United kingdom.2 3 Pharmacokinetic information suggest that

Clinicians and customers might be reassured that this technique of contraception is successful when left in utero for five years.M Harrison-Woolrych Senior health-related assessor J M Raine Group manager Medicines Control SB-269970 supplier Agency, London SW8 5NQ1 Mansour D, Guillebaud J. Clinicians and users may be reassured that this method of contraception is helpful when left in utero for five years.M Harrison-Woolrych Senior medical assessor J M Raine Group manager Medicines Handle Agency, London SW8 5NQ1 Mansour D, Guillebaud J. Data assistance extended use of levonorgestrel intrauterine systems. BMJ 1998;316:l671. (30 May well.) two Sivin I, El Mahgoub S, McCarthy T, Mishell DR Jr, Shoupe D, Alvarez F, et al. Long-term contraception together with the levonorgestrel 20 mcg/day (LNg20) and the Copper T 380 Ag intrauterine devices: a 5 year randomised study. Contraception 1990;42:361-78. three Sivin I, Stern J, Coutinho E, Mattos C, El Mahgoub S, Diaz S, et al. Prolonged intrauterine contraception: a seven year randomised study with the levonorgestrel 20 mcg/day (LNg20) plus the Copper T 380 Ag IUDs. Contraception 1991;44:473-80.Discrimination against gay and lesbian medical doctors goes against GMC's guidanceEditor--As co-chairs in the Gay and Lesbian Association of Medical doctors and Dentists (GLADD) we were concerned about an anonymous letter published in Profession Concentrate various months ago.1 It was by a gay medical doctor in a coaching post and raises numerous essential concerns. Firstly, as the writer pointed out, gay and lesbian doctors in the armed solutions are liable to dismissal for no other explanation than their sexuality. This occurred to one of our members in 1997 right after he was "outed" by a tabloid newspaper. Secondly, physicians in the armed solutions are required to report service personnel whom they know to become homosexual even when this info has been acquired throughout a clinical consultation and within the knowledge that the person concerned is going to be dismissed. In any other context such breach of confidentiality could quantity to professional misconduct. This concern is relevant to all doctors since it erodes the self-confidence of gay and lesbian sufferers inside the profession as a entire and is clearly inimical to good healthcare practice. We believe that immediate action is essential by the government, the armed services, and also the General Healthcare Council. Thirdly, some gay and lesbian physicians in education within the NHS are nevertheless reluctant to become open about their sexuality for worry of discrimination by colleagues. We are able to provide them some comfort by pointing towards the Basic Health-related Council's guidance to all medical doctors, which states: "You should not discriminate against your colleagues, including medical doctors applying for posts, mainly because of one's views of their life style, culture, beliefs, race, colour, sex, sexuality or age."2 We recognise, having said that, that practice may be pretty distinct.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:two. (13 December.) two Common Health-related Council. Duties of a doctor. Great healthcare practice. London: GMC, 1996.British Diabetic Association publishes guidance Editor--Tattersall and Page rightly draw interest to the lack of organised care for elderly men and women with diabetes living in residential and nursing properties.1 Provided the massive numbers of elderly people with diabetes, t.