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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 — Ovarian cyst / pelvic mass.
Cat 1 · 30 days
appointment within 30 calendar days. - Suspicious of malignancy or high risk features: - USS findings such as solid areas, papillary projections, septations, abnormal blood flow, bilaterally or ascites - ovarian cyst >12cm - elevated CA125 and cyst >5cm in premenopausal patients or any size cyst in post-menopausal patient - Consider if significant pain and/or due to risk of torsion - Pre-pubertal patient
Cat 2 · 90 days
appointment within 90 calendar days. - Persistent ovarian cyst >5cm on 2 pelvic USS 6 weeks apart - Complex cyst (haemorrhagic, endometriotic or dermoid) - Persistent pelvic pain
Cat 3 · 365 days
appointment within 365 calendar days. - Hydrosalpinx
Referral will be returned without this. If a mandatory test cannot be obtained, say so in the referral.
- History including pain and other symptoms - CA125 results - ROMA score in premenopausal women with elevated CA125 - AFP, HCG, Inhibin, LDH in Paediatric and adolescent patients if complex cyst - Pelvic USS (TVS preferable). TA in PAG patients 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.
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
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