Women’s Health and Gynaecology pre-referral requirements

To expedite appropriate and timely triage:

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

  • Check the HealthPathways Melbourne links below (login required) for guidance about problems and investigations.

 

Problem Investigation results required with referral

Chronic Vulvovaginal Candidiasis

High vaginal swab micro and culture 

Dysmenorrhoea
Pelvic pain
Painful periods

Pelvic ultrasound

Fibroid

Pelvic ultrasound

Consider:  FBE, Ferritin
Heavy or Irregular Menses / Bleeding

Pelvic ultrasound

FBE, Ferritin

Consider: TFT, Coagulation profile

Intermenstrual or Post Coital Bleeding

Pap

Pelvic ultrasound ( performed before day 7, where possible)

STI results 
Menopause Consider hormonal tests
Ovarian Cyst

Pelvic ultrasound

Consider tumour markers

Polycystic Ovarian Syndrome (PCOS)

Pelvic ultrasound

Hormone profile

Post Menopausal Bleeding

Pelvic ultrasound

Pap

Pruritus Vulvae / Vulval Itch

High vaginal swab micro and culture

Vulval and Vaginal Pain (Vulvodynia)

High vaginal swab micro and culture

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