Uk.two 3 Pharmacokinetic data suggest that

Clinicians and customers might be reassured that this method of contraception is effective when left in utero for 5 years.M Harrison-Woolrych Senior healthcare assessor J M Raine Group manager Medicines Handle Agency, concepts on remedies, {ways London SW8 5NQ1 Mansour D, Guillebaud J. (30 May.) two Sivin I, El Mahgoub S, McCarthy T, Mishell DR Jr, Shoupe D, Alvarez F, et al. Long term contraception with the levonorgestrel 20 mcg/day (LNg20) plus the Copper T 380 Ag intrauterine devices: a five year randomised study. Contraception 1990;42:361-78. 3 Sivin I, Stern J, Coutinho E, Mattos C, El Mahgoub S, Diaz S, et al. Prolonged intrauterine contraception: a seven year randomised study of the levonorgestrel 20 mcg/day (LNg20) and the Copper T 380 Ag IUDs. Contraception 1991;44:473-80.Discrimination against gay and lesbian medical Not boost {performance|overall performance|efficiency|functionality doctors goes against GMC's guidanceEditor--As co-chairs of your Gay and Lesbian Association of Physicians and Dentists (GLADD) we had been concerned about an anonymous letter published in Profession Focus various months ago.1 It was by a gay physician within a training post and raises a number of important issues. Firstly, because the writer pointed out, gay and lesbian doctors in the armed solutions are liable to dismissal for no other purpose than their sexuality. This occurred to among our members in 1997 soon after he was "outed" by a tabloid newspaper. Secondly, medical doctors in the armed services are necessary to report service personnel whom they know to become homosexual even though this info has been acquired through a clinical consultation and within the expertise that the individual concerned will likely be dismissed. In any other context such breach of confidentiality could quantity to professional misconduct. This challenge is relevant to all physicians because it erodes the self-confidence of gay and lesbian patients within the profession as a whole and is clearly inimical to superior medical practice. We think that immediate action is expected by the government, the armed services, and also the Common Medical Council. Thirdly, some gay and lesbian medical doctors in coaching inside the NHS are nonetheless reluctant to be open about their sexuality for fear of discrimination by colleagues. We are able to supply them some comfort by pointing to the Common Health-related Council's guidance to all physicians, which states: "You need to not discriminate against your colleagues, including medical doctors applying for posts, since of the views of their lifestyle, culture, beliefs, race, colour, sex, sexuality or age."2 We recognise, nonetheless, that practice may be really different.Susan Bewley Consultant obstetrician David Harvey Professor of paediatrics and neonatal medicine GLADD, PO Box 5606, London W4 1WY1 Not coming out. BMJ 1997;classified suppl:2. (13 December.) two Common Healthcare Council. Duties of a physician. Very good healthcare practice.Uk.2 3 Pharmacokinetic information suggest that the rates of release of levonorgestrel by each the old as well as the new formulations are equivalent more than 5 years, so these information are supportive. The updated item info for the levonorgestrel intrauterine device will permit a duration of use of 5 years and state that the device has a pregnancy rate of much less than 1 per one hundred lady years.