An individualised clinical assessment is required to meet the identified needs of the woman, her carer and family; referral should be as required.

In addition to common issues identified in the Appendix, specific needs that may arise at this time include:

• treatment for physical symptoms such as pain and fatigue
• help with the emotional distress of dealing with a potential cancer diagnosis, anxiety/depression (particularly about potential loss of fertility), interpersonal problems, stress and adjustment difficulties
• referral to a fertility service for counselling and evaluation of options
• guidance about financial and employment issues (such as loss of income, travel and accommodation requirements for rural women and caring arrangements for other family members)
• appropriate information for women from culturally and linguistically diverse backgrounds.