Referral pathways Dr Kotha · Gold Coast GP

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Gynaecology · Refer Your Patient

Intermenstrual bleeding

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

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Cat 1 · 30 days

appointment within 30 calendar days. - Oncogenic HPV, LBC prediction of pHSIL/HSIL, possible high-grade glandular lesion, AIS, or invasive cancer – cervical or endometrial - Focal endometrial lesion

Cat 2 · 90 days

appointment within 90 calendar days. - IMB not due to hormonal contraception - Abnormal cervical screening (other than for Cat 1) - Endometrium >12mm / irregular on pelvic USS (TVS ideally day 5-10) - Persistent and/or unexplained IMB

Cat 3 · 365 days

appointment within 365 calendar days. - IMB bleeding related to hormonal contraception that is not responding to medical management e.g. contraception manipulation

Essential referral information

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

- History of abnormal bleeding / hormonal contraceptive use - Recent co-test result (HPV and LBC) - HVS result - BHCG result - STI screen result – endocervical swab or first catch urine for chlamydia +/- gonorrhoea NAA - Pelvic USS (TVS preferable) 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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