Insertion of IUD/IUS was well tolerated by the majority. Continuation and satisfaction rates were high. The IUD/IUS should be offered to nulliparous women as part of the full contraceptive menu. The ease of recruitment in this pilot study suggests that a larger study is feasible.

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Background The role of ultrasound scanning (USS) in the community setting of contraception and reproductive health (CRH) has not yet been clearly established. Abacus Clinics use ultrasound scans prior to referral for abortion where gestation is uncertain and for location of an intrauterine device/intrauterine system (IUD/IUS).Objective To audit the indications for USS performed in Abacus Clinics and to determine a minimum acceptable number of annual scans for each clinician.Methods A retrospective review of case notes was performed for a period of 3 months. ResultsThe majority of women (36; 64%) had a scan to determine gestation prior to referral for abortion. In 12 (21%) women the scan was performed for location of an IUD/IUS. Two (4%) women had a scan for both indications. Only six (11%) women did not comply with the indications listed above but all were related to gestation or 115 ©FSRH

Background The role of ultrasound scanning (USS) in the community setting of contraception and reproductive health (CRH) has not yet been clearly established. Abacus Clinics use ultrasound scans prior to referral for abortion where gestation is uncertain and for location of an intrauterine device/intrauterine system (IUD/IUS).Objective To audit the indications for USS performed in Abacus Clinics and to determine a minimum acceptable number of annual scans for each clinician.Methods A retrospective review of case notes was performed for a period of 3 months. ResultsThe majority of women (36; 64%) had a scan to determine gestation prior to referral for abortion. In 12 (21%) women the scan was performed for location of an IUD/IUS. Two (4%) women had a scan for both indications. Only six (11%) women did not comply with the indications listed above but all were related to gestation or 115 ©FSRH

Introduction. Women under the age of 40 after a surgical menopause are advised to use hormone replacement therapy (HRT) long-term as they especially are at risk of developing osteoporosis and early cardiovascular disease. The literature only provides very few data about compliance with HRT in women under 40 after total abdominal hysterectomy (TAH) and bilateral salpingo-oophorectomy (BSO). Several studies have examined the use of HRT in peri-and postmenopausal women. Methods. We undertook a retrospective study to investigate the rate of compliance with HRT in women under 40 years after TAH and BSO. From our computerised records we identified 73 women under the age of 40 who had a TAH and BSO. The operations were performed between 1994 and 1999. After examination of the notes seven women had to be excluded from the study. In total 66 women met the study criteria. The general practitioners of these women were