Endocrine problems (PCOS)

Availability

North South North West Statewide

Pre-referral work-up

History

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

  • Detailed general medical history including what symptoms the patient is concerned about
    • Menstrual irregularity
    • Infertility
    • Clinical or biochemical hyperandrongenism
    • If asymptomatic – gynae referral is not always required
  • Detailed obstetric history
  • Examination findings including BP/height/weight/BMI/Ferriman-gallway score/signs of hyperandrogenism
  • Include copies of investigations

Tests

  • TVUS
  • HBA1c
  • FSH, LH, E2 Day 2-6, Luteal phase progestrone
  • Prolactin, TSH
  • Only Iif hirsuite - Testosterone, SHBG, Free androgen index, 17 hydroxyprogestrone, DHEAS
  • Lipid profile

Interim/GP management

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

Lifestyle changes, in particular weight management

OCP if not desiring pregnancy

For more information please see the Tasmanian Health Pathways website.

Routine / category 3

  • OCP treatment failure
  • Trouble irregular periods
  • Fertility issues

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.