General practitioner examinations and investigations should include:

• a general and pelvic examination (including a speculum examination and cervical screening test)
• referral to an experienced gynaecological ultrasonographer for a transvaginal pelvic ultrasound.

To help determine menopausal status and key considerations for pre-, peri- and postmenopausal women, refer to A practitioner’s toolkit for managing the menopause.

To help assess abnormal bleeding in pre-, peri- and postmenopausal women, refer to Cancer Australia’s Abnormal vaginal bleeding in pre, peri and postmenopausal bleeding: a guide for general practitioners and gynaecologists.