Adolescent Gynaecology

This condition is treated in the Gynaecology clinic.

Pre-referral work-up

History

Any gynaecological problem in a girl or young woman aged under 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 under 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 Hbunder 100
• Primary amenorrhea
• Secondary amenorrhea (over 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 HealthPathways Tasmania website.

Availability

North

Launceston General Hospital (Level 5)
Phone:  1300 977 694
Fax: 03 6777 5214

North West

North West Regional Hospital
Phone: 6493 6300
Fax: 6464 1928

Mersey Community Hospital
Phone: 1800 636 455 
Fax: 6441 5928

South

Wellington Clinics (Level 8)
Phone: 03 6166 0000
Fax: 03 6173 0473