Reasons to Refer to a Gynecologist
| Adnexal mass |
| Vulvar or cervical lesion of undetermined etiology |
| Possible genital tract anomaly (imperforate hymen, duplicated upper tracts, absence of vagina, uterus) |
| Abnormal Pap test result requiring colposcopy |
| Acute pelvic pain with possible ovarian torsion, ectopic pregnancy, tubo-ovarian abscess, adnexal mass |
| Pelvic inflammatory disease (if the clinician is not comfortable with management) |
| Chronic pelvic pain |
| Dysmenorrhea unresponsive to medical therapy |
| Abnormal vaginal bleeding unresponsive to medical therapy or with severe anemia |
| Intrauterine device insertion |
| Pregnancy |
| Adnexal mass |
| Vulvar or cervical lesion of undetermined etiology |
| Possible genital tract anomaly (imperforate hymen, duplicated upper tracts, absence of vagina, uterus) |
| Abnormal Pap test result requiring colposcopy |
| Acute pelvic pain with possible ovarian torsion, ectopic pregnancy, tubo-ovarian abscess, adnexal mass |
| Pelvic inflammatory disease (if the clinician is not comfortable with management) |
| Chronic pelvic pain |
| Dysmenorrhea unresponsive to medical therapy |
| Abnormal vaginal bleeding unresponsive to medical therapy or with severe anemia |
| Intrauterine device insertion |
| Pregnancy |