Referral criteria from primary care - endometriosis

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

Reference:

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