How Long Should I Wait To Get Pregnant After A Molar Pregnancy?
There are chances that women with molar pregnancy can again have a molar pregnancy. Ideally, a woman should wait for 6 months to one year before conceiving again. There will be increased levels of HCG in the blood due to pregnancy which makes difficult to diagnose molar tissues. A woman should wait for at least 6 months after the HCG levels come to normal after either complete or partial molar pregnancy.
When a woman is pregnant with molar pregnancy there will not be any scope of survival of the fetus in most cases. In a complete molar pregnancy, there will not be fetus at all to survive whereas in partial molar pregnancy the fetus formed cannot survive.
Most molar pregnancies get diagnosed after a miscarriage and the pregnancies which have shown symptoms in the form of the grape cluster like cysts, vaginal bleeding, increased HCG levels, no growth of the fetus, etc. should be evaluated for a molar pregnancy. The detected molar regency can be removed by surgery or treatment.
There are following options for removal of a molar pregnancy
Surgical Termination Of Molar Pregnancy
D And E. The patient will be under general anesthesia and the molar tissue is removed by Dilatation and suction Evacuation (D and E).
D And C. The suction can also be done by using a thin tube and cutting the molar tissue with the help of a sharp instrument called as Dilation and Curettage (D and C).
Hysterectomy. in certain cases, complete removal of the uterus is advised instead of molar tissue to avoid any kind of growth. Your doctor will discuss its advantages and disadvantages before performing the surgery.
In a partial molar pregnancy, doctors prescribe drug treatment to contract the womb contract and remove the abnormal cells. This is called as medical evacuation of molar pregnancy.
Waiting period after a complete molar pregnancy.
It takes about 8 weeks for HCG levels to come to normal, after this period the follow up will be at least for 6 months after the surgery. In case the HCG levels are taking longer to come within normal range then the follow up should be 6 months after the levels come to normal.
Waiting period after a partial molar pregnancy.
It takes about 4 weeks for HCG levels to come to normal, after this period the follow up will be at least for 6 months after the surgery. Patients should wait for normal levels of HCG and a period of 6 months before conceiving again.
In case woman becomes pregnant after molar pregnancy the hormone levels of HCG increases as a normal process of pregnancy. The use of HCG level which is a parameter for detection of molar pregnancy is not possible. Your doctor will analyze the HCG levels even after your delivery. It takes at least 6 to 8 weeks for HCG levels to come to normal after pregnancy or miscarriage. High levels of HCG in the blood indicate the presence of abnormal cells. Persistent high level of HCG results in persistent trophoblastic pregnancy which occurs in about 10-15% cases of who had a complete molar pregnancy. A woman should frequently visit the doctor to avoid recurrence of molar pregnancies.
When there are fluctuations in the levels of HCG the chances of molar pregnancy increases. The cells can become cancerous and metastasize to other parts of the body such as lungs and bones. The recurrent molar pregnancies result in gestational trophoblastic neoplasia or GTN. The treatment of such condition is performed by chemotherapy. Methotrexate is used for treating GTN.
People diagnosed with GTN are also investigated with CT scan for brain, lungs, and abdomen, blood test and HCG tests. There is 100% cure for GTN and it requires 1 year of careful monitoring.
Doctors perform ultrasounds to confirm normal pregnancy. It is advised to send placenta to check any abnormal tissues.
- Molar pregnancy: Signs, symptoms, and treatment. (2019). American Pregnancy Association. https://americanpregnancy.org/pregnancy-complications/molar-pregnancy/
- Molar pregnancy. (2021). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/molar-pregnancy/symptoms-causes/syc-20375197
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