Past medical history including pain and other symptoms
- Family history of breast and ovarian cancer
- Imaging results
- Cancer antigen 125 (CA 125) results if the woman is being referred for suspected malignancy or post-menopausal ovarian cyst.
Provide if available
The Summary and referral information lists the information that should be included in a referral request.
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