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Gynaecology · Refer Your Patient
Copied from the official Gold Coast Health condition page (27 Aug 2026). Hospital triage assigns the official category. Live source: Refer Your Patient — Infertility / Recurrent Pregnancy Loss (RPL).
Cat 1 · 30 days
appointment within 30 calendar days. - Reproductive counselling for fertility sparing options prior to chemotherapy treatment - All other Category 1 referral for infertility are not accepted, refer to a private specialist to avoid delay
Cat 2 · 90 days
appointment within 90 calendar days. - No Category 2 criteria
Cat 3 · 365 days
appointment within 365 calendar days. - All referrals for infertility for example but not limited to: - surgical management of hydrosalpinx - anovulation for ovulation induction (selected cases) - unexplained infertility (selected cases) - recurrent pregnancy loss (Definition: - infertility is the failure to achieve pregnancy after 12 months or more of regular unprotected intercourse
Referral will be returned without this. If a mandatory test cannot be obtained, say so in the referral.
Essential Referral Information (for Infertility and RPL) - History of: - previous pregnancies, STIs and PID, surgery, endometriosis - other medical conditions - Include the following information about partner - age and health, reproductive history, testicular conditions, semen analysis - a referral letter for the partner is required - Weight/ BMI - STI screen result – endocervical swab or first catch urine for chlamydia +/- gonorrhoea NAA - FBC group and antibodies rubella IgG varicella IgG, syphilis serology, HBV/HCV/HIV serology results - FSH, LH (Day 2-5), prolactin, TSH if cycle prolonged and/or irregular - Pelvic USS (TVS preferable) - If PCOS is suspected include the following: - Free androgen index (FAI) or Free Testosterone - Fasting blood glucose result - Lipids, TSH results Infertility – additional Essential Referral Information - Day 21 serum progesterone level (7 days before the next expected period) First trimester RPL – additional Essential Referral Information - Thrombophilia screen, antiphospholipid syndrome (APS) - Autoimmune screen - Coeliac serology – serum deamidated gliadin peptide (DGP), tTG Ab - Antinuclear antibodies (ANA) only if personal or family history indicates higher risk of autoimmune disease - Karyotype for both parents Second trimester RPL – additional Essential Referral Information - Hysterosalpingogram (HSG) or hystero-sonogram - US with cervical length
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
Sign in for localised assessment and management. HealthPathways does not send the referral. Register: gchealthpathways@health.qld.gov.au