Gynaecology Primary Care Pathways

Primary care pathways for common conditions in Gynaecology

These pathways have been developed to enable clinicians in Primary Care to manage common gynaecological problems with confidence in their setting. The pathways are presented in the format of a flow chart for easy perusal with signposting where possible to sites for further information or to access patient information.

They were developed by the Kingston Hospital Gynaecology team of doctors with valuable feedback from GP colleagues. For conditions where the SWL Gynaecology Network has developed a pathway, we have ensured these pathways align with SWL pathways. There are evidence based and aligned to national guidance where available and when this is not available they are based on principles of good medical practice.

Please use them to help you manage your patients and before you consider a referral to secondary care. Clinical pathway development and use is a dynamic process and we would like to get feedback from users to ensure they are clear and fit for purpose. Please email us on

List of primary care pathways in Gynaecology

  1. Asymptomatic increased endometrial thickness (ET) in post menopausal women
  2. Cervical polyp
  3. Chronic pelvic pain
  4. Dysmenorrhoea
  5. Female sterilisation
  6. Heavy Menstrual Bleeding (HMB)
  7. Intermenstrual Bleeding (IMB)
  8. Lichen Sclerosis
  9. Lost IUCD/difficult IUCD removal
  10. Oligomenorrhoea and Secondary ammenorrhoea
  11. Post-coital bleeding (PCB)
  12. Polycystic ovarian syndrome (PCOS)
  13. Persistent vaginal discharge
  14. PMB and bleeding on HRT
  15. Post-menopausal ovarian cyst pathway
  16. Pre-menopausal ovarian cyst pathway
  17. Primary amenorrhoea
  18. Recurrent miscarriage
  19. Subfertlity
  20. Vulval symptoms

Tell us how we are doing we'd love to have your opinion