Referral pathways Dr Kotha · Gold Coast GP

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Diabetes and Endocrinology · Refer Your Patient

Oligo/amenorrhoea, hirsutism, acne, female infertility

Copied from the official Gold Coast Health condition page (27 Aug 2026). Hospital triage assigns the official category. Live source: Refer Your Patient — Oligo/amenorrhoea, hirsutism, acne, female infertility.

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Cat 1 · 30 days

appointment within 30 calendar days. - Arrested puberty (16 years and over) - Suspected hypopituitarism - New onset virilisation in a female (hirsutism, acne, balding) - Serum testosterone >5nmol/l in a female

Cat 2 · 90 days

appointment within 90 calendar days. - Delayed puberty (16 years and over) - Primary or secondary oligo/amenorrhoea.

Cat 3 · 365 days

appointment within 365 calendar days. - Biochemical hyperandrogenism and/or related clinical signs of acne and/or hirsutism without evidence of severe androgen excess - Polycystic ovarian syndrome as per Rotterdam criteria in the absence of any other explanation - All referrals for infertility (definition: infertility is the failure to achieve pregnancy after 12 months or more of regular unprotected intercourse)

Essential referral information

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

- History including - family history of delayed puberty or hypogonadism - history of chronic ill health or any medications - reproductive features (hirsutism, infertility and pregnancy complications) - metabolic implications (insulin resistance, metabolic syndrome, IGT, T2DM and potentially CVD) For referrals related to Infertility include: - 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 - Weight/ BMI - FBC, group and antibodies, rubella IgG, varicella IgG, syphilis serology, Hepatitis BsAg, HBC serology, HIV results - FSH, LH (Day 2 - 5), prolactin, TSH results if cycle prolonged and/or irregular - Day 21 serum progesterone level results (7 days before the next expected period) - Endocervical swab or first catch urine for chlamydia +/- gonorrhoea NAA - Partner - Seminal analysis of partner (≥4 days of abstinence) report - Repeat in 4-6 weeks if abnormal For Polycystic ovarian disease referrals include: - SHBG results - Testosterone, DHEA-S results - 17-OH progesterone (D3-10 of cycle) - Fasting blood glucose, HbA1c - Lipids, TSH results For Hirsutism referrals include: - Fasting glucose, lipids - Testosterone, SHBG, calculated free testosterone - 17-OH progesterone level (D3-10 of cycle) For Amenorrhoea referrals include: - Duration of amenorrhoea (i.e. >6 months) - Weight/BMI - information about change in weight and exercise history - ßeta HCG results - FSH, LH, prolactin, oestradiol, TSH / fT4 - Testosterone, SHBG, calculated free testosterone - Anti-TTG For Delayed puberty referrals include: - Short stature screen - TFTs - Renal function - FBC - ESR or CRP - Anti TTG - Urinalysis - Chromosomes (karyotope) in girls only (Turners syndrome) - Bone age 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: - Pre-diabetes - Stable, well-controlled type 2 diabetes - Newly diagnosed type 2 diabetes and not acutely unwell - Referrals where the primary problem requiring attention is not directly related to the diabetes and should be directed to another speciality service e.g. chest pain for investigation should go to cardiology - Dietary advice for weight reduction, high cholesterol, hypertension or CVD in patients with diabetes - Newly diagnosed primary hypothyroidism, including subclinical hypothyroidism – Note: in women of child bearing age who are pregnant or wishing to become pregnant or not using contraception, thyroxine should be commenced and titrated, aiming for a TSH less than 2.5 - Positive thyroid antibodies with normal thyroid function - Osteopaenia - Routine uncomplicated osteoporosis

Parent service: Diabetes and Endocrinology

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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