Question 9934 — health professions

Summary

Mr. Gaël Le Bohec draws the attention of the Minister of Solidarity and Health to the lack of medical gynecologists. Between 2007 and 2017, the number of these specialists fell by 41.6%. Today, according to figures from the National Council of the Order of Physicians, only 1,136 medical gynecologists practice throughout the country for some 28 million women aged over 16. On average, France therefore has 3.1 medical gynecologists per 100,000 women. Six departments have no medical gynecologists. The role of medical gynecologists is particularly valuable in preventive medicine, particularly in the fight against sexually transmitted diseases (some of which have been experiencing a worrying resurgence for several years) and the prevention of certain cancers. Medical gynecologists indeed take care of contraception, cycle disorders, menopause, sterility, diagnosis and monitoring of tumors. Medical gynecology is a French specificity. Alongside this specialty, obstetrician-gynecologists, of whom there are currently 4,664, primarily deal with pregnancies and childbirth. Finally, there are 1,148 gynecologists who combine both specialties (medical and obstetricians). The situation is particularly worrying for women's health. The time it takes to make an appointment for a consultation is getting longer and, more and more often, women have to go further and further to find a medical gynecologist. Not to mention that many of them give up consulting or treatment due to the sometimes prohibitive prices charged by the majority of medical gynecologists. They are not in fact only 38.5% pay the approved “Social Security” rate. Also, he would like to know what measures it intends to take to overcome this problem of shortage of medical gynecologists while these specialists are responsible for monitoring the health of women throughout their lives from puberty.

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