Gynaecology

Conditions

Please note this is not an exhaustive list of all conditions for outpatient services and does not exclude consideration for referral unless specifically stipulated in the out of scope section.

Paediatric services

Referrals for children and young people should follow the Children’s Health Queensland referral guidelines.

If any of the following are present or suspected, phone 000 to arrange immediate transfer to the emergency department or seek emergent medical advice if in a remote region.

• Ectopic pregnancy
• Ruptured haemorrhagic ovarian cyst
• Torsion of uterine appendages
• Acute/severe pelvic pain
• Significant or uncontrolled vaginal bleeding
• Severe infection
• Abscess intra pelvis or PID
• Bartholin’s abscess / acute painful enlargement of a Bartholin’s gland/cyst
• Acute trauma including vulva/vaginal lacerations, haematoma and/or penetrating injuries
• Post-operative complications within 6 weeks including wound infection, wound breakdown, vaginal bleeding/discharge, retained products of conception post-op, abdominal pain
• Urinary retention
• Molar pregnancy
• Inevitable and / or incomplete abortion
• Hyperemesis gravidarum
• Ascites, secondary to known underlying gynaecological oncology

Out of scope services

The following are not routinely provided in a public Gynaecology 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 LCCH/RBWH.

• Elective tubal ligation is not accepted at Metro North Hospital and Health Service, however 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
• Contraception e.g. Implanon
  • Routine Mirena®/progesterone-releasing IUD insertion for contraception
• Primary menopausal care
• Screening pap smear
• Postnatal check-up

NB where available recommend referral to True – relationships and reproductive health (formerly known as Family Planning Queensland) or Women’s Health speciality primary care provider/service

• Elective termination of pregnancy
• IVF services
• Reversal of tubal ligation

Specialists list