{"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-exigences-du-medecin-douleur-pelvienne-perforation-deces-controle-des-naissances-07082018","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/fr\/essure-fda-physician-requirements-pelvic-pain-perforation-death-birth-control-07082018\/","title":{"rendered":"Le probl\u00e8me des conditions impos\u00e9es par la FDA aux m\u00e9decins pour la prescription d'Essure"},"content":{"rendered":"

Dans un num\u00e9ro de 2018 de la revue Journal de l'Association m\u00e9dicale am\u00e9ricaine <\/i>(JAMA), on peut trouver parmi les nouvelles de la FDA un article intitul\u00e9 \"Nouvelles exigences du m\u00e9decin pour l'utilisation d'un dispositif permanent de contr\u00f4le des naissances\".<\/a><\/p>\n

Dans cet article de 7 paragraphes figure la d\u00e9claration suivante concernant le dispositif de st\u00e9rilisation permanente connu sous le nom d'Essure, commercialis\u00e9 depuis 16 ans et utilis\u00e9 par plus de 750 000 femmes dans le monde.<\/p>\n

\"Les m\u00e9decins sont d\u00e9sormais tenus de remettre aux patientes une brochure \u00e9ducative de 22 pages et de discuter avec elles des risques et des avantages du dispositif avant qu'il ne soit implant\u00e9. Les m\u00e9decins doivent \u00e9galement informer les patientes des m\u00e9thodes contraceptives alternatives, r\u00e9pondre \u00e0 toutes les autres questions qu'elles se posent sur le dispositif et signer la brochure pour attester que les discussions ont bien eu lieu.<\/p>\n

Les mesures prises par la FDA font suite \u00e0 des rapports continus faisant \u00e9tat d'effets ind\u00e9sirables graves et aux pr\u00e9occupations de l'agence concernant le fait que les femmes ne re\u00e7oivent pas suffisamment d'informations avant de d\u00e9cider de se faire implanter le dispositif\".<\/p><\/blockquote>\n

Vous pensez ?<\/p>\n

Essure, un st\u00e9rilet m\u00e9tallique flexible ins\u00e9r\u00e9 par le vagin dans les trompes de Fallope, a provoqu\u00e9 des douleurs pelviennes chroniques chez plus de 21 000 femmes (souvent au point de n\u00e9cessiter une hyst\u00e9rectomie), des maux de t\u00eate chez plus de 7 000 femmes, et au moins 10 d\u00e9c\u00e8s dus \u00e0 la perforation des trompes de Fallope ou de l'ut\u00e9rus par le dispositif, selon l'\u00e9tude de l JAMA<\/em> article<\/a>. <\/b><\/p>\n

Pourquoi la FDA a-t-elle mis si longtemps \u00e0 tirer la sonnette d'alarme ? Comme je l'ai expliqu\u00e9 en d\u00e9tail dans mon livre, <\/i>La v\u00e9rit\u00e9 cach\u00e9e : la tromperie dans les soins de sant\u00e9 pour les femmes<\/i><\/a>J'ai rencontr\u00e9 dans ma pratique de nombreux patients qui ont fait des choix dont ils disent qu'ils ne les auraient peut-\u00eatre pas faits s'ils avaient dispos\u00e9 de plus d'informations et de plus de temps pour les examiner.<\/i> choisi. Il est essentiel d'\u00eatre pleinement inform\u00e9 pour faire des choix, mais pendant trop longtemps, en ce qui concerne la contraception hormonale, de nombreux m\u00e9decins n'ont pas donn\u00e9 \u00e0 leurs patients toutes les informations concernant risques pour la sant\u00e9 et effets secondaires <\/a>par crainte qu'il n'emp\u00eache une femme de le choisir.<\/p>\n

Combien de femmes ont vu un m\u00e9decin, une infirmi\u00e8re praticienne ou un autre prestataire de soins de sant\u00e9 prescrire une m\u00e9thode de contr\u00f4le des naissances, quelle qu'elle soit - contraceptifs oraux, st\u00e9rilets, implants, injections ou st\u00e9rilisation - et entamer une discussion sur les effets secondaires et les risques pour la sant\u00e9 ? Les effets n\u00e9fastes de chacune de ces m\u00e9thodes ont \u00e9t\u00e9 d\u00e9crits dans des articles pr\u00e9c\u00e9dents ici \u00e0 Natural Womanhood ainsi que dans mon livre.<\/p>\n

Les m\u00e9decins et autres praticiens sont inond\u00e9s d'articles de journaux qui vantent les nombreux \"avantages pour la sant\u00e9\" suppos\u00e9s de la contraception hormonale et des diverses m\u00e9thodes artificielles et invasives de contr\u00f4le des naissances et de st\u00e9rilisation. Il fut un temps, dans les premi\u00e8res ann\u00e9es de ma pratique m\u00e9dicale, o\u00f9 je pensais rendre un grand service aux jeunes femmes en leur prescrivant le \"meilleur\" contraceptif oral. Mais le \"choix\" de la patiente n'\u00e9tait pas au centre des pr\u00e9occupations, comme je l'ai appris. Au contraire, la philosophie que nous avons apprise \u00e0 l'\u00e9cole de m\u00e9decine \u00e9tait que nous, les m\u00e9decins, avions \u00e9t\u00e9 investis par la soci\u00e9t\u00e9 d'un r\u00f4le unique, celui de savoir toujours ce qui est le mieux pour la sant\u00e9 du patient. La prescription massive de contraceptifs hormonaux par les m\u00e9decins est tr\u00e8s dangereuse. Lorsqu'ils prescrivent ces m\u00e9dicaments dans le syst\u00e8me de sant\u00e9 actuel, les prestataires de soins de sant\u00e9 suivent souvent les diktats du gouvernement, des compagnies d'assurance et des soci\u00e9t\u00e9s pharmaceutiques plut\u00f4t que les principes du serment d'Hippocrate.<\/p>\n

Aujourd'hui, de nombreux m\u00e9decins luttent pour \u00e9viter d'\u00eatre p\u00e9nalis\u00e9s lorsque nous choisissons une action qui ne figure pas sur la \"liste approuv\u00e9e\" que nous envoient ceux qui financent les soins de sant\u00e9. Malheureusement, dans la plupart des cas, ce n'est plus le patient qui choisit ! Si nous, prestataires, nous \u00e9cartons de cette liste, nous devons expliquer pourquoi nous nous sommes \u00e9cart\u00e9s de la ligne de conduite attendue et esp\u00e9rer obtenir l'approbation du tiers tout-puissant pour permettre au patient de recevoir une prescription donn\u00e9e - ou non.<\/p>\n

Cela pourrait bien expliquer pourquoi les patients se sont longtemps vu refuser un v\u00e9ritable \"consentement \u00e9clair\u00e9\" avant de s'engager sur la voie de la contraception ou de la st\u00e9rilisation. D'autres agendas sont \u00e0 l'\u0153uvre.<\/p>\n

Comment expliquer autrement que la FDA ait mis 16 ans \u00e0 exiger des m\u00e9decins qu'ils expliquent les risques d'Essure \u00e0 ses victimes potentielles ? Ou pourquoi notre FDA a ignor\u00e9 les \u00e9tudes r\u00e9centes portant sur plus de 1 000 000 d'utilisatrices de pilules contraceptives au Danemark, qui ont r\u00e9v\u00e9l\u00e9 une multiplication par quatre de la consommation d'antid\u00e9presseurs, 60% augmentation de l'incidence du cancer du sein<\/a>et des augmentations significatives de l'incidence des infarctus du myocarde et accident vasculaire c\u00e9r\u00e9bral<\/a>?<\/p>\n

Les nouvelles exigences impos\u00e9es aux m\u00e9decins pour Essure sont-elles un signe d'am\u00e9lioration en ce qui concerne le consentement \u00e9clair\u00e9 pour les contraceptifs ? Je ne le pense pas. Tout d'abord, malgr\u00e9 la victoire que repr\u00e9sente la reconnaissance des risques d'Essure dans le JAMA, elle est \u00e9clips\u00e9e par le nombre d'articles de journaux que les m\u00e9decins lisent et qui soutiennent la prescription massive de contraceptifs \u00e0 toute personne pr\u00e9sentant des sympt\u00f4mes aussi vari\u00e9s que l'acn\u00e9 ou le syndrome pr\u00e9menstruel. Je crains que, dans la pratique, cet article ne modifie pas beaucoup le comportement des m\u00e9decins, voire ne le modifie pas du tout. Le document de 22 pages que l'on demande aux m\u00e9decins d'examiner avec leurs patientes a peu de chances d'\u00eatre lu par qui que ce soit. Le vrai probl\u00e8me est qu'Essure est sur le march\u00e9 et que les femmes continueront \u00e0 se voir prescrire quelque chose qui nuit \u00e0 un grand nombre d'entre elles.<\/p>\n

Contrairement aux am\u00e9liorations constat\u00e9es, je pense que les probl\u00e8mes li\u00e9s au consentement \u00e9clair\u00e9 sur les contraceptifs vont continuer \u00e0 s'aggraver : nous perdons des m\u00e9decins ind\u00e9pendants car un plus grand nombre d'entre eux choisissent de devenir des employ\u00e9s de l'h\u00f4pital et d'autres grands syst\u00e8mes de soins de sant\u00e9 qui ont des protocoles sur les prescriptions de contraceptifs. Au cours des derni\u00e8res d\u00e9cennies, de nombreux m\u00e9decins ont \u00e9t\u00e9 form\u00e9s pour devenir des agents du bien social, faisant passer la \"sant\u00e9 de la population\" (avec la n\u00e9cessit\u00e9 de contr\u00f4ler la population) avant l'int\u00e9r\u00eat sup\u00e9rieur du patient individuel. Un pourcentage important d'articles de revues m\u00e9dicales sont r\u00e9dig\u00e9s par des m\u00e9decins employ\u00e9s par des soci\u00e9t\u00e9s pharmaceutiques<\/a>.<\/p>\n

J'esp\u00e8re que toutes les femmes s'efforceront de faire leurs propres recherches avant de faire des choix m\u00e9dicaux pour n'importe quelle question de sant\u00e9. Chercher les m\u00e9decins qui reconnaissent les alternatives \u00e0 la contraception hormonale <\/a>qui s'accompagnent de risques sanitaires si dangereux.<\/p>\n

R\u00e9f\u00e9rences<\/i><\/p>\n

Voelker, R. \"Nouvelles exigences du m\u00e9decin pour l'utilisation d'un dispositif permanent de contr\u00f4le des naissances.<\/a>\" JAMA.<\/i> 2018;319(19):1974. doi:10.1001\/jama.2018.5587<\/p>\n

Lidegaard, \u00d8. \"Accident vasculaire c\u00e9r\u00e9bral thrombotique et infarctus du myocarde sous contraception hormonale<\/a>.\" New England Journal of Medicine.<\/em> 2012 ; 366:2257-2266 DOI : 10.1056\/NEJMoa1111840<\/p>\n

M\u00f8rch, L. \"Contraception hormonale contemporaine et risque de cancer du sein.<\/a>\" 7 d\u00e9cembre 2017 :\u00a0New England Journal of Medicine.<\/em>\u00a02017 ; 377:2228-2239 DOI : 10.1056\/NEJMoa1700732<\/p>\n

Les opinions, repr\u00e9sentations et d\u00e9clarations contenues dans cet article sont celles de l'auteur et ne refl\u00e8tent pas n\u00e9cessairement celles de Natural Womanhood.<\/em><\/p>\n

Cet article a \u00e9t\u00e9 publi\u00e9 le 7 juillet 2018. Depuis, Bayer a retir\u00e9 Essure du march\u00e9 et a vers\u00e9 des indemnit\u00e9s aux femmes ayant fait valoir des pr\u00e9judices. Plus d'informations sur ce sujet.<\/a>\u00a0<\/em><\/strong><\/p>\n

Derni\u00e8re mise \u00e0 jour le 27 octobre 2020.<\/p>","protected":false},"excerpt":{"rendered":"Dans un num\u00e9ro de 2018 du Journal of the American Medical Association (JAMA), on trouve parmi les nouvelles...","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":["post-2147","post","type-post","status-publish","format-standard","has-post-thumbnail","category-birth-control-issues","category-in-the-news","tag-birth-control-side-effects-22","cs-entry","cs-video-wrap"],"acf":[],"yoast_head":"\nEssure'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. 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