{"id":390,"date":"2024-03-28T10:30:16","date_gmt":"2024-03-28T09:30:16","guid":{"rendered":"https:\/\/menoscope.fr\/?p=390"},"modified":"2024-05-28T21:14:39","modified_gmt":"2024-05-28T19:14:39","slug":"thm-perte-audition","status":"publish","type":"post","link":"https:\/\/menoscope.fr\/index.php\/2024\/03\/28\/thm-perte-audition\/","title":{"rendered":"\u00ab\u00a0J\u2019ai commenc\u00e9 \u00e0 consulter pour une perte d\u2019audition\u00a0\u00bb"},"content":{"rendered":"
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\"\"<\/figure>\n<\/div>\n\n\n

Rencontrer Monique-Marie, c\u2019est voir incarn\u00e9e la tranquille assurance r\u00e9put\u00e9e accompagner la m\u00e9nopause. Une forme d\u2019indiff\u00e9rence \u00e0 ce que les gens vont penser, qui r\u00e9sulte d\u2019un recentrage sur soi-m\u00eame et surtout, sur ses priorit\u00e9s. Souriante et chaleureuse, elle n\u2019h\u00e9site pas \u00e0 refuser fermement ce qui ne lui convient pas.<\/p>\n\n\n\n

Elle porte des appareils auditifs discrets qui paraissent compenser parfaitement sa perte d\u2019audition due \u00e0 l\u2019otospongiose h\u00e9rit\u00e9e de son p\u00e8re. Il s\u2019agit d\u2019une maladie du m\u00e9tabolisme osseux de l\u2019oreille qui entra\u00eene une surdit\u00e9 progressive par blocage d\u2019un petit os : l\u2019\u00e9trier. On parle de \u00ab surdit\u00e9 de transmission \u00bb car \u00e0 mesure qu\u2019il se bloque, l\u2019\u00e9trier transmet de moins en moins bien les vibrations sonores \u00e0 l\u2019oreille interne.<\/p>\n\n\n\n

Chez Monique-Marie, la perte d\u2019audition a \u00e9t\u00e9 plut\u00f4t brutale, et en partie attribu\u00e9e \u2013 apr\u00e8s coup \u2013 \u00e0 la prise d\u2019un traitement substitutif de la m\u00e9nopause.<\/p>\n\n\n\n

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En 1984, j\u2019ai fait une grossesse extra-ut\u00e9rine. J\u2019ai d\u00fb \u00eatre op\u00e9r\u00e9e, et l\u2019ovaire et la trompe gauche, trop endommag\u00e9s, ont \u00e9t\u00e9 retir\u00e9s.<\/p>\n\n\n\n

Vers 1995 (j\u2019avais environ quarante ans), j\u2019ai \u00e9t\u00e9 soign\u00e9e pour une salpingite, infection de l\u2019autre trompe. Il a fallu la retirer, mais il restait l\u2019ovaire.<\/p>\n\n\n\n

La gyn\u00e9cologue qui me suivait \u00e9tait persuad\u00e9e que l\u2019ovaire allait cesser de fonctionner, que j\u2019allais donc \u00eatre m\u00e9nopaus\u00e9e. Elle m\u2019a prescrit un traitement pour les troubles de la m\u00e9nopause.<\/p>\n\n\n\n

\u00c0 la question \u00ab Avez-vous des bouff\u00e9es de chaleur ? \u00bb, j\u2019avais r\u00e9pondu \u00ab Oh oui, il fait tr\u00e8s chaud ! \u00bb (on \u00e9tait en juillet-ao\u00fbt). En r\u00e9alit\u00e9, je n\u2019en avais pas, je l\u2019ai su beaucoup plus tard quand j\u2019en ai eu de vraies.<\/p>\n\n\n\n

Mais j\u2019avais encore des r\u00e8gles. Mon m\u00e9decin traitant m\u2019a aid\u00e9e \u00e0 comprendre que je n\u2019\u00e9tais pas m\u00e9nopaus\u00e9e et que ce traitement \u00e9tait inutile. Je l\u2019ai arr\u00eat\u00e9 apr\u00e8s l\u2019avoir pris pendant environ un an.<\/p>\n\n\n\n

Vers 2000 (j\u2019avais alors 45 ans) j\u2019ai commenc\u00e9 \u00e0 consulter pour perte d\u2019audition. Mon ORL a souhait\u00e9 l\u2019avis des grands pontes de B\u00e9ziers, les sp\u00e9cialistes de l\u2019oreille. C\u2019est l\u00e0 que j\u2019ai appris que de nombreux m\u00e9dicaments sont toxiques pour les oreilles et qu\u2019on m\u2019a donn\u00e9 une liste de recommandations.<\/p>\n\n\n\n

J\u2019ai gard\u00e9 pr\u00e9cieusement le document, m\u00eame si je ne le montre pas syst\u00e9matiquement aux m\u00e9decins quand ils me prescrivent des m\u00e9dicaments. On n\u2019est jamais assez logique…<\/p>\n<\/div><\/div>\n<\/blockquote>\n\n\n\n

L\u2019otospongiose est une maladie h\u00e9r\u00e9ditaire, mais toutes les personnes atteintes ne deviennent pas sourdes. Beaucoup plus fr\u00e9quente chez les femmes, l\u2019otospongiose appara\u00eet ou s\u2019aggrave couramment \u00e0 l\u2019occasion d\u2019une grossesse, ce qui sugg\u00e8re un r\u00f4le des hormones. La question du risque associ\u00e9 aux traitements hormonaux (contraceptifs, hormonoth\u00e9rapie substitutive) est toutefois controvers\u00e9e.<\/p>\n\n\n\n

Une \u00e9tude publi\u00e9e en 2018 dans la revue Menopause<\/em> s\u2019est int\u00e9ress\u00e9e aux 80 000 femmes suivies par la Nurses\u2019 Health Study II<\/em> de 1991 \u00e0 2013. D\u2019apr\u00e8s les r\u00e9sultats, les femmes m\u00e9nopaus\u00e9es prenant un traitement hormonal (\u0153strog\u00e9nique ou \u0153stroprogestatif) avaient un plus grand risque de perte auditive. Ce risque \u00e9tait \u00e9galement accru lorsque le traitement \u00e9tait pris plus longtemps.<\/p>\n\n\n\n

Mais une autre \u00e9tude, publi\u00e9e en 2020 dans Clinical Otolaryngology<\/em>, a montr\u00e9 que la prise d’un traitement hormonal de substitution att\u00e9nuait la perte d’audition li\u00e9e \u00e0 l’\u00e2ge.<\/p>\n\n\n\n

D’autres travaux de recherche semblent indispensables pour comprendre pr\u00e9cis\u00e9ment les effets des traitements hormonaux de la m\u00e9nopause sur l’audition.<\/p>\n\n\n\n

Vous vous posez des questions sur les effets des hormones ? Retrouvez notre page d\u00e9di\u00e9e aux traitements hormonaux<\/a> pour approfondir le sujet.<\/pre>\n\n\n\n
Sources :<\/p>\n\n\n\n
    \n
  1. Menopause and Postmenopausal Hormone Therapy and Risk of Hearing Loss<\/a><\/li>\n\n\n\n
  2. Le traitement hormonal de la m\u00e9nopause alt\u00e8re l\u2019audition<\/a><\/li>\n\n\n\n
  3. Effects of endogenous and exogenous oestrogen exposure on hearing level in postmenopausal women: A cross-sectional study<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"
    Monique-Marie est atteinte d\u2019otospongiose et a vu son audition d\u00e9cliner brutalement apr\u00e8s avoir pris un traitement hormonal.<\/p>\n","protected":false},"author":1,"featured_media":415,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[28,22],"class_list":["post-390","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-temoignages","tag-ototoxicite","tag-traitement"],"yoast_head":"\n\u00ab\u00a0J\u2019ai commenc\u00e9 \u00e0 consulter pour une perte d\u2019audition\u00a0\u00bb - M\u00e9noscope<\/title>\n<meta name=\"description\" content=\"Y a-t-il un lien entre traitement hormonal et perte d'audition\u00a0? 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