Endocrine problems (PCOS)
North South North West Statewide
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
- 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
- FSH, LH, E2 Day 2-6, Luteal phase progestrone
- Prolactin, TSH
- Only Iif hirsuite - Testosterone, SHBG, Free androgen index, 17 hydroxyprogestrone, DHEAS
- Lipid profile
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.
Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
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.
Will be seen in turn.