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Referrals

Menstrual irregularities referral checklist

Baseline workup, red flags, and referral note elements for menstrual irregularities.

Last reviewed 2026-01-05|gyne | bleeding | workup

Minimum pre-referral workup

  • Pregnancy test and menstrual calendar review.
  • CBC for anemia and ferritin if heavy bleeding.
  • TSH and prolactin when indicated.
  • Pelvic ultrasound if structural cause suspected.
  • Review medications, contraception, and bleeding disorders history.

Urgency tier

  • Hemodynamic instability or symptomatic anemia.
  • Heavy bleeding in pregnancy or postmenopausal bleeding.
  • Severe pelvic pain, fever, or suspected infection.
  • Rapidly enlarging pelvic mass.
  • Bleeding requiring acute care or transfusion.

Referral packet checklist

  • Age, parity, LMP, and cycle pattern description.
  • Bleeding volume, duration, and associated symptoms.
  • Contraceptive use and pregnancy plans.
  • Exam findings and pelvic ultrasound results.
  • Lab results and prior treatment trials.

Pre-referral optimization tasks

  • Stabilize bleeding symptoms with first-line therapy when appropriate.
  • Review iron replacement and anemia monitoring if heavy bleeding is present.
  • Reinforce return precautions for heavy ongoing bleeding, dizziness, or severe pelvic pain.