Persistent, heavy menstrual bleeding

Persistent, heavy menstrual bleeding — referral criteria for Gynaecology services.

Eligibility

At least one must be met for the patient to be eligible for referral.

Clinically suspected or confirmed persistent, heavy menstrual bleeding with initial primary-care work-up completed

Red flags

Indicate urgent (Category 1) referral or emergency assessment.

Uncontrolled vaginal bleeding, or if the person is haemodynamically unstable

Routine referral criteria

Determine Category 2 or 3 urgency.

Persistent, heavy menstrual bleeding that has not responded to adequate trial of medical treatment