Molar pregnancy is a form of pregnancy in which a group of abnormal cells grows in the uterus instead of a viable fetus in a pregnancy period. These abnormal cells are called hydatidiform mole. It is formed due to deletion or inactivity of chromosomes of the mother during fertilization of the ovum. The mole contains all the chromosomes of the father. Its symptoms are same as that of normal pregnancy. In some cases, excess morning sickness, vaginal bleeding, and abnormal abdominal growth may be occurring. It can be easily cured by treatment options discussed below.
What Is The Best Treatment For Molar Pregnancy?
Molar pregnancy does not have a viable fetus. There is a risk of development of cancer in the uterus due to molar pregnancy. So, it is necessary to treat molar pregnancy. The treatment of molar pregnancy depends on the following factors-
- Type of mole- partial or complete
- Age of the mother
- Levels of hCG
- Presence of large-sized ovarian cysts
- Trimester at which Diagnosis is made
- Type of pregnancy normal, molar or missed abortion
- Previous history of molar pregnancy or gestational trophoblastic tumors
- The desire of the mother to conceive more children
Molar pregnancy can be treated by following ways-
Dilation And Curettage– this procedure is focused on the removal of the mole from the uterus. This procedure is done in a hospital as an outpatient procedure. The uterus is dilated with special tools and abnormal tissues are removed from the uterus through the vagina. This procedure is also called D & C. It is often done by giving the patient general anesthesia. The patient is discharged on the same day. It is the best treatment of molar pregnancy if the patient wants to conceive again.
Chemotherapy – in cases where molar pregnancy has features of good prognosis, single medicines are prescribed to treat them. In those cases where is chances of development of invasive tumors with poor prognosis, multiple drugs are prescribed.
Hysterectomy – this is a rare form of treatment selected for women who do not want conceive again, the uterus is entirely removed with surgery.
Radiation Therapy– this therapy uses high-strength X-rays beams to kill cancer cells developed from a hydatidiform mole.
Molar pregnancy is a rare complication of pregnancy that is marked by the growth of an abnormal group of cells called mole. This condition is also known as hydatidiform mole. It develops in the placenta during pregnancy instead of a fetus. The growth of this mole is faster than a normal fetus. It resembles a large bunch of grapes and forms clusters of the cells.
Types Of Molar Pregnancy
There are two types of molar pregnancy-
- Complete Molar Pregnancy. It is represented by the growth of the mass of abnormal mass in placenta instead of a fetus.
- Partial Molar Pregnancy. Partial molar pregnancy is represented by a growth of abnormal mass that transforms into a fetus. But, this abnormal fetus cannot survive or grow into a baby.
Diagnosis Of Molar Pregnancy
Diagnosis of molar pregnancy can be established by following tests-
Blood Tests– levels of human chorionic gonadotrophin in blood are measured in routine pregnancy tests. Its high levels are seen in molar pregnancy. However, in some molar pregnancies, HCG does not rise too high.
Ultrasound Scan– ultrasound scan confirms molar pregnancy and the presence of mole with images of the content in the uterus.
Molar pregnancy is a condition in which viable fetus is not formed in the uterus during a pregnancy period. A group of abnormal cells resembling a bunch of grapes develop in the womb in its place. The best treatment of this condition is dilatation and curettage if women want more children.
- American College of Obstetricians and Gynecologists: https://www.acog.org/womens-health/faqs/molar-pregnancy
- Mayo Clinic: https://www.mayoclinic.org/diseases-conditions/hydatidiform-mole/symptoms-causes/syc-20352648
- Cleveland Clinic: https://my.clevelandclinic.org/health/diseases/12246-molar-pregnancy
- NHS: https://www.nhs.uk/conditions/molar-pregnancy/
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