Molar pregnancy - Molar Pregnancies, Signs & Symptoms and Treatment for Molar Pregnancy

This is a rare complication that occurs when the fertilization process at conception goes wrong. The cells that form the placenta have abnormalities. Also known as a hydatidiform mole, molar pregnancy is part of gestational trophoblastic tumors. They are not cancerous and can be cured even if they spread beyond the womb.

While in a usual pregnancy, there are 23 chromosomes each from the father...

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...and mother in the fertilized egg, in a complete molar pregnancy, there aren’t any maternal chromosomes in the fertilized egg. The egg has duplicates of the father’s chromosomes; thus, two copies of the same chromosomes. In molar pregnancy, there isn’t any normal placental tissue, amniotic sac or embryo. The placenta is like a mass of cysts that look like a bunch of grapes. An ultrasound scan can detect this mass.

In partial molar pregnancy, the fertilized egg has two sets of chromosomes from the father and a normal set of chromosomes from the mother. The egg has a total of 69 chromosomes. There is some amount of placental tissue and an embryo might begin to form, thus, some fetal tissue. But you must remember that this fetus is genetically abnormal and cannot survive.

Proper treatment and regular check-up can ensure that you’re going to be healthy and may not have any long-term side effects.

Signs and symptoms of Molar Pregnancy

In the initial stages, you’ll get the usual pregnancy symptoms, but then you might have bleeding. Of course bleeding in pregnancy does not mean that it is a molar pregnancy, but do consult your doctor, nonetheless. Dark brown or bright red bleeding can be intermittent or continuous, heavy or light. Severe nausea and vomiting as well as abdominal swelling are some of the other symptoms. Also, the level of your hCG might be a lot higher than normal.

An ultrasound scan shows up a complete molar pregnancy and a blood test is done to check the hCG level. It is more difficult to diagnose partial molar pregnancies. If you’ve miscarried, then the tissue will be examined to conform if it was a molar pregnancy.

Treatment for Molar Pregnancy

A D & C or dilation and curettage is carried out to take out the abnormal tissue. Alternatively, the patient might be given a drug to induce a miscarriage. Sometimes, the patient might need to undergo a second D&C to take out the mole completely.

You will need to undergo follow up tests, and will need to provide blood or urine samples post-surgery.  The level of your hCG will be monitored till it is almost nil.

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