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A patient consults with their GP

Persistent or unexplained intermenstrual bleeding

Statewide referral criteria

Specialty: Gynaecology
Age group: Adult

Direct to an emergency department that can provide a gynaecology assessment:

  • Uncontrolled vaginal bleeding, or if the person is haemodynamically unstable.

Criteria for referral to public hospital specialist clinic services

• Persistent or unexplained intermenstrual bleeding.

Information to be included in the referral

Information that must be provided

  • Most recent cervical screening results
  • Transvaginal pelvic ultrasound results. (Transabdominal pelvic ultrasound results can be provided for people who have not become sexually active, are a survivor of sexual assault or have declined a transvaginal pelvic ultrasound.)

Provide if available

  • Findings from physical examination
  • Recent human papillomavirus (HPV) and liquid-based cytology (LBC) co-test result
  • Past medical history (e.g. diabetes, polycystic ovary syndrome)
  • Sexually transmitted infections test results.

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

Not applicable.

Updated

Contact us

Address
50 Lonsdale Street
Melbourne, VIC 3000

Phone
1300 650 172
National Relay Service

Email
plannedcare@health.vic.gov.au