Women’s Health and Gynaecology referral requirements

To expedite appropriate and timely triage:

  • Please provide a comprehensive referral including the investigations in this table 

  • Please visit HealthPathways to check required referrral information.

 

Condition Investigation required

Vulvo vaginal:

  • Vulval and vaginal pain
  • Chronic vulvovaginal candidiasis
  • Pruritus vulvae/vulval itch

High vaginal swab micro and culture 

Consider: STI screen

Fibroid

Pelvic ultrasound

Consider: FBE, Ferritin

Dysplasia/abnormal cervical screening test

Cervical screening
Endometriosis, Dysmenorrhoea, Pelvic pain

Pelvic ultrasound

Consider: STI screen, cervical screen

Ovarian and other adnexal pathology

Pelvic ultrasound

If suspected malignancy or post-menopausal ovarian cyst, Cancer antigen 125 (CA 125)

Polycystic Ovarian Syndrome (PCOS)

Pelvic ultrasound, Hormonal tests (ßhCG, Oestradiol, Prolactin, LH, FSH, TSH, biochemical andorgens, 17 hydroxyprogesterone, SHBG)

Consider: cervical screen

Persistent or unexplained intermenstrual or post coital bleeding

Cervical Screening, Pelvic ultrasound  

Consider: STI screen
Persistent, heavy menstrual bleeding

Pelvic ultrasound, FBE, Ferritin

Consider: TFT, cervical screen

Menopause

Consider hormonal tests (FSH and estradiol) if menopause is not clear on history

Consider: cervical screen

Post-menopausal bleeding

Pelvic ultrasound, STI screen, cervical screen

Contraception

Consider: cervical screen, STI screen

Molar pregnancy

Tumour HCG

Pregnancy choices

Pelvic ultrasound, Quantitative serum HCG, Blood group and antibodies

Consider: STI screen,  cervical screen
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