Question 14715 — medicine

Summary

Ms. Anna Pic draws the attention of the Minister of Health, Families, Autonomy and Disabled People to the worrying situation of medical gynecology in France and to the prospects of this specialty essential to women's health. Gynecology is structured around two distinct specialties: gynecology-obstetrics and medical gynecology. The latter, dedicated to global health monitoring gynecology of women outside of pregnancy, existed as an independent specialty from 1936 to 1984, before being abolished following the boarding school reform that occurred that year. Following significant mobilization of health professionals and patients, medical gynecology was reestablished in 2003 with the creation of a specialized studies diploma. However, the interruption of training for almost two decades has had lasting consequences on the workforce. Thus, according to DREES data, the number of medical gynecologists decreased by 51.35% between 2012 and 2025, reflecting a continued erosion of this specialty. This situation is accompanied by strong territorial inequalities and causes increasing difficulties in accessing care, with extended consultation times. It can have serious consequences in terms of public health, particularly in terms of delays in diagnosis, insufficient follow-up after certain pathologies, in particular cancers, or the prevention of sexually transmitted infections, thus contributing to phenomena of forgoing care. If the number of positions open at the internship in medical gynecology experienced a continuous increase between 2003 and 2023, going from 20 to 91 annual positions, the volumes opened in 2024 and 2025, respectively 79 and 80 positions, appear to be declining and insufficient in view of the identified needs. In this context, she asks him to please specify the measures that the Government intends to implement in order to sustainably strengthen the number of medical gynecologists and to guarantee equitable access to this specialty throughout the territory.

Machine translation from French. The official text remains authoritative.

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