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Heavy menstrual bleeding (HMB)

Copied from the official Gold Coast Health condition page (27 Aug 2026). Hospital triage assigns the official category. Live source: Refer Your Patient — Heavy menstrual bleeding (HMB).

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Cat 1 · 30 days

appointment within 30 calendar days. - Suspicion of malignancy - HMB with anaemia (Hb<85) or requiring transfusion

Cat 2 · 90 days

appointment within 90 calendar days. - HMB with anaemia (Hb>85).In paediatric and adolescent patients the impact on quality of life with missing school, tiredness, anxiety and depression necessitates referral to SPAG services as category 2, and not category 3 if not responding to primary medical management. There is a significant risk of having an underlying bleeding disorder that needs to be excluded

Cat 3 · 365 days

appointment within 365 calendar days. - HMB without anaemia not responding to medical management

Essential referral information

Referral will be returned without this. If a mandatory test cannot be obtained, say so in the referral.

- Brief description of periods - Medical management to date - Most recent or current cervical screening results if indicated (not a requirements for adolescents) - FBC Serum ferritin results - Pelvic USS (TVS preferable) - Adolescent patient - Coag profile including von Willebrand's disease (vWD), plaelet function disorders screen, TFT, TA Scan in the first instance If a specific test result cannot be obtained due to access, financial, religious, cultural or consent reasons a clinical override may be requested. This reason must be clearly articulated in the body of the referral.

Out of scope / wrong door

The following conditions are out of scope for this service: - Elective cosmetic surgery e.g. labiaplasty - NB labial hypertrophy in paediatric and adolescent patients: refer to Statewide Paediatric and Adolescent Gynaecology Services (SPAG) at Queensland Children's Hospital/RBWH. - Elective tubal ligation but will be accepted as a category 3, if: - patient cannot use/trialled other contraceptive methods - patient does not want to pass on any genetic disorders or disabilities - indicated for women suffering from medical or obstetric conditions that would contraindicate future pregnancy - Routine contraceptive counselling - Routine Implanon/Mirena®/progesterone-releasing IUD insertion for contraception - Primary menopausal care - Cervical screening test - Postnatal check-up - Reversal of tubal ligation - IVF services - Elective termination of pregnancy* - Gender reassignment - see Gender Clinic [https://www.goldcoast.health.qld.gov.au/referrals/services/gender-service-statewide-service]

Parent service: Gynaecology

Send outpatient referrals to

  • Smart Referrals preferred (Best Practice or Medical Director)
  • Medical Objects GQ42150009Z (lookup qh → QHEALTH, GOLD COAST HEALTH OUTPATIENT)
  • HealthLink EDI Qldgchsd
  • Fax (07) 5687 4497 — Booking and Referral Centre
  • Post: Booking and Referral Centre, Gold Coast University Hospital, 1 Hospital Boulevard, Southport QLD 4215
  • Clinic enquiries 1300 559 083

How to refer — full order

HealthPathways

Sign in for localised assessment and management. HealthPathways does not send the referral. Register: gchealthpathways@health.qld.gov.au

goldcoast.communityhealthpathways.org

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