{"id":2190,"date":"2018-08-29T23:43:18","date_gmt":"2018-08-30T03:43:18","guid":{"rendered":"https:\/\/natural-womanhood.local\/?p=2190"},"modified":"2024-04-09T20:46:19","modified_gmt":"2024-04-10T01:46:19","slug":"fda-natural-cycles-app-fertility-awareness-natural-family-planning-cycle-charting-medical-research-fabm-effectiveness-ratings-08292018","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/fr\/fda-natural-cycles-app-fertility-awareness-natural-family-planning-cycle-charting-medical-research-fabm-effectiveness-ratings-08292018\/","title":{"rendered":"Des nouvelles r\u00e9centes de la FDA qui sont excellentes pour la sensibilisation \u00e0 la fertilit\u00e9 (m\u00eame s'il reste encore beaucoup de chemin \u00e0 parcourir)"},"content":{"rendered":"

Avez-vous entendu le r\u00e9cent triomphe des m\u00e9thodes de sensibilisation \u00e0 la fertilit\u00e9 (FAM), qui ont \u00e9t\u00e9 prises plus au s\u00e9rieux par la m\u00e9decine am\u00e9ricaine traditionnelle ? En tant que Time Magazine <\/i>La sensibilisation \u00e0 la fertilit\u00e9 a gagn\u00e9 en l\u00e9gitimit\u00e9 aux \u00c9tats-Unis lorsqu'une application populaire de suivi de la fertilit\u00e9, Natural Cycles, a \u00e9t\u00e9 mise en place. dont la commercialisation en tant que contraceptif a \u00e9t\u00e9 autoris\u00e9e par la Food and Drug Administration (FDA) des \u00c9tats-Unis.<\/a> (FDA).<\/p>\n\n\n\n

Compte tenu de la rapidit\u00e9 avec laquelle la FDA a approuv\u00e9 les formes pharmaceutiques de contr\u00f4le des naissances, il est agr\u00e9able de voir qu'une m\u00e9thode naturelle permettant d'\u00e9viter et d'espacer les grossesses fait l'objet d'une plus grande attention - et qu'il s'agit d'une m\u00e9thode sans \u00e9quivoque et sans danger. Contrairement \u00e0 la pilule, dont l'approbation a \u00e9t\u00e9 acc\u00e9l\u00e9r\u00e9e dans les ann\u00e9es 1950, malgr\u00e9 les rapports faisant \u00e9tat de d\u00e9c\u00e8s et de caillots sanguins chez les femmes qui prenaient des contraceptifs oraux. Contrairement \u00e9galement au dispositif de contraception permanent Essure, qui a \u00e9t\u00e9 prescrit \u00e0 des femmes pendant 16 ans jusqu'\u00e0 ce que, r\u00e9cemment, \u00e0 la suite d'un accident de voiture, le dispositif de contraception permanent Essure soit remplac\u00e9 par un dispositif de contraception permanent. les nouvelles exigences de la FDA<\/a> et un film sur ses effets secondaires<\/a>Dans le cas d'Essure, la soci\u00e9t\u00e9 Bayer a annonc\u00e9 qu'elle le retirerait des rayons \u00e0 la fin de cette ann\u00e9e. Dans le cas d'Essure, Bayer s'est empress\u00e9 d'obtenir l'approbation de la FDA et a longtemps ignor\u00e9 les risques pour la sant\u00e9 des patientes qui sont apparus par la suite.<\/p>\n\n\n\n

Nous nous f\u00e9licitons de l'autorisation accord\u00e9e par la FDA \u00e0 Natural Cycles, signe de progr\u00e8s pour la prise en compte de la fertilit\u00e9 dans le domaine de la sant\u00e9 des femmes.<\/p>\n\n\n\n

Plus loin<\/span><\/h3>\n\n\n\n

Pourtant, il reste encore du chemin \u00e0 parcourir avant que les FAM ne soient pleinement compris et appliqu\u00e9s dans la communaut\u00e9 m\u00e9dicale am\u00e9ricaine. Par exemple, des chercheurs ont r\u00e9cemment tent\u00e9 d'analyser l'efficacit\u00e9 des FAM dans un article de revue m\u00e9dicale publi\u00e9 le 6 ao\u00fbt 2018 dans la revue Obst\u00e9trique et gyn\u00e9cologie,<\/em> la publication officielle de l'American College of Obstetricians and Gynecologists, \u00e9galement connue sous le nom de \"American College of Obstetricians and Gynecologists\". Journal vert<\/i>. Des chercheurs de l'Universit\u00e9 de Caroline du Nord (UNC) dirig\u00e9s par Rachel Peragallo Urrutia, MD, ont pass\u00e9 en revue les \u00e9tudes qui ont suivi des femmes ayant recours \u00e0 la GPA afin d'\u00e9valuer leur efficacit\u00e9 \u00e0 \u00e9viter une grossesse.<\/p>\n\n\n\n

Le fil d'information de l'UNC rapport\u00e9<\/a> que l'\u00e9quipe d'Urrutia \"a identifi\u00e9 toutes les \u00e9tudes disponibles sur 14 FAM diff\u00e9rents et a rigoureusement \u00e9valu\u00e9 la qualit\u00e9 de chaque \u00e9tude sur la base d'une liste de crit\u00e8res en 13 points. Sur la base de cette liste, chaque \u00e9tude a \u00e9t\u00e9 class\u00e9e comme \u00e9tant de haute, moyenne ou faible qualit\u00e9. Les estimations provenant d'\u00e9tudes de haute qualit\u00e9 sont consid\u00e9r\u00e9es comme les plus valables. Sur les 53 \u00e9tudes identifi\u00e9es, les chercheurs ont class\u00e9 0 \u00e9tude comme \u00e9tant de haute qualit\u00e9, 21 comme \u00e9tant de qualit\u00e9 mod\u00e9r\u00e9e et 32 comme \u00e9tant de faible qualit\u00e9\".<\/p>\n\n\n\n

Urrutia, gyn\u00e9cologue-obst\u00e9tricien et professeur adjoint \u00e0 la facult\u00e9 de m\u00e9decine de l'UNC, expliqu\u00e9<\/a> sa motivation pour l'examen : \"De nombreuses femmes pensent qu'elles utilisent une GPA efficace pour \u00e9viter une grossesse, alors qu'en r\u00e9alit\u00e9 la m\u00e9thode qu'elles utilisent n'a pas fait l'objet d'un test d'efficacit\u00e9 solide.<\/p>\n\n\n\n

Depuis la publication de cette \u00e9tude, l'association Fertility Appreciation Collaborative to Teach the Science (FACTS) a \u00e9t\u00e9 cr\u00e9\u00e9e. \u00e9mis<\/a> une r\u00e9ponse le 21 ao\u00fbt 2018, critiquant les m\u00e9thodes d'\u00e9valuation de la revue. FACTS, un projet collaboratif du Family Medicine Education Consortium, indique sur son site web son objectif de former les \u00e9tudiants en m\u00e9decine, les m\u00e9decins et les professionnels de la sant\u00e9 aux principes de base des m\u00e9thodes fond\u00e9es sur la connaissance de la fertilit\u00e9 et \u00e0 la science qui sous-tend leurs applications m\u00e9dicales.<\/p>\n\n\n\n

Dans son r\u00e9ponse<\/a> Dans l'\u00e9tude de l'UNC, FACTS a relev\u00e9 une norme de qualit\u00e9 appliqu\u00e9e dans son processus d'\u00e9valuation qui n'est utilis\u00e9e nulle part ailleurs dans l'\u00e9valuation de l'efficacit\u00e9 des contraceptifs. M. Urrutia a attribu\u00e9 des notes inf\u00e9rieures aux m\u00e9thodes qui incluaient des cycles au cours desquels les utilisateurs de FAM n'avaient pas eu de rapports sexuels. \"Les couples peuvent choisir de ne pas avoir de rapports sexuels au cours d'un cycle donn\u00e9 pour de nombreuses raisons\", a d\u00e9clar\u00e9 FACTS not\u00e9e<\/a>Il s'agit notamment de la variabilit\u00e9 des cycles de la femme, du niveau de confort des couples dans l'interpr\u00e9tation de leurs signes de fertilit\u00e9, et\/ou des obligations personnelles ou professionnelles qui peuvent ne pas leur laisser le temps ou l'opportunit\u00e9 d'avoir des relations sexuelles. \u00c9tant donn\u00e9 que l'abstention de relations sexuelles pendant les jours de fertilit\u00e9 potentielle fait partie des directives relatives \u00e0 l'utilisation des GPA, il semble injuste de d\u00e9valoriser les \u00e9tudes dans lesquelles les couples ont simplement suivi les r\u00e8gles. N\u00e9anmoins, d'un seul coup, l'\u00e9tude de l'UNC a attribu\u00e9 des notes de faible qualit\u00e9 \u00e0 un certain nombre d'\u00e9tudes solides qui ont montr\u00e9 des taux d'efficacit\u00e9 \u00e9lev\u00e9s pour les MAF, pour la raison que certains cycles n'ont pas document\u00e9 les rapports sexuels.<\/p>\n\n\n\n

\"Bien que l'on puisse comprendre la logique de l'exclusion de ces cycles (bas\u00e9e sur l'hypoth\u00e8se que la grossesse ne serait pas possible sans rapports sexuels), l'approche semble contraire aux principes sous-jacents des MAF o\u00f9 la prise de d\u00e9cision inform\u00e9e et partag\u00e9e et le d\u00e9veloppement de la ma\u00eetrise de soi font partie int\u00e9grante de l'utilisation des m\u00e9thodes,\" FACTS d\u00e9clar\u00e9e<\/a>. \"En outre, il n'est pas du tout certain que N'IMPORTE QUELLE m\u00e9thode contraceptive, qu'elle soit hormonale, m\u00e9canique ou chirurgicale, ait d\u00e9j\u00e0 \u00e9t\u00e9 \u00e9valu\u00e9e selon ce crit\u00e8re et r\u00e9ponde \u00e0 cette d\u00e9finition de haute qualit\u00e9. Bien qu'il s'agisse d'un crit\u00e8re id\u00e9al \u00e0 inclure, il n'est pas certain que cette norme ait jamais \u00e9t\u00e9 exig\u00e9e jusqu'\u00e0 pr\u00e9sent.<\/p>\n\n\n\n

La qualit\u00e9 sous un autre nom<\/span><\/h3>\n\n\n\n

Le Dr Marguerite Duane, directrice ex\u00e9cutive de FACTS, a d\u00e9clar\u00e9 \u00e0 Natural Womanhood que \"dans l'\u00e9tude Urrutia, pour \u00eatre consid\u00e9r\u00e9e comme une \u00e9tude de \"haute qualit\u00e9\", une \u00e9tude devait \u00eatre class\u00e9e \"1\" sur l'ensemble des 13 crit\u00e8res, c'est-\u00e0-dire recevoir une note parfaite. L'\u00e9tude n'a donc pas identifi\u00e9 d'\u00e9tudes de haute qualit\u00e9 sur l'efficacit\u00e9 des m\u00e9thodes de sensibilisation \u00e0 la fertilit\u00e9. (Remarque : les m\u00e9thodes de sensibilisation \u00e0 la fertilit\u00e9 sont aussi souvent appel\u00e9es m\u00e9thodes fond\u00e9es sur la sensibilisation \u00e0 la fertilit\u00e9, ou FABM).<\/p>\n\n\n\n

Duane a compar\u00e9 cette situation \u00e0 celle d'un \u00c9tude de 2013 dirig\u00e9e par Michael D. Manhart, PhD<\/a>Elle a particip\u00e9 \u00e0 ce projet, qui a \u00e9t\u00e9 publi\u00e9 dans la revue M\u00e9decin de famille ost\u00e9opathe<\/i>. Duane note que l'\u00e9tude Manhart \"a \u00e9galement identifi\u00e9 12 crit\u00e8res critiques, mais les \u00e9tudes devaient avoir un score positif pour chaque crit\u00e8re et pas n\u00e9cessairement un score parfait. Sur la base de notre examen, nous avons identifi\u00e9 10 \u00e9tudes de haute qualit\u00e9, dont au moins une pour chacune des principales m\u00e9thodes modernes, avec des taux d'efficacit\u00e9 typiques allant de 2 \u00e0 14 grossesses non d\u00e9sir\u00e9es par an\".<\/p>\n\n\n\n

Natural Cycles, l'application r\u00e9cemment approuv\u00e9e par la FDA, cite des recherches selon lesquelles les femmes qui utilisent l'application pour \u00e9viter une grossesse ont un taux de grossesse plus \u00e9lev\u00e9 que les autres femmes. 1 % de taux de grossesse non d\u00e9sir\u00e9e dans le cas d'une utilisation parfaite et 7 % dans le cas d'une utilisation normale<\/a>. Bien que la qualit\u00e9 du produit n'ait pas \u00e9t\u00e9 mise en \u00e9vidence dans la recherche de l'UNC, le site Web de Natural Cycles indique que plus de 900 000 femmes l'utilisent dans le monde entier.<\/p>\n\n\n\n

Ce sur quoi les chercheurs de l'UNC et FACTS semblent s'accorder, c'est sur la n\u00e9cessit\u00e9 de poursuivre les recherches sur M\u00e9thodes de sensibilisation \u00e0 la fertilit\u00e9<\/a>Les femmes peuvent ainsi \u00eatre en mesure de faire des choix \u00e9clair\u00e9s en mati\u00e8re de procr\u00e9ation. Alors que la communaut\u00e9 m\u00e9dicale des \u00c9tats-Unis s'y emploie, il semblerait que les femmes elles-m\u00eames fassent leurs propres recherches. Et beaucoup d'entre elles trouvent des m\u00e9thodes naturelles de contr\u00f4le des naissances qui correspondent mieux \u00e0 leur sant\u00e9 et \u00e0 leurs objectifs.<\/p>\n\n\n\n

Correction : Cet article indiquait pr\u00e9c\u00e9demment que l'analyse d'Urrutia excluait une \u00e9tude sur la m\u00e9thode SymptoThermal faisant \u00e9tat d'un taux d'utilisation parfait et typique de 1% et 2% respectivement. C'est faux, car cette \u00e9tude, Frank Hermann 2007, a \u00e9t\u00e9 incluse dans l'analyse Urrutia. m\u00e9tanalyse<\/span>bien qu'il ait \u00e9t\u00e9 d\u00e9sign\u00e9 sous le nom de Sensiplan.<\/i><\/b><\/p>\n\n\n\n

Pour une analyse plus d\u00e9taill\u00e9e de l'\u00e9tude cit\u00e9e par les CDC, Urrutia et al, lire cet article, \"<\/a><\/b>D\u00e9cortiquer la gamme d'efficacit\u00e9 des MAF donn\u00e9e par les CDC,\"<\/a> publi\u00e9 sur Natural Womanhood le 25 juin 2021.  <\/b><\/strong><\/p>\n\n\n\n

Derni\u00e8re mise \u00e0 jour juin 2021<\/b><\/i><\/p>","protected":false},"excerpt":{"rendered":"Avez-vous entendu le r\u00e9cent triomphe des m\u00e9thodes de sensibilisation \u00e0 la fertilit\u00e9 (FAM), qui sont...","protected":false},"author":30,"featured_media":2192,"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":[5384,5927],"class_list":{"0":"post-2190","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-effectiveness-rates","10":"tag-natural-family-planning-13","11":"cs-entry","12":"cs-video-wrap"},"acf":[],"yoast_head":"\nNatural Cycles' FDA Approval, and the Road Ahead for Fertility Awareness<\/title>\n<meta name=\"description\" content=\"The FDA approved the smartphone app Natural Cycles as a form of birth control. Learn what this means for the future of fertility awareness.\" \/>\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\/fr\/fda-natural-cycles-app-fertility-awareness-natural-family-planning-cycle-charting-medical-research-fabm-effectiveness-ratings-08292018\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Recent FDA News That's Great For Fertility Awareness (Even If There's Still A Long Way To Go)\" \/>\n<meta property=\"og:description\" content=\"Did you hear the recent triumph for Fertility Awareness Methods (FAM) to be taken more seriously in mainstream American medicine? 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