Dysplasia Clinic

The Dysplasia Clinic provides specialist care for women with screen detected precancerous abnormalities or visual abnormalities of the cervix and vagina.

On this page:

• Services available
• Inclusion criteria
• Urgent referral
• Exclusion criteria
• Referral instructions
• Appointments
• Referral templates (Downloads)

Services available

Colposcopy undertaken by a trained colposcopist 

The Dysplasia Clinic offers comprehensive diagnosis, treatment and management and is part of the Women’s Gynaeoncology Clinic. Referrals are accepted for women with an abnormal cervical screening result or where an abnormality is evident.

Inclusion criteria

Refer if the Women’s is the patient’s closest hospital with a women’s health service, and the patient has any of the following in cervical screening:

• One HPV types 16 and/or 18
• Three consecutive non 16/18 HPV with low grade cytology changes or better in a normal risk person
• Two consecutive non 16/18 HPV with low grade cytology changes or better in a higher risk person
  • Identifies as Aboriginal and/or Torres Strait Islander
  • Age ≥ 50 years
  • ≥ 2 years overdue for screening at the time of the initial screen
• One non 16/18 HPV in a very high risk person:
  • Diethylstilbesterol (DES) exposure
  • Immune-deficiency or immunosuppressed
  • Age ≥ 70 years

This aligns with the National Cervical Screening Pathway (Flowchart PDF, Cancer Council) and Statewide Referral Criteria. 

Urgent referral

Mark your referral as urgent if the patient has any of the following:

• Abnormal appearance of the cervix
• Suspected neoplasm
• Symptomatic

In these cases, a cervical smear test is not required before referral, and a previous negative cervical smear result is not a reason to delay referral. We may triage these referrals to the Oncology Unit.

For assessment or care due to concerning or deteriorating condition, please consider the most appropriate of:

• Re-refer for triage reassessment
• Women’s Emergency Care
• Registrar review – contact via the Women's switchboard on (03) 8345 2000

Exclusion criteria

• Normal CST (unless urgent referral criteria present)
• Referrals without a CST or unsatisfactory results (unless urgent referral criteria present)
• Referrals that do not meet Statewide Referral Criteria

Referral instructions

Essential information

All referrals must include essential demographic, medical and social history details, and relevant information about the presenting complaint.

In detail: Women's health referrals

Investigations

• Most recent cervical screening test or HPV & Liquid Based Cytology (LBC) co-test result

Send referral

GPs, specialists and nurse practitioners can refer directly to the Dysplasia Clinic via Fast Fax: (03) 8345 3036.

Use our Women’s Health Referral Form – jump to Referral templates (Downloads).

In detail: How referrals are processed

Appointments

Clinics are held every weekday, except Thursdays.

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