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 cervical screening 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.
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