Secondary Amenorrhoea

Availability

North South North West Statewide

Pre-referral work-up

History

More than 6 months

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

  • Age >15
  • History including weight loss/gain, dietary and exercise history,
  • Sexual history and contraceptive history
  • Drug history in particular psychotrophic
  • Galactorrhoea
  • Signs of masculinisation, hirsuitism
  • Significant stress/anxiety and environmental factors
  • Past history including gynaecological infections/surgery, abdominal surgery

Tests

  • FSH/LH/HCG
  • Prolactin x3 – only do once if normal
  • Thyroid function test
  • Ultrasound

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.