{"id":2147,"date":"2018-07-07T11:42:45","date_gmt":"2018-07-07T15:42:45","guid":{"rendered":"https:\/\/natural-womanhood.local\/?p=2147"},"modified":"2024-04-09T17:33:40","modified_gmt":"2024-04-09T22:33:40","slug":"essure-fda-requisitos-medicos-dolor-pelvico-perforacion-muerte-anticonceptivos-07082018","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/es\/essure-fda-physician-requirements-pelvic-pain-perforation-death-birth-control-07082018\/","title":{"rendered":"El problema de los requisitos m\u00e9dicos de la FDA para recetar Essure"},"content":{"rendered":"<p>En un n\u00famero de 2018 de la <i>Revista de la Asociaci\u00f3n M\u00e9dica Americana <\/i>(JAMA), se puede encontrar entre las noticias de la FDA un art\u00edculo titulado <a href=\"https:\/\/jamanetwork.com\/journals\/jama\/article-abstract\/2681177\">\"Nuevos requisitos m\u00e9dicos para usar anticonceptivos permanentes\".<\/a><\/p>\n<p>Dentro del art\u00edculo de 7 p\u00e1rrafos se encuentra la siguiente afirmaci\u00f3n sobre el dispositivo de esterilizaci\u00f3n permanente conocido como Essure, que lleva 16 a\u00f1os en el mercado y ha sido utilizado por m\u00e1s de 750.000 mujeres en todo el mundo.<\/p>\n<blockquote><p>\"Los m\u00e9dicos est\u00e1n ahora obligados a entregar a las pacientes un folleto educativo de 22 p\u00e1ginas y a discutir con ellas los riesgos y beneficios del dispositivo antes de implantarlo. Los m\u00e9dicos tambi\u00e9n deben informar a las pacientes de los m\u00e9todos anticonceptivos alternativos, responder a cualquier otra pregunta que tengan sobre el dispositivo y firmar el folleto para documentar que las conversaciones han tenido lugar.<\/p>\n<p>Las medidas de la FDA responden a los continuos informes de efectos adversos graves y a la preocupaci\u00f3n de la agencia por que las mujeres no reciban suficiente informaci\u00f3n antes de decidir si se implantan el dispositivo.\"<\/p><\/blockquote>\n<p>\u00bfT\u00fa crees?<\/p>\n<p>Essure, una bobina met\u00e1lica flexible que se inserta a trav\u00e9s de la vagina en las trompas de Falopio, ha provocado dolor p\u00e9lvico cr\u00f3nico en m\u00e1s de 21.000 mujeres (a menudo hasta el punto de requerir una histerectom\u00eda), dolores de cabeza en m\u00e1s de 7.000 mujeres y al menos 10 muertes debidas a la perforaci\u00f3n de las trompas de Falopio o el \u00fatero por el dispositivo, seg\u00fan el <a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2681177\"><em>JAMA<\/em> art\u00edculo<\/a>. <b><\/b><\/p>\n<p>\u00bfPor qu\u00e9 ha tardado tanto la FDA en hacer sonar esta alarma? Como detallo en mi libro,<i> <\/i><a href=\"https:\/\/www.iuniverse.com\/bookstore\/bookdetail.aspx?bookid=SKU-000976329\"><i>La verdad oculta: el enga\u00f1o en la atenci\u00f3n sanitaria a las mujeres<\/i><\/a>En mi consulta me he encontrado con numerosos pacientes que han tomado decisiones que, con m\u00e1s informaci\u00f3n y m\u00e1s tiempo para considerar la informaci\u00f3n disponible, dicen que quiz\u00e1 no habr\u00edan tomado.<i><\/i> elegida. Estar bien informado es fundamental para tomar decisiones, pero durante demasiado tiempo, en lo que respecta a los anticonceptivos hormonales, muchos m\u00e9dicos no dan a los pacientes toda la informaci\u00f3n sobre <a href=\"https:\/\/naturalwomanhood.org\/es\/aprender\/problemas-con-los-anticonceptivos\/\">riesgos para la salud y efectos secundarios <\/a>por temor a que inhiba a una mujer de elegirlo.<\/p>\n<p>\u00bfCu\u00e1ntas mujeres han tenido un m\u00e9dico, enfermera u otro profesional de la salud que, al prescribirles CUALQUIER m\u00e9todo anticonceptivo (anticonceptivos orales, DIU, implantes, inyecciones o esterilizaci\u00f3n), haya iniciado una conversaci\u00f3n sobre los efectos secundarios y los riesgos para la salud? El impacto adverso de cada uno de estos m\u00e9todos se ha descrito en art\u00edculos anteriores aqu\u00ed en Natural Womanhood, as\u00ed como en mi libro.<\/p>\n<p>Los m\u00e9dicos y otros profesionales de la pr\u00e1ctica cl\u00ednica se ven inundados de art\u00edculos de revistas en los que se ensalzan los supuestos \"beneficios para la salud\" de los anticonceptivos hormonales y los diversos m\u00e9todos artificiales e invasivos de control de la natalidad y esterilizaci\u00f3n. Hubo un tiempo, en los primeros a\u00f1os de mi pr\u00e1ctica m\u00e9dica, en que cre\u00eda que estaba prestando un gran servicio a las mujeres j\u00f3venes recet\u00e1ndoles el \"mejor\" anticonceptivo oral. Pero la \"elecci\u00f3n\" de la paciente no era el centro de atenci\u00f3n, tal y como lo aprend\u00ed. M\u00e1s bien, el ethos que absorbimos en la facultad de medicina era que la sociedad nos hab\u00eda otorgado a los m\u00e9dicos un papel \u00fanico como los que siempre saben qu\u00e9 es lo mejor para la salud del paciente. Cuando se trata de que los m\u00e9dicos receten masivamente anticonceptivos hormonales, esto es muy peligroso. Al recetar estos medicamentos en el sistema sanitario actual, los profesionales de la salud suelen seguir los dictados del gobierno, las compa\u00f1\u00edas de seguros y las empresas farmac\u00e9uticas en lugar de los principios del Juramento Hipocr\u00e1tico.<\/p>\n<p>Hoy en d\u00eda, muchos m\u00e9dicos luchan por evitar ser penalizados cuando elegimos un curso de acci\u00f3n que no figura en la \"lista aprobada\" que nos env\u00edan quienes pagan la asistencia sanitaria. Lamentablemente, en la mayor\u00eda de los casos ya no es el paciente quien elige. Si los proveedores nos desviamos de esa lista, tenemos que dar explicaciones de por qu\u00e9 nos hemos desviado del curso de acci\u00f3n esperado y esperar que podamos obtener la aprobaci\u00f3n del todopoderoso tercero para permitir que el paciente reciba o no una prescripci\u00f3n determinada.<\/p>\n<p>Esto bien puede explicar por qu\u00e9 durante tanto tiempo se ha negado a los pacientes un verdadero \"consentimiento informado\" antes de embarcarse en el camino de la anticoncepci\u00f3n o la esterilizaci\u00f3n. Hay otras agendas en juego.<\/p>\n<p>\u00bfC\u00f3mo explicar si no por qu\u00e9 la FDA tard\u00f3 16 a\u00f1os en exigir a los m\u00e9dicos que explicaran los riesgos del Essure a sus posibles v\u00edctimas? O por qu\u00e9 nuestra FDA ha ignorado los recientes estudios sobre m\u00e1s de 1.000.000 de usuarias de la p\u00edldora anticonceptiva en Dinamarca, que revelan un consumo cuatro veces mayor de antidepresivos, <a href=\"https:\/\/naturalwomanhood.org\/es\/los-anticonceptivos-hormonales-aumentan-el-riesgo-de-cancer-de-mama-pildora-anticonceptiva-estudio-201718\/#7\">60% aumento de la incidencia del c\u00e1ncer de mama<\/a>y aumentos significativos de la incidencia de<a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMoa1111840\"> infarto de miocardio e ictus<\/a>?<\/p>\n<p>\u00bfSon los nuevos requisitos m\u00e9dicos sobre Essure una se\u00f1al de que las cosas est\u00e1n mejorando en lo que respecta al consentimiento informado sobre anticonceptivos? Yo creo que no. En primer lugar, a pesar de esta victoria que los riesgos de Essure se han reconocido en JAMA, es empeque\u00f1ecido por el n\u00famero de art\u00edculos de revistas que los m\u00e9dicos leen apoyando el control de la natalidad prescrito en masa a cualquier persona con s\u00edntomas tan variados como el acn\u00e9 al s\u00edndrome premenstrual. Me temo que, en la pr\u00e1ctica, este art\u00edculo no va a cambiar mucho el comportamiento de los m\u00e9dicos, si es que lo hace. Es poco probable que nadie lea el documento de 22 p\u00e1ginas que se pide a los m\u00e9dicos que revisen con sus pacientes. El verdadero problema es que Essure est\u00e1 en el mercado y que se seguir\u00e1 recetando a las mujeres algo que perjudica a un gran n\u00famero de ellas.<\/p>\n<p>En contra de las mejoras, creo que la cuesti\u00f3n del consentimiento informado sobre los anticonceptivos va a seguir empeorando: estamos perdiendo m\u00e9dicos independientes a medida que m\u00e1s de ellos optan por convertirse en empleados de los hospitales y otros grandes sistemas sanitarios que tienen protocolos sobre la prescripci\u00f3n de anticonceptivos. Muchos m\u00e9dicos en las \u00faltimas d\u00e9cadas han sido entrenados para convertirse en agentes del bien social, anteponiendo la \"salud de la poblaci\u00f3n\" (con la necesidad de control de la poblaci\u00f3n) a los mejores intereses del paciente individual. Un porcentaje significativo de los art\u00edculos de las revistas m\u00e9dicas son <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1126057\/#__sec4title\">escritas por m\u00e9dicos empleados por empresas farmac\u00e9uticas<\/a>.<\/p>\n<p>Espero que todas las mujeres intenten investigar por su cuenta antes de tomar decisiones m\u00e9dicas sobre cualquier tema de salud. Visite <a href=\"https:\/\/naturalwomanhood.org\/es\/aprender\/empezar\/#find-doctor\">m\u00e9dicos que reconocen las alternativas a los anticonceptivos hormonales <\/a>que conllevan riesgos tan peligrosos para la salud.<\/p>\n<p><i>Referencias<\/i><\/p>\n<p>Voelker, R. \"<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2681177\">Nuevos requisitos m\u00e9dicos para usar un dispositivo anticonceptivo permanente.<\/a>\" <i>JAMA.<\/i> 2018;319(19):1974. doi:10.1001\/jama.2018.5587<\/p>\n<p>Lidegaard, \u00d8. \"<a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMoa1111840\">Accidente cerebrovascular tromb\u00f3tico e infarto de miocardio con anticoncepci\u00f3n hormonal<\/a>.\" <em>New England Journal of Medicine.<\/em> 2012; 366:2257-2266 DOI: 10.1056\/NEJMoa1111840<\/p>\n<p>M\u00f8rch, L. \"<a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa1700732\">Anticoncepci\u00f3n hormonal contempor\u00e1nea y riesgo de c\u00e1ncer de mama.<\/a>\" 7 de diciembre de 2017:\u00a0<em>New England Journal of Medicine.<\/em>\u00a02017; 377:2228-2239 DOI: 10.1056\/NEJMoa1700732<\/p>\n<p><em>Las opiniones, representaciones y declaraciones hechas en este art\u00edculo son las de la autora y no reflejan necesariamente las de Natural Womanhood.<\/em><\/p>\n<p><strong><em>Este art\u00edculo se public\u00f3 el 7 de julio de 2018. Desde entonces, Bayer ha retirado Essure del mercado y ha pagado a las mujeres que han denunciado lesiones. <a href=\"https:\/\/naturalwomanhood.org\/es\/bayer-essure-birth-control-device-damages-settlement-2020\/\">M\u00e1s informaci\u00f3n sobre este tema.<\/a>\u00a0<\/em><\/strong><\/p>\n<p>\u00daltima actualizaci\u00f3n: 27 de octubre de 2020.<\/p>","protected":false},"excerpt":{"rendered":"En un n\u00famero de 2018 de la revista Journal of the American Medical Association (JAMA), se puede encontrar entre las noticias...","protected":false},"author":39,"featured_media":2148,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5183,5266],"tags":[6122],"class_list":{"0":"post-2147","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-birth-control-issues","8":"category-in-the-news","9":"tag-birth-control-side-effects-22","10":"cs-entry","11":"cs-video-wrap"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Essure&#039;s New FDA Requirements Reveal Longstanding Problems<\/title>\n<meta name=\"description\" content=\"A doctor explains why the FDA recently brought attention to how the permanent birth-control device Essure has caused chronic pelvic pain and headaches in thousands of women, and even some deaths. However, are the new FDA requirements enough, or will women still suffer from such harmful birth-control side effects?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/naturalwomanhood.org\/es\/essure-fda-requisitos-medicos-dolor-pelvico-perforacion-muerte-anticonceptivos-07082018\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Problem with the FDA&#039;s Physician Requirements for Prescribing Essure\" \/>\n<meta property=\"og:description\" content=\"In a 2018 issue of the Journal of the American Medical Association (JAMA), one can find among news from the FDA a piece entitled \u201cNew Physician\" \/>\n<meta property=\"og:url\" content=\"https:\/\/naturalwomanhood.org\/es\/essure-fda-requisitos-medicos-dolor-pelvico-perforacion-muerte-anticonceptivos-07082018\/\" \/>\n<meta property=\"og:site_name\" content=\"Natural Womanhood\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NaturalWomanhood\" \/>\n<meta property=\"article:published_time\" content=\"2018-07-07T15:42:45+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-04-09T22:33:40+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/naturalwomanhood.org\/wp-content\/uploads\/AdobeStock_191716450-scaled.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1707\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Dr. John Littell\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@naturwomanhood\" \/>\n<meta name=\"twitter:site\" content=\"@naturwomanhood\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dr. John Littell\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/naturalwomanhood.org\/essure-fda-physician-requirements-pelvic-pain-perforation-death-birth-control-07082018\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/naturalwomanhood.org\/essure-fda-physician-requirements-pelvic-pain-perforation-death-birth-control-07082018\/\"},\"author\":{\"name\":\"Dr. John Littell\",\"@id\":\"https:\/\/naturalwomanhood.org\/#\/schema\/person\/07f731764612970964c3381614a13d3a\"},\"headline\":\"The Problem with the FDA&#8217;s Physician Requirements for Prescribing Essure\",\"datePublished\":\"2018-07-07T15:42:45+00:00\",\"dateModified\":\"2024-04-09T22:33:40+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/naturalwomanhood.org\/essure-fda-physician-requirements-pelvic-pain-perforation-death-birth-control-07082018\/\"},\"wordCount\":1102,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/naturalwomanhood.org\/#organization\"},\"image\":{\"@id\":\"https:\/\/naturalwomanhood.org\/essure-fda-physician-requirements-pelvic-pain-perforation-death-birth-control-07082018\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/naturalwomanhood.org\/wp-content\/uploads\/AdobeStock_191716450-scaled.jpeg\",\"keywords\":[\"birth control side effects\"],\"articleSection\":[\"Birth Control Issues\",\"In the News\"],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/naturalwomanhood.org\/essure-fda-physician-requirements-pelvic-pain-perforation-death-birth-control-07082018\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/naturalwomanhood.org\/essure-fda-physician-requirements-pelvic-pain-perforation-death-birth-control-07082018\/\",\"url\":\"https:\/\/naturalwomanhood.org\/essure-fda-physician-requirements-pelvic-pain-perforation-death-birth-control-07082018\/\",\"name\":\"Essure's New FDA Requirements Reveal Longstanding Problems\",\"isPartOf\":{\"@id\":\"https:\/\/naturalwomanhood.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/naturalwomanhood.org\/essure-fda-physician-requirements-pelvic-pain-perforation-death-birth-control-07082018\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/naturalwomanhood.org\/essure-fda-physician-requirements-pelvic-pain-perforation-death-birth-control-07082018\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/naturalwomanhood.org\/wp-content\/uploads\/AdobeStock_191716450-scaled.jpeg\",\"datePublished\":\"2018-07-07T15:42:45+00:00\",\"dateModified\":\"2024-04-09T22:33:40+00:00\",\"description\":\"A doctor explains why the FDA recently brought attention to how the permanent birth-control device Essure has caused chronic pelvic pain and headaches in thousands of women, and even some deaths. 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