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Endometriosis and Pelvic Pain Service · 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 — Persistent Pelvic Pain/Dysmenorrhea.
Cat 1 · 30 days
appointment within 30 calendar days. - Severe dysmenorrhoea in PAG patient usually associated with heavy mentrual bleeding definted as pain, that significantly disrupts daily activities, is refractory to first-line treatments (e.g., NSAIDs), pain may also result in scholl absences, emergency presentations, or impacts quality of life and mental health, Refer to Statewide PAG Services
Cat 2 · 90 days
appointment within 90 calendar days. - Regular Emergency Department presentations, >3 presentations in 6 months not attributable to other acute causes of pelvic pain (i.e. ovarian cyst) - USS findings e.g. presence of endometriomas / fixed retroverted uterus with symptoms - Pelvic pain causing absenteeism from school/work on a regular basis not responding to simple analgesia or hormonal control
Cat 3 · 365 days
appointment within 365 calendar days. - Persistent pelvic pain not responding to maximal medical management - Associated bladder and/or bowel dysfunction (viscerovisceral hyperalgesia) not attributable to other primary cause - History of endometriosis and infertility
Referral will be returned without this. If a mandatory test cannot be obtained, say so in the referral.
- History of/to: - pain, severity and duration, cyclical nature, dysmenorrhoea - dyschezia, dyspareunia, history of subfertility or include criteria for current fertility wishes? - Medical management to date and efficacy - History of PID - Psychiatric history - Psychosocial factors influencing severity of presentation e.g. current or suspected DV, cultural factors, trauma, high levels of patient distress. This should be collected by the clinicians looking after the woman. Not sure it belongs on a referral for all and sundry to view? - Functional status, including absenteeism frequency - Most recent or current cervical screening - HVS result - STI screen result - endocervical swab or first catch urine for chlamydia +/- gonorrhoea NAA - MSU M/C/S result - Pelvic USS (TVS preferable). TA Ultrasound in PAG patients, and if indicated by congenital anomaly MRI is necessary. Discuss with Statewide PAG Services as MRI needs to be done by specialised radiology services with expertise in Congenital Mullerian Anomalies
The following conditions are out of scope for this service:
Parent service: Endometriosis and Pelvic Pain Service
Sign in for localised assessment and management. HealthPathways does not send the referral. Register: gchealthpathways@health.qld.gov.au