Rapid Access Hysteroscopy Clinic

Services available

Within the Women’s Day Procedure Centre, we provide outpatient gynaecology procedures, including diagnostic hysteroscopy and removal of polyps and retained IUDs.

Patients are awake for these procedures with the total time taking approximately 45 min. The procedure itself usually only takes 5 to 10 minutes. Patients can leave the hospital immediately afterward.

Inclusion criteria

Refer if the Women’s is the patient's closest hospital with gynaecology services and the patient requires any of the following.

Investigation

• Heavy or irregular periods
• Post-menopausal bleeding
• Findings of a thickened endometrium

Removal

• Endometrial or endo-cervical polyps < 2cm (cervical polyps are usually removed in a standard outpatient setting)
• Difficult to remove intrauterine devices

Exclusion criteria

• Weight >120kg
• Aged under 18 or over 65
• Likely to need laparoscopy (e.g. pelvic pain)
• Never been sexually active
• Poor tolerance of speculum examination
• Known cervical stenosis
• Significant medical comorbidities

The clinic is not appropriate for the following procedures:

• Endometrial or endo-cervical polyp > 2cm removal
• Cervical polyp removal only (usually removed in a standard outpatient setting)
• Fibroid removal
• IUCD insertion only (refer instead to the Women's Abortion and Contraception Service)
• Investigation of subfertility and recurrent miscarriages (direct referrals not taken. Refer to Public Fertility Care or Recurrent Miscarriage Clinic).

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

• Patient height and weight
• Pelvic ultrasound (performed within last 6 months)

Additional tests for some conditions

• Heavy menstrual bleeding: FBE, ferritin. If available: CST, TSH
• Post-menopausal bleeding: CST, STI screen
• Endometrial/endo-cervical polyp: CST

Send referral

GPs and other specialists can refer to the Rapid Access Hysteroscopy Clinic via Fast Fax: (03) 8345 3036.

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

Please also attach the Rapid Access Hysteroscopy GP Referral Questionnaire (Word).

In detail: How referrals are processed

Appointments

Patients will have a telehealth consultation to confirm their suitability, prior to the procedure.

Hysteroscopy clinics are held twice per week. The current estimated wait time is 4 to 6 weeks.

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