Dyspareunia (deep or superficial)/Vulvodynia/Vestibulodynia/Genitopelvic Pain Penetration Disorder
Adult

Endometriosis and Pelvic Pain Service

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Emergency Referrals

Useful Management Information

Refer to local guidelines
Advise using lubricant and adequate foreplay prior to intercourse
All GPPPN patients: For superficial dyspareunia: (consider referral to women’s health physiotherapist
For superficial dyspareunia:
- breast feeding women – consider topical oestrogen
- consider vaginismus and referral to a sexual medicine service +/- Pelvic floor physiotherapist
- consider psychosocial issues and referral for counselling

Clinical resources

Sexual health services in Queensland

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?

Category 1 (appointment within 30 calendar days)	No category 1 criteria
Category 2 (appointment within 90 calendar days)	Severe pelvic pain associated with dyspareunia Unexplained persistent unusual vaginal discharge, especially if offensive and blood stained
Category 3 (appointment within 365 calendar days)	Vulvodynia/Vulvar vestibulitis syndrome
If your patient does not meet the minimum referral criteria Assessment and management information may be found on a range of conditions at HealthPathways If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested: Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.) Please note that your referral may not be accepted or may be redirected to another service

Standard Referral Information

Reason for request

To establish a diagnosis
For treatment or intervention
For advice and management
For specialist to take over management
Reassurance for GP/second opinion
For a specified test/investigation the GP can't order, or the patient can't afford or access
Reassurance for the patient/family
For other reason (e.g. rapidly accelerating disease progression)
Clinical judgement indicates a referral for specialist review is necessary

Relevant clinical information about the condition

Presenting symptoms (evolution and duration)
Physical findings
Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
All conservative options that have been pursued unsuccessfully prior to referral
Body mass index (BMI)
Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
Any special care requirements where relevant (e.g tracheostomy in place, oxygen required)
Current medications and dosages
Drug allergies
Alcohol, tobacco and other drugs use

Patient's Demographic Details

Full name (including aliases)
Date and country of birth
Residential and postal address including whether patient resides at an aged care facility
Telephone contact number/s – home, mobile and alternative
Medicare number (where eligible)
Name of the parent or caregiver (if appropriate)
Name of delegate and contact details (Department of Corrective Services)
Preferred language and interpreter requirements
Identifies as Aboriginal and/or Torres Strait Islander
Any special needs, access requirements and/or disability relevant to the referral

Referring Practitioner Details

Full name
Full address
Contact details – telephone, fax, email
Provider number
Date of referral
Signature
Nominated general practitioner’s details (if known), if the nominated general practitioner is different from the referring practitioner

Other relevant information

Willingness to have surgery (where surgery is a likely intervention)
Choice to be treated as a public or private patient
Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Essential Referral Information

History of:
- nature of the pain – location, intermittent or persistent
- general body muscle tensing and general or focal pelvic floor muscle tension before and during attempts at penetration
- medical, surgical and obstetric history
Pelvic USS results (TVS preferable)

Additional Referral Information

BMI
STI screen result – endocervical swab or first catch urine for chlamydia +/- gonorrhoea NAA
HVS M/C/S and viral PCR result
Previous CST result (if within last 5 years)

Send Referrals To

Smart Referrals

Preferred Method About Smart Referrals

Secure Web Transfer

Gold Coast Health

Internal Referrals

Endometriosis Pelvic Pain Interdisciplinary Clinical Service (EPPICS) (qhRefer)

Fax

(07) 5687 4497

Post

Endometriosis and Pelvic Pain Service
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215

Enquiries

1300 744 284

Related HealthPathways

No directly related pathways found

HealthPathways home page

Service Availability

Dr Graeme Walker

Medical Director Gynaecology

Facilities

Gold Coast University Hospital

If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.

Dyspareunia (deep or superficial)/Vulvodynia/Vestibulodynia/Genitopelvic Pain Penetration DisorderAdult