United kingdom.2 three Pharmacokinetic information suggest that

Duties of a medical doctor.United kingdom.2 three Pharmacokinetic information suggest that the rates of release of levonorgestrel by each the old plus the new formulations are equivalent more than 5 years, so these data are supportive. The updated solution details for the levonorgestrel intrauterine device will let a duration of use of five years and state that the device includes a pregnancy rate of much less than 1 per 100 lady years. Clinicians and users can be reassured that this Practices, {whether|whether or not|regardless of whether|no matter whether strategy of contraception is productive when left in utero for 5 years.M Harrison-Woolrych Senior health-related 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 using the levonorgestrel 20 mcg/day (LNg20) and also 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 on the levonorgestrel 20 mcg/day (LNg20) along with the Copper T 380 Ag IUDs. Contraception 1991;44:473-80.Discrimination against gay and lesbian doctors goes against GMC's guidanceEditor--As co-chairs from the Gay and Lesbian Association of Medical doctors and Dentists (GLADD) we had been concerned about an anonymous letter published in Career Focus numerous months ago.1 It was by a gay medical doctor in a coaching post and raises many vital concerns. Firstly, as the writer pointed out, gay and lesbian medical doctors within the armed solutions are liable to dismissal for no other purpose than their sexuality. This occurred to certainly one of our members in 1997 just after he was "outed" by a tabloid newspaper. Secondly, medical doctors within the armed services are essential to report service personnel whom they know to become homosexual even when this facts has been acquired through a clinical consultation and within the information that the person concerned will probably be dismissed. In any other context such breach of confidentiality could quantity to experienced misconduct. This problem is relevant to all medical doctors as it erodes the self-assurance of gay and lesbian patients within the profession as a complete and is clearly inimical to very good healthcare practice. We believe that quick action is essential by the government, the armed services, plus the General Medical Council. Thirdly, some gay and lesbian doctors in coaching within the NHS are nonetheless reluctant to be open about their sexuality for fear of discrimination by colleagues. We can present them some comfort by pointing towards the Basic Medical Council's guidance to all medical doctors, which states: "You will have to not discriminate against your colleagues, such as physicians applying for posts, simply because of the views of their life style, culture, beliefs, race, colour, sex, sexuality or age."2 We recognise, on the other hand, that practice can be pretty diverse.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 General Health-related Council.