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Post-coital bleeding


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Suspected malignancy
    • SCC, positive oncogenic HPV and/or HSIL on LBC, glandular lesion on cervical screening
  • Category 2
    (appointment within 90 calendar days)
    • Post-coital bleeding recurs or persists despite negative HPV or LBC
  • Category 3
    (appointment within 365 calendar days)
    • No category 3 criteria

1. Reason for request Indicate on the referral

  • 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

2. Essential referral information Referral will be returned without this

  • Findings of speculum examination
  • Most recent or current cervical screening
  • HVS result
  • Sexual health history
  • STI screen result - endocervical swab or first catch urine for chlamydia +/- gonorrhoea NAA

3. Additional referral information Useful for processing the referral

  • BMI
  • Pelvic USS (TVS preferable)
  • Contraceptive use

4. Request

Last updated: 7 December 2020