This site contains the South Australian Clinical Prioritisation Criteria (CPC) for most frequently referred Gynaecology and Gynaecology Oncology conditions.
Gynaecology and gynaecology oncology conditions
Please note this is not an exhaustive list of all conditions for outpatient services and does not exclude consideration for referral unless specifically stipulated in the gynaecology and gynaecology oncology exclusions section.
- Abnormal Uterine Bleeding
- Abnormal Uterine Bleeding
- Complicated Intrauterine Contraceptive Device Insertion or Removal
- Dysplasia Abnormal Cervical Screen and Genital Warts
- Fertility Management including Male Infertility
- Gynaecology Oncology
- Hereditary Gynaecologic Cancer Syndromes
- Labial Adhesions
- Menopause Management, Complicated
- Menstrual Management for People with Disability or Complex Medical Conditions
- Ovarian Cyst/Pelvic Mass
- Pelvic Mesh Service
- Pelvic Pain
- Permanent Contraception
- Polycystic Ovarian Syndrome (PCOS) - Gynaecology
- Post-Coital Bleeding
- Primary Amenorrhoea
- Recurrent Pregnancy Loss
- Secondary Amenorrhoea
- Urinary Incontinence
- Vaginal Prolapse/Pelvic Floor
- Vulval Disorder
- Vulval Disorders
Out of scope
Not all medical conditions are covered by the CPC, as certain conditions may be considered out of scope or managed by other specialist services:
- Concerns of ‘childhood non-accidental injury’ – refer to Child Protection Services for further information
- Gender dysphoria/reassignment surgery
- Obstructive defecation associated with rectal prolapse – refer to Colorectal Surgery CPC
- Post-menopausal hormonal implants
- Post-menopausal osteoporosis - refer to endocrinology CPC
- Sexual assault - refer to Yarrow Place Rape and Sexual Assault Service for further information
- Termination of pregnancy – refer to the Unplanned Pregnancy Services for further information
- Uncomplicated sexually transmitted infections – refer to Adelaide Sexual Health Centre
Exclusions for public specialist outpatient services
Not all gynaecology and gynaecology oncology conditions are appropriate for referral into the South Australian public health system. The following are not routinely provided in a public specialist outpatient service:
- Asymptomatic labial adhesions
- Cosmetic surgery
- Heavy menstrual bleeding without trial of first-line treatment
- Implanon removal
- Labial surgery for cosmetic, personal or comfort reasons
- Pelvic pain without trial of first-line treatment
- Recurrent ovarian cysts without trial of hormonal contraception history/use
- Reversal of sterilisation
- Routine contraceptive or menopausal advice
- Routine gynaecological check-up
- Routine human papillomavirus (HPV) testing/ cervical screening test (CST)
- Simple cyst less than 5cm in size and normal ca 125
- Single episode of post-coital bleeding with normal CST and liquid based cytology without oncogenic HPV
- Vulval disorders without a trial of first-line treatment
- Women experiencing less than 2 miscarriages
- Women undergoing test of cure for non-16/18 HPV
- Women with intermenstrual bleeding (IMB) who have not trialled first-line treatment
Emergency information
See the individual condition pages for more specific emergency information.
Feedback
We welcome requests for further information or feedback on the CPC and website, please refer to the relevant form below.
Please email the completed form to Health.CPC@sa.gov.au.
Review
The Gynaecology and Gynaecology Oncology CPC is due for review in September 2025.
Evidence statement
For a copy of the evidence statement, please email Health.CPC@sa.gov.au.