Adolescent Gynaecology

Availability

North South North West Statewide

Pre-referral work-up

History

Any gynaecological problem in a girl or young lady aged <18

Most often this includes problems with periods, including primary or secondary amenorrhea, dysmenorrhea, menorrhagia, delay or abnormal development of secondary sexual characteristics or ovarian cysts. However, any gynaecological problem in the <18 age group may be referred

When to refer

  • Any abnormality on tests
  • For management of troublesome irregular periods, especially when fewer than six periods per year.
  • Significant menorrhagia with drop in Hb<100
  • Primary amenorrhea
  • Secondary amenorrhea (>6 months)

All referrals should comply with referral standards and include in particular:

  • Details of the condition to be treated including past investigations and treatments trialed.

Tests

Depends on the presentation and can include:

  • Ultrasound of the pelvis
  • Bloods: LH, FSH, TFTs, bHCG, PRL, E2
  • If menorrhagia: FBE, iron studies, coags, Von Willebrands Antigen
  • If signs of increased androgen then DHEAS, FAI, SHBG
  • If ovarian cysts then consider the tumour markers, most importantly Ca125

Interim/GP management

To refer a patient with this condition, please see the Gynaecology clinic page for the full referral process and templates.

For more information please see the Tasmanian Health Pathways website.

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340 Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:
Routine:

Will be seen in turn.