If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.
A woman with heavy menstrual bleeding is referred for early specialist review when there is a suspicion of malignancy or other significant pathology based on clinical assessment or ultrasound. Link: https://www.safetyandquality.gov.au/our-work/clinical-care-standards/heavy-menstrual-bleeding/
Consider increased risk of hyperplasia or malignancy if:
Medical treatment prior to or while waiting for specialist review if no suspicion of malignancy:
Referral is also arranged for a woman who has not responded after six months of medical treatment.