Molar Pregnancy

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🛑 A positive pregnancy test is often followed by the joy of a newborn baby 9 months later. But there are times when pregnancy ends in a loss. A molar pregnancy is one of those.

🛑 During a healthy pregnancy, the placenta grows inside your womb. It nourishes your baby through the umbilical cord.

🛑 With a molar pregnancy, tissue in the womb becomes an abnormal mass or tumor instead of a placenta.

🛑 There are two types of molar pregnancy :

💥 partial molar pregnancy :

both the placenta and embryo (fertilized egg) are abnormal.

💥 complete molar pregnancy :

there’s an abnormal placenta, but no embryo.

🛑 Molar pregnancies happen because of problems with the fertilized egg. Its not your fault. You can't do anything about it.

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Are there any Symptoms :

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At first, your pregnancy might seem normal. But over time, you may start to notice the following:

💥 Bleeding from your vagina in the first 3 months of pregnancy.

💥 Watery brown discharge

💥 Sacs (they look like clusters of grapes) that pass out of your vagina

💥 Nausea and vomiting that are more frequent or severe than what’s normal during pregnancy

💥 Lots of pressure or pain in your pelvis

❗See your obgyn if you have any of these symptoms during pregnancy.

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How Is It Diagnosed?

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🛑 An ultrasound is done when you report to the hospital. If you have a molar pregnancy, it will be seen during the ultrasound.

🛑 A hospital pregnancy blood test will be done as well. When you’re pregnant, the level of your pregnancy hormone increases gradually with time, based on how old your pregnancy is . If you have a molar pregnancy, your pregnancy hormone level is often much higher than it should be.

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Who Is Most at Risk?

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🛑 Women younger than 20 or older than 35.

🛑 Women who have had a molar pregnancy before.

🛑 Women who have had a pregnancy loss before.

🛑 Women who have had difficulty conceiving or infertility problems

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Can Molar Pregnancy be prevented

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🛑The only way to be certain you won’t have a molar pregnancy is not to get pregnant ❗

🛑 If you’ve had a molar pregnancy in the past, talk to your doctor. Ask him about the chances of it happening again. And find out how you’ll be monitored if you do get pregnant.

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How can a molar pregnancy be treated

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🛑 A D&C can be done. This is often the treatment for pregnancy loss due to any reason. This is the best option for you if you want to get pregnant again.

🛑 After a D&C, pregnancy hormone levels need to checked several times over the next few months to make sure levels are getting back to normal.

❗If you don’t want to get pregnant again, then you may consider the removal of your womb.

🛑 In rare cases, a complete molar pregnancy can lead to a condition called persistent gestational trophoblastic disease (GTD) .This means the abnormal tissue grows outside your uterus and into the layer of muscle below it.

❗A D&C won’t work because it only removes tissue within the womb . You may need to have a your womb removed or receive chemotherapy to treat persistent GTD.

🛑 A molar pregnancy can also lead to a cancerous form of GTD called choriocarcinoma. You’ll need to have chemo to treat it.

🛑 After a molar pregnancy, it is recommend that you don’t conceive for 1 year. Pregnancy increases pregnancy hormone levels, so it would be hard to know whether the rise in hormones is due to that, abnormal tissue that’s still in your body, or choriocarcinoma.

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