Endocrine problems (PCOS)

This condition is treated in the Gynaecology clinic.

Pre-referral work-up

History

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
  • Infertility
  • 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

Tests

• TVUS
• HBA1c
• FSH, LH, E2 Day 2-6, Luteal phase progestrone
• Prolactin, TSH
• Only Iif hirsuite - Testosterone, SHBG, Free androgen index, 17 hydroxyprogestrone, DHEAS
• Lipid profile

Interim/GP management

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 HealthPathways Tasmania website.

Clinic appointments

🚩 Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Routine (Category 3)

• OCP treatment failure
• Trouble irregular periods
• Fertility issues

Will be seen in turn.

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