Department of Health
A patient consults with their GP

Specialty: Gynaecology
Age group: Adult

Direct to an emergency department that can provide a gynaecology assessment:

  • Acute, severe pelvic or abdominal pain

Criteria for referral to public hospital specialist clinic services

  • Persistent pelvic pain that has not responded to adequate medical management.

Information to be included in the referral

Information that must be provided

  • Past medical history including:
    • obstetric and gynaecological history
    • pain severity, duration, any link to menstrual cycle or dysmenorrhea
    • how pain is different to any co-existing gastrointestinal pain
    • any previous pelvic inflammatory disease
    • any history of sexual abuse
    • previous medical and surgical management
  • Current and complete medication history (including non-prescription medicines, herbs and supplements)
  • Any medicines previously tried, duration of trial and effect.

Provide if available

  • Most recent human papillomavirus (HPV) and liquid-based cytology (LBC) co-test result or cervical screening test results
  • Sexually transmitted infections test results.

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

Specialist multidisciplinary programs for people experiencing complications with transvaginal mesh are available at:

  • Royal Women’s Hospital
  • Mercy Hospital for Women
  • Monash Health
  • Western Health.

Referral to a chronic pain service may be appropriate.

Cervical screening test results may be provided from either self-collected or clinician collected samples.

Where appropriate and available, the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

Not applicable.

Reviewed 27 May 2025

Statewide Referral Criteria

Contact us

Address
50 Lonsdale Street
Melbourne, VIC 3000

Phone
1300 650 172
National Relay Service

Email
plannedcare@health.vic.gov.au