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abdominal cavity abdominal walls abnormalities abscess adhesions adnexa amenorrhoea appear atrophy biopsy bladder blood cancer carcinoma carcinomata caused cervix changes characteristic chronic clinical picture colposcope condition consistency corpus uteri curettage cystic cysts demonstrated dermoid differential diagnosis dilatation discharge diseases disorders displaced dysmenorrhoea ectopic pregnancy endometriosis epithelium especially external genitals Fallopian tubes fibroids fistulae frequently genital organs glands gonococcal gynaecological haemorrhages histological examination hydrosalpinx hymen hypoplasia infection infiltration inflammation inflammatory inguinal intestinal irregular ligaments low backache malformations malignant menstruation metastases mucosa muscles myoma myomata neoplasms nodules normal observed occur operation ovarian tumours ovaries pain palpation parametritis patient pedicle pelvic cellular tissue perforation peritoneum peritonitis polypi possible posterior pouch of Douglas pressure primary prolapse pyosalpinx rare recognised rectal rectum rupture sarcoma sarcomata scars solid sometimes speculum sterility symptoms tender to touch tion torsion tubal tuberculosis tumour typical ulcers urethra urine usually uterus vagina vulva vulvitis womb women