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Master Thesis

La contraception en périménopause : ressenti et difficultés des médecins généralistes lors de cette prescription : quelles solutions envisager ? : étude qualitative auprès de médecins généralistes des départements de la Manche et du Calvados

Abstract : Introduction: perimenopause is a transitional period in a woman's life. It is accompanied by physical and psychological disruption. Contraception must be adapted to the inherent changes of this period. The general practitioner, being the main actor in the health care system and the first point of contact for patients, plays a major role in this matter. The main objective of this study is to evaluate the feeling of general practitioners and to identify the presence or absence of difficulties when prescribing contraception during perimenopause. The secondary objective is to determine contemplated and conceivable solutions in order to improve this health care. Method: this is a qualitative study, based on semi-structured interviews with general practitioners in Basse-Normandie. The verbatims were analyzed according to a phenomenological and then a thematic method. Results: the difficulties mentioned are related to the contraceptive methods prescribed, to the specificities of perimenopause, to environmental factors but also to the role played by the general practitioner. The establishment of a trusting relationship, education and prevention are steps already initiated by general practitioners. Developments should still be expected concerning the training of practitioners, standards and information to patients. Conclusion: contraceptive care of women in perimenopause is difficult for general practitioners because it is multifactorial and time-consuming. The interest of a last perimenopausal contraceptive consultation, as well as the promotion of postgraduate training in the gynaecology field could be further discussed.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02321411
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Submitted on : Monday, October 21, 2019 - 11:08:27 AM
Last modification on : Friday, April 10, 2020 - 3:52:54 PM

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  • HAL Id : dumas-02321411, version 1

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Déborah Renouard. La contraception en périménopause : ressenti et difficultés des médecins généralistes lors de cette prescription : quelles solutions envisager ? : étude qualitative auprès de médecins généralistes des départements de la Manche et du Calvados. Médecine humaine et pathologie. 2019. ⟨dumas-02321411⟩

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