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.
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.