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Referral criteria from primary care - endometriosis

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Referral for women with suspected or confirmed endometriosis

  • consider referring women to a gynaecology service for an ultrasound or gynaecology opinion if:
    • they have severe, persistent or recurrent symptoms of endometriosis
    • they have pelvic signs of endometriosis
    • or initial management is not effective, not tolerated or is contraindicated

    • refer women to a specialist endometriosis service (endometriosis centre)
      • if they have suspected or confirmed:
        • deep endometriosis involving the bowel, bladder or ureter, or
        • endometriosis outside the pelvic cavityf they have suspected or confirmed deep endometriosis involving the bowel, bladder or ureter

    • consider referring young women (aged 17 and under) with suspected or confirmed endometriosis to a paediatric and adolescent gynaecology service, gynaecology service or specialist endometriosis service (endometriosis centre), depending on local service provision


  1. NICE (April 2024). Endometriosis: diagnosis and management

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