TranslatePrimary and Secondary Amenorrhoea
Outpatients | Gynaecology
This condition is treated in the Gynaecology clinic.
Emergency Referral Criteria
If any of the following are present or suspected, please refer the patient to the Emergency Department (via ambulance if necessary) or follow local emergency care protocols or seek emergent medical advice if in a remote region. Clinical judgement should always be considered in addition to these criteria.
Criteria for Emergency include:
- Ectopic pregnancy
- Ruptured haemorrhagic ovarian cyst
- Ovarian torsion
- Acute/severe pelvic pain
- Significant or uncontrolled vaginal bleeding
- Severe infection
- Abscess intra pelvis or PID
- Bartholin's abscess/acute painful enlargement of a Bartholin's gland/cyst
- Acute trauma including vulva/vaginal lacerations, haematoma and/or penetrating injuries
- Post-operative complications within 6 weeks including wound infection, wound breakdown, vaginal bleeding/discharge, retained products of conception post-op, abdominal pain
- Urinary retention
- Acute urinary obstruction
- Any molar pregnancy
- Inevitable and/or incomplete miscarriage
- Hyperemesis gravidarum
- Ascites, secondary to known underlying gynaecological oncology
If you, or someone else, are experiencing a serious and life-threatening injury or illness call triple zero (000) immediately or go to the nearest Emergency Department.
Learn more about when to access emergency care and non-emergency care options if the injury or illness is not serious or life-threatening.
Statewide Referral Criteria (SRC)
Criteria for referral to public hospital specialist clinic services
? Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Urgent (Category 1)
- Nil category 1 criteria
Semi-urgent (Category 2)
- Primary amenorrhoea
Routine (Category 3)
- Secondary amenorrhoea
Information to be included in the referral
(Referral may be returned without this)
Essential supporting information
Pathology
- BHCG
- Follicle Stimulating Hormone
- LH
- Prolactin
- Oestradiol
Imaging
- Pelvic Ultrasound
- Transvaginal pelvic USS should be done when indicated.
Note: If delay obtaining a USS may impact critical care this should be clearly indicated in the referral, however the scan should still be booked. Phone discussion on a case-by-case basis may be needed.
Investigations/other
- Any relevant
Additional information
- Duration of amenorrhoea (i.e. greater than 6 months)
- Weight/BMI
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 view:
Amenorrhoea - HealthPathways Tasmania
