Referral criteria from primary care - endometriosis

Referral for women with suspected or confirmed endometriosis

• refer women or people with symptoms of, or confirmed, endometriosis to a gynaecology service for further investigation and management if:
  • initial treatment is not effective, is not tolerated or is contraindicated, or
  • they have symptoms of endometriosis which have a detrimental impact on activities of daily living, or
  • they have persistent or recurrent symptoms of endometriosis, or
  • they have pelvic signs of endometriosis, but deep endometriosis is not suspected
    
    
• refer women to a specialist endometriosis service (endometriosis centre) if they have suspected or confirmed:
  • endometrioma, or
  • deep endometriosis, including that involving the bowel, bladder or ureter, or
  • endometriosis outside the pelvic cavity
    
    

• 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 (November 2024). Endometriosis: diagnosis and management