https://dr.espai-web.com/de/blog/menopause-oestradiol-atrophie-et-cremes-vaginales

BlogController :: show

Request

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Request Attributes

Key Value
_controller
"App\Controller\BlogController::show"
_firewall_context
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articleTranslate
App\Entity\BlogArticleTranslation {#502
  -id: 2
  -titre: "Ménopause : crèmes vaginales à base d’oestradiol pendant 4 semaines."
  -contenu: """
    <p>Au moment de la m&eacute;naupose,&nbsp; la s&eacute;cr&eacute;tion d&rsquo;oestradiol par les ovaires chute drastiquement. C&#39;est pourquoi pour traiter la m&eacute;nopause il existe diff&eacute;rents traitements. L&#39;un d&#39;entre eux est une cr&eacute;me vaginale. Ca dur&eacute;e d&rsquo;utilisation est limit&eacute;e &agrave; 4 semaines pour les cr&egrave;mes vaginales &agrave; base d&rsquo;oestradiol les plus fortement dos&eacute;es.</p>\r\n
    \r\n
    <p>Cr&egrave;mes vaginales</p>\r\n
    \r\n
    <p>Pour commencer, il est important de limiter l&#39;utilsation des cr&egrave;mes. C&#39;est ce que le comit&eacute; d&#39;&eacute;valuation des risques de pharmacovigilance (PRAC) de l&#39;Agence europ&eacute;enne des m&eacute;dicaments (EMA) recommande. Elles sont effectivement puissamment dos&eacute;es. Elles contiennent de l&#39;&oelig;stradiol &agrave; 100 &mu;g/g (0,01%) &agrave; une unique p&eacute;riode de traitement ne d&eacute;passant pas 4 semaines chez les femmes m&eacute;nopaus&eacute;es.</p>\r\n
    \r\n
    <p>C&#39;est pourquoi, cette mesure a pour objectif de r&eacute;duire le risque d&#39;effets ind&eacute;sirables. Cela peut donc provoquer la formation de caillots sanguins, la survenue d&rsquo;accidents vasculaires c&eacute;r&eacute;braux et certains types de cancer. Tout ceci pouvant r&eacute;sulter de l&#39;absorption sanguine d&#39;estradiol de cr&egrave;mes intravaginales utilis&eacute;es pour soulager les sympt&ocirc;mes de l&#39;atrophie vaginale chez les femmes m&eacute;nopaus&eacute;es.</p>\r\n
    \r\n
    <h3>Taux d&#39;oestradiol trop elev&eacute;</h3>\r\n
    \r\n
    <p>La PRAC a revu toutes les donn&eacute;es d&rsquo;efficacit&eacute; et de s&eacute;curit&eacute; concernant ces cr&egrave;mes. Il est apparu que, chez les femmes m&eacute;nopaus&eacute;es qui utilise ces cr&egrave;mes, &laquo; les taux d&#39;estradiol dans le sang est sup&eacute;rieurs aux taux normaux apr&egrave;s la m&eacute;nopause (jusqu&rsquo;&agrave; 5 fois sup&eacute;rieurs aux seuils de r&eacute;f&eacute;rence de 10&ndash;20 pg/ml) &raquo;.</p>\r\n
    \r\n
    <p><a href="https://cabinet-medical.eu/menopause-oestradiol-atrophie-et-cremes-vaginales/"><img alt="" class="" src="https://cabinet-medical.eu/wp-content/uploads/2019/10/menopauseprecoce1-300x150.jpeg" style="height:254.965px; width:495.998px" /></a></p>\r\n
    \r\n
    <p>Les recommandations de prescription vont donc &ecirc;tre mises &agrave; jour en ce qui concerne ces cr&egrave;mes &agrave; base d&#39;estradiol. Elles comprendront notamment un message d&rsquo;avertissement. En indiquant qu&#39;elles ne doivent &ecirc;tre utilis&eacute;es que pendant une seule p&eacute;riode de traitement ne d&eacute;passant pas 4 semaines. Cet avertissement va figurer sur les emballages ext&eacute;rieur et int&eacute;rieur. &Eacute;galement la taille du tube ne d&eacute;passera pas 25 g pour &eacute;viter une utilisation plus prolong&eacute;e que celle recommand&eacute;e.</p>\r\n
    \r\n
    <p>Par ailleurs, ces cr&egrave;mes fortement dos&eacute;es ne doivent pas &ecirc;tre prescrites en sus d&rsquo;un traitement hormonal de la m&eacute;nopause.</p>\r\n
    \r\n
    <p>R&eacute;examen de ces m&eacute;dicaments</p>\r\n
    \r\n
    <p>La r&eacute;vision, d&eacute;marr&eacute;e en avril 2019, a &eacute;t&eacute; entreprise &agrave; la demande de la Commission europ&eacute;enne, suite d&#39;un arr&ecirc;t de la Cour de justice de l&#39;Union europ&eacute;enne. Cet arr&ecirc;t &laquo; annulait en partie les conclusions d&#39;un pr&eacute;c&eacute;dent r&eacute;examen de ces m&eacute;dicaments effectu&eacute; par le PRAC en 2014 pour des raisons de proc&eacute;dure &raquo;.</p>\r\n
    \r\n
    <p>Si la Cour de justice n&rsquo;a pas remis en cause les conclusions scientifiques [du PRAC]. L&rsquo;annulation partielle a toutefois invalid&eacute; certaines des mesures mises en &oelig;uvre pour r&eacute;duire le risque.</p>\r\n
    \r\n
    <p>Ces topiques sont d&eacute;j&agrave; autoris&eacute;s au niveau national. C&#39;est pourquoi ces recommandations vont &ecirc;tre envoy&eacute;es au Groupe de Coordination de Reconnaissance Mutuelle et des Proc&eacute;dures D&eacute;centralis&eacute;es pour l&rsquo;Humain (CMDh). Ils vont prendre la d&eacute;cision de leur impl&eacute;mentation dans chacun des pays membres. Cet organisme est responsable de l&rsquo;harmonisation des standards de s&eacute;curit&eacute; pour les m&eacute;dicaments. Savoir si ils sont autoris&eacute;s au travers de proc&eacute;dures nationales dans l&rsquo;Union Europ&eacute;enne, en Islande, au Lichtenstein et en Norv&egrave;ge.</p>\r\n
    \r\n
    <p>source : medscape</p>
    """
  -slug: "menopause-oestradiol-atrophie-et-cremes-vaginales"
  #locale: "fr"
  #translatable: Proxies\__CG__\App\Entity\BlogArticle {#546 …}
}
slug
"menopause-oestradiol-atrophie-et-cremes-vaginales"

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Session 1

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Usage
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Server Parameters

Server Parameters

Defined in .env

Key Value
APP_ENV
"dev"
APP_SECRET
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DATABASE_URL
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Defined as regular env variables

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Sub Requests 3

BlogController :: lastArticles (token = 630273)

Key Value
_controller
"App\Controller\BlogController::lastArticles"
_format
"html"
_locale
"de"
_stopwatch_token
"fa006d"

BlogController :: categories (token = 300d6a)

Key Value
_controller
"App\Controller\BlogController::categories"
_format
"html"
_locale
"de"
_stopwatch_token
"3b5a6e"

FooterController :: showAction (token = eb0d1a)

Key Value
_controller
"App\Controller\FooterController::showAction"
_format
"html"
_locale
"de"
_stopwatch_token
"b0dd5b"