The treatment of hydatidiform mole
Hydatidiform mole is also called a molar pregnancy. This is a rare complication, occurring in about 1 1,000 pregnancies in the United States United States and Europe. It is more common in parts of Asia. In this condition, pregnancy chorionic villi become a mass of grapelike cysts. In a complete mole, there is no embryo or fetal tissue. In a partial mole, fetal tissue there. In a very rare occasion, a twin pregnancy may lead to a viable fetus and a mole. These pregnancies have gone to term with the birth of a normal baby, but this is extremely rare.
Hydatidiform mole is more common in women at the extremes of reproductive age, adolescents and women over the age of 45. There is a ten times greater chance of having a molar pregnancy, if left pregnant at 45 years is if they become pregnant at a younger age. molar pregnancies have been seen in women at age 50, while a normal pregnancy at that age is practically unknown, except for DAILY reproductive technologies. Molar pregnancy is repeated about 1 to 2 percent of the time.
Signs of pregnancy molar include nausea and vomiting, bleeding that occurs at about the twelfth week of pregnancy or earlier, a uterus larger than expected to date the pregnancy, and absence of a fetal heartbeat or fetal activity, although the size of the uterus suggests that the fetal heart should be heard and the woman should feel the movement. A hallmark of a molar pregnancy is the development of pregnancy induced hypertension or preeclampsia during the first trimester of pregnancy. This is normally a condition the second half of pregnancy, usually does not occur before 24 weeks gestation.
When a woman has these symptoms, a blood test gonadotropin human chorionic (hCG) is ordered together with ultrasound. HCG levels are unusually high in the presence of a molar pregnancy. Ultrasound identifies the characteristic grapelike mass quite accurately.
The treatment of hydatidiform mole is termination of pregnancy. As this is a miscarriage, the possibility of seeking support and advice. Although hydatidiform mole is not a life threatening condition in 20 percent of cases, can progress to a malignant tumor. This is called a trophoblastic tumor of gestation. One type of tumor is a rapidly growing malignant tumor called choriocarcinoma.
All women with molar pregnancy should be evaluated after pregnancy for evidence of a gestational trophoblastic tumors. The follow-up visit is to measure levels of hCG in the blood at frequent intervals until they return to normal. Immediately after termination, hCG is measured in intervals of 2 weeks. Once the levels are undetectable, which usually occurs within 3 months can be measured every month for 6 months and then every two months for a full year. Pregnancy should be avoided until at least one year has elapsed without elevated hCG in the blood. If hCG levels do not return, or if they get up after molar pregnancy has been terminated, then further treatment is required.
Signs of spreading of the disease should be sought. A chest radiograph is made, for example. If you have children is not desired, treatment may consist of a hysterectomy. If women want to preserve their reproductive capacity, then chemotherapy is the treatment of choice. Chemotherapy may be necessary after hysterectomy if the disease has spread. Whenever possible, gestational trophoblastic tumors should be treated by specialists experienced in their care.
About the Author
Robert Baird explains pregnancy care related topics in his site http://www.infantpregnancy.org/. Get information on birth control and supplements not good for pregnant women.
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