MinervaBMJ 2000; 320 doi: https://doi.org/10.1136/bmj.320.7241.1086 (Published 15 April 2000) Cite this as: BMJ 2000;320:1086
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The levonorgestrel intrauterine system combines the action of an intrauterine device with the release of the hormone into the uterine cavity, thus providing contraception and (usually) reducing menstrual blood loss. A study of 17 914 women in Finland (British Journal of Obstetrics and Gynaecology 2000;107:335-9) found that the continuation rate at five years was 65%—a rate that compares well with other long acting methods of contraception.
According to the World Health Organization, in the next 25 years the numbers of people known to have diabetes will rise from 130 million to 300 million. Half of these will develop neuropathy, and a review in Annals of Medicine (2000;32:1-5) comments that current treatments are unsatisfactory. The best prospect seems to be prevention by treatment with angiotensin converting enzyme inhibitor drugs.
Dizziness is …