{"id":2631,"date":"2019-05-27T00:35:10","date_gmt":"2019-05-27T04:35:10","guid":{"rendered":"https:\/\/natural-womanhood.local\/?p=2631"},"modified":"2026-04-16T09:16:41","modified_gmt":"2026-04-16T14:16:41","slug":"le-cdc-modifie-levaluation-de-lefficacite-des-methodes-de-sensibilisation-a-la-fertilite-2019","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/fr\/cdc-changes-effectiveness-rating-on-fertility-awareness-methods-2019\/","title":{"rendered":"Le CDC modifie l'\u00e9valuation de l'efficacit\u00e9 des m\u00e9thodes de sensibilisation \u00e0 la fertilit\u00e9"},"content":{"rendered":"

Jusqu'\u00e0 r\u00e9cemment, les Centers for Disease Control (CDC) indiquaient que le taux d'\u00e9chec des m\u00e9thodes bas\u00e9es sur la connaissance de la fertilit\u00e9 pour \u00e9viter une grossesse \u00e9tait de 24%, ce qui d\u00e9couragerait la plupart des couples de les utiliser et emp\u00eacherait les m\u00e9decins de les recommander. Au d\u00e9but de l'ann\u00e9e, ils ont a modifi\u00e9 le taux affich\u00e9 en \"2% \u00e0 23%\".<\/a>\u00a0ce qui constitue un changement majeur pour l'industrie.<\/p>\n

Qu'est-ce que cela signifie pour les femmes et les couples et pour ceux qui parlent de ces m\u00e9thodes ? Que devrions-nous faire ensuite pour continuer \u00e0 garantir que ces m\u00e9thodes continuent \u00e0 \u00eatre reconnues ?<\/p>\n

Le changement<\/h2>\n

Auparavant, les CDC avaient publi\u00e9 un taux d'\u00e9chec de 24% sur la base d'une \u00e9tude de 2011 qui citait un taux unique pour toutes les m\u00e9thodes sur la base de deux enqu\u00eates r\u00e9alis\u00e9es en 1995 et 2002. Dans ces enqu\u00eates, on a demand\u00e9 aux femmes de se souvenir de la m\u00e9thode qu'elles avaient utilis\u00e9e lorsqu'elles essayaient d'\u00e9viter une grossesse. Les m\u00e9thodes anciennes et de faible technicit\u00e9 ont \u00e9t\u00e9 mises dans le m\u00eame panier que les m\u00e9thodes modernes, standardis\u00e9es et \u00e9prouv\u00e9es, telles que la m\u00e9thode sympto-thermique et la m\u00e9thode de l'ovulation. En fait, 86% des personnes que l'\u00e9tude a identifi\u00e9es comme des utilisatrices de m\u00e9thodes de sensibilisation \u00e0 la fertilit\u00e9 ont d\u00e9clar\u00e9 qu'elles utilisaient la m\u00e9thode du rythme calendaire - une m\u00e9thode beaucoup plus ancienne et moins \u00e9prouv\u00e9e mise au point dans les ann\u00e9es 1930 - comme principale forme de contraception (1).<\/p>\n

L'ann\u00e9e derni\u00e8re,\u00a0nous avons lanc\u00e9 une p\u00e9tition<\/a> pour inviter le CDC \u00e0 revoir son \u00e9valuation des m\u00e9thodes bas\u00e9es sur la connaissance de la fertilit\u00e9. Nous avons recueilli plus de 14 000 signatures (8 000 lors de notre premi\u00e8re campagne et plus de 6 000 lors de la seconde). Nous n'avons jamais envoy\u00e9 la p\u00e9tition au CDC parce que nous esp\u00e9rions d'abord atteindre 20 000 signatures. Mais cela a peut-\u00eatre permis d'envoyer un message aux dirigeants de cette organisation de premier plan.<\/p>\n

Une nouvelle \u00e9tude<\/a> qui est maintenant cit\u00e9e dans le rapport des CDC. Cette nouvelle \u00e9tude a pass\u00e9 en revue 53 \u00e9tudes ant\u00e9rieures qui ont mesur\u00e9 les taux de grossesse chez les femmes utilisant des FABM et a \u00e9valu\u00e9 les \u00e9tudes sur la base d'un ensemble de normes de qualit\u00e9. Certaines de ces normes sont similaires ou identiques \u00e0 celles utilis\u00e9es dans l'\u00e9tude des examen de la recherche par l'organisation FACTS publi\u00e9 en 2013<\/a>. Dans cette \u00e9tude, les chercheurs ont trouv\u00e9 au moins une \u00e9tude de haute qualit\u00e9 pour chaque m\u00e9thode, avec des taux de grossesses non d\u00e9sir\u00e9es allant de seulement 2 \u00e0 14%. Dans l'ensemble, ces \u00e9tudes ont convaincu les CDC qu'il existait suffisamment de preuves que toutes les FABM n'\u00e9taient pas \u00e9gales \u00e0 la naissance.<\/p>\n

En effet, il est injuste, non seulement pour les m\u00e9thodes, mais aussi pour les femmes et les couples, de donner l'impression que les FABM sont g\u00e9n\u00e9ralement inefficaces pour \u00e9viter les grossesses, sans examiner chacune d'entre elles de plus pr\u00e8s.<\/p>\n

Ces m\u00e9thodes modernes de planification familiale naturelle, bas\u00e9es sur l'observation quotidienne des biomarqueurs de la femme, n'ont pas d'effets secondaires, aident les femmes \u00e0 mieux conna\u00eetre et comprendre leur propre fertilit\u00e9 et favorisent le rapprochement et la communication au sein du couple.<\/p>\n

Ce que cela signifie<\/h2>\n

Le changement peut sembler subtil. Apr\u00e8s tout, 2% \u00e0 23%, c'est une large fourchette. Mais n'oubliez pas qu'en tant qu'autorit\u00e9 la plus influente en mati\u00e8re de sant\u00e9 aux \u00c9tats-Unis, le CDC a un impact consid\u00e9rable. Le taux d'\u00e9chec inexact de 24% a \u00e9t\u00e9 cit\u00e9 par tous les m\u00e9dias \u00e0 chaque fois qu'ils ont parl\u00e9 des m\u00e9thodes bas\u00e9es sur la sensibilisation \u00e0 la fertilit\u00e9 ou des applications de plus en plus populaires qui les utilisent. Il s'agit probablement de la m\u00eame r\u00e9f\u00e9rence utilis\u00e9e par les m\u00e9decins pour d\u00e9courager de nombreuses femmes d'envisager des m\u00e9thodes naturelles de planification familiale dans l'espoir de repousser une grossesse.<\/p>\n

Mais compte tenu des informations mises \u00e0 jour par le CDC, il est d\u00e9sormais officiellement inexact de dire simplement que toutes les FABM sont inefficaces. Selon le CDC, \"les taux d'\u00e9chec varient d'une m\u00e9thode \u00e0 l'autre\". Fourchette de taux d'\u00e9chec pour une utilisation typique : 2-23%.\" En d'autres termes, certaines m\u00e9thodes sont tr\u00e8s efficaces. Le CDC a cr\u00e9\u00e9 des cat\u00e9gories sur leur tableau<\/a> qui pr\u00e9sente les taux d'efficacit\u00e9 de toutes les m\u00e9thodes contraceptives, et un taux typique de 2% place certaines des FABM entre la cat\u00e9gorie de niveau 1 (moins de 1%, comme les DIU ou les implants) et la cat\u00e9gorie de niveau 2 (4 \u00e0 7%, comme la pilule, le patch, l'anneau). Cette nouvelle classification oblige les m\u00e9dias et les m\u00e9decins \u00e0 consid\u00e9rer les m\u00e9thodes modernes diff\u00e9remment et \u00e0 en rendre compte avec pr\u00e9cision.<\/p>\n

\"Natural<\/a>
Une suggestion de modification du graphique du CDC.<\/figcaption><\/figure>\n

Ce que nous devons faire<\/h2>\n

Tout d'abord, nous voulons nous r\u00e9jouir de ce changement. Il s'agit d'un grand pas vers le progr\u00e8s et la disponibilit\u00e9 des m\u00e9thodes bas\u00e9es sur la connaissance de la fertilit\u00e9 pour les femmes.<\/p>\n

Nous voulons \u00e9galement nous assurer que le changement est remarqu\u00e9 et compris. \u00c0 cette fin, nous avons r\u00e9dig\u00e9 un lettre type<\/a> que vous pouvez utiliser pour l'envoyer \u00e0 votre propre m\u00e9decin ou aux m\u00e9dias locaux. N'h\u00e9sitez pas \u00e0 le personnaliser avec vos propres mots et exp\u00e9riences ou simplement \u00e0 l'envoyer tel quel en notre nom (si vous le personnalisez et le signez, veuillez retirer le logo Natural Womanhood).<\/p>\n

Nous ne pensons pas que le changement du CDC soit complet. D'une part, le CDC charte graphique<\/a>qui est la premi\u00e8re chose qui appara\u00eet sur Google et que la plupart des gens consultent, ne fait toujours pas la distinction entre les m\u00e9thodes bas\u00e9es sur la sensibilisation \u00e0 la fertilit\u00e9 qui ont des taux d'efficacit\u00e9 diff\u00e9rents. Il serait plus juste de faire passer le thermom\u00e8tre et le graphique de la glaire ensemble dans la cat\u00e9gorie de niveau 2 que de les maintenir dans la cat\u00e9gorie de niveau 3 o\u00f9 ils apparaissent actuellement aux c\u00f4t\u00e9s d'options comme la \"m\u00e9thode du retrait\". Il serait \u00e9galement plus utile de mentionner des m\u00e9thodes sp\u00e9cifiques.<\/p>\n

Enfin, dans leur courte description des m\u00e9thodes, ils expliquent que \"vous avez environ neuf jours fertiles par mois\". Cela peut \u00eatre trompeur pour les couples qui essaient de tomber enceinte, car la fen\u00eatre physiologique de fertilit\u00e9 ne dure que 6 jours par cycle. pr\u00e9venir<\/em> la p\u00e9riode moyenne pendant laquelle elles doivent \u00e9viter les relations sexuelles est de 9 \u00e0 11 jours.<\/p>\n

Nous esp\u00e9rons que le CDC prendra en compte ces changements. Nous pr\u00e9voyons d'\u00e9crire au CDC dans les semaines \u00e0 venir pour lui faire part des r\u00e9sultats de la p\u00e9tition et lui demander ces mises \u00e0 jour factuelles.<\/p>\n

Certains changements se produisent parce que les autorit\u00e9s dirigeantes en d\u00e9cident ainsi, mais la plupart des changements ont lieu parce qu'ils ont un sens pour les hommes et les femmes de la rue. Nous pensons qu'avec une sensibilisation et une \u00e9ducation continues, les gens continueront \u00e0 voir les avantages de l'utilisation des m\u00e9thodes bas\u00e9es sur la connaissance de la fertilit\u00e9 au lieu des m\u00e9dicaments de contr\u00f4le des naissances qui ont de nombreux effets secondaires. Nous devons tous contribuer \u00e0 ce changement. Nous vous encourageons \u00e0 faire passer le message et \u00e0 utiliser notre site web. lettre type<\/a> pour partager la nouvelle.<\/p>\n

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

1.Duane Marguerite, R. Motley et M. Manhart.<\/span><\/span>\u00a0<\/span><\/span>\"Lettres \u00e0 la r\u00e9daction :\u00a0<\/span><\/span>Les m\u00e9decins ont besoin de plus\u00a0<\/span><\/span>L'\u00e9ducation \u00e0 la planification familiale naturelle\".\u00a0<\/span><\/span>American Family Physician (en anglais)<\/span><\/span>\u00a088, no. 3 (ao\u00fbt 2013) : 158-159.\u00a0https:\/\/www.aafp.org\/afp\/2013\/0801\/p158.html<\/a>.<\/span><\/span><\/p>\n

2. Peragallo Urrutia R, Polis CB, Jensen ET, Greene ME, Kennedy E, Stanford JB. Efficacit\u00e9 des m\u00e9thodes de pr\u00e9vention de la grossesse bas\u00e9es sur la connaissance de la fertilit\u00e9 : Une revue syst\u00e9matique<\/a>. Obstet Gynecol 2018;132:591-604.<\/p>","protected":false},"excerpt":{"rendered":"Jusqu'\u00e0 r\u00e9cemment, les Centers for Disease Control (CDC) indiquaient que le taux d'\u00e9chec des m\u00e9thodes bas\u00e9es sur la connaissance de la fertilit\u00e9...","protected":false},"author":2,"featured_media":2636,"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":[5282,5179],"tags":[55,58],"class_list":{"0":"post-2631","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-avoiding-pregnancy","8":"category-fertility-awareness-methods","9":"tag-effectiveness-rates","10":"tag-natural-family-planning","11":"cs-entry","12":"cs-video-wrap"},"acf":[],"yoast_head":"\nCDC Changes Effectiveness Rating on Fertility Awareness Methods - 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