To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
A careful vaginal examination allows detection of pathology of the pouch of Douglas, such as nodules of the rectovaginal septum or fixed retroverted uterus. The five steps in the fertiloscopy procedure are: hydropelviscopy, dye test, salpingoscopy, microsalpingoscopy, and hysteroscopy. Hydropelviscopy is performed by first inserting a Verres needle into the pouch of Douglas. This needle is inserted 1 cm below the cervix, and then saline solution is instilled through a perfusion line using no other pressure than gravity. Introduction of a Verres needle and then of the fertiloscope in the pouch of Douglas sometimes raises fear of rectal injury. The fundamental question was to know at an early stage whether fertiloscopy was as accurate as laparoscopy, which was considered at that time the "gold standard" in infertility investigation. The only real complication is represented by rectal injury. However, such injury may be always treated conservatively with antibiotics without surgical intervention.