Objective To describe and compare health outcomes two years after medical abortion or vacuum Design Women recruited to the original, partially randomised study were contacted for assessment using Setting Grampian region of Scotland, UK.Participants One hundred and forty women who had participated in a partially randomised study of first Intervention Vacuum aspiration or medical abortion using mifepristone and gemeprost.Main outcome measures Long-term general, reproductive and psychological health; acceptability of procedure; perceived value of choice of method of termination.Results There were no significant differences between women who had undergone medical abortion or vacuum aspiration two years previously in general, reproductive or psychological health. Almost all women placed a high value on the provision of choice of method of termination. There was a significant difference in perception of long term procedure acceptability among women who had been randomised to a method of termination.Conclusions Women should have the opportunity to choose the method of termination. This opportunity will result in high levels of acceptability, particularly at gestations under 50 days of amenorrhoea.aspiration in women recruited into a patient preference trial during 1990 to 199 1. a structured interview.trimester abortion two years previously.

There is a high prevalence of SAD among patients attending their GPs in January in Aberdeen; this is likely to reflect a similar rate in the community.

Primary care patients with seasonal affective disorder improve after light therapy, but bright white light is not associated with greater improvements.

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Patients with SAD are heavy users of health care services. This may reflect the condition itself, its comorbidity or factors related to the personality or help-seeking behaviour of sufferers.