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Molar Pregnancy Treatment
Gynaecology
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What is Molar Pregnancy?
A molar pregnancy cannot sustain. If it is not treated on time, it is likely to end on its own with a miscarriage. Molar pregnancy is a very serious condition and requires immediate treatment. It can become life-threatening if left untreated and can lead to rare forms of cancer. Gynaecologists recommend a suitable treatment after a complete diagnosis, based on the severity of the pregnancy, the stage and signs and symptoms.
Best Healthcare center for Molar Pregnancy
Krescent Healthcare is a reputable and renowned provider of advanced surgical treatment for molar pregnancies. With a team of highly qualified gynaecologists, we offer expert care and treatment for complex pregnancies. Our network includes top hospitals and clinics across India, ensuring quality care for all patients. Confidentiality is always maintained during consultations and throughout the treatment process to protect the patient's identity and health information.
Diagnosis and Treatment for Molar Pregnancy
Diagnosis- Molar Pregnancy
The diagnosis of a molar pregnancy is ideally made during regular prenatal visits. However, if the patient experiences symptoms indicating a molar pregnancy, the doctor may suggest any of the following tests.
Blood tests- In molar pregnancy, the level of hCG, a pregnancy hormone, increases compared to normal pregnancy.
Transvaginal ultrasound- The test is used to produce a detailed picture of your uterus. It scans the tissue within the uterus and helps determine whether cysts are present.
Urine test- The urine test helps to identify the colour and composition of urine as well as the level of hCG. A high level of hCG in urine indicates molar pregnancy tissue in the body.
Healthcare providers may also check for other medical problems if a molar pregnancy is detected.
Treatments- Molar Pregnancy
Medications and surgery can be utilised to treat molar pregnancy. However, medical termination is not commonly recommended due to the need for continuous monitoring, repeated follow-ups, and a longer treatment period.
In contrast, if the molar pregnancy is detected earlier in the cycle without unstable bleeding, the patient prefers medical management.
Surgery- Molar pregnancy can be removed with a surgical procedure known as D&C, which involves a methotrexate injection. This surgery is carried out while the patient is under general anaesthesia, ensuring a painless experience. During the procedure, medications are administered to dilate the cervix, which typically takes 30-40 minutes. Once the cervix is sufficiently dilated, the surgeon utilizes a curettage instrument to remove all pregnancy tissue from the uterus. The cervix then naturally contracts, leading to termination of the pregnancy without any incisions or stitches necessary.
Medication- An injection of methotrexate medicine is usually used to treat molar pregnancy. It is given directly to the patient in a single dose. After the procedure, doctors monitor the level of hCG. A second dose may be required if the first dose fails to terminate the pregnancy. An ultrasound confirms the termination.
Hysterectomy (uterus removal)- A laparoscopic or open-cut incision can be used to perform the procedure when the female has a high risk of gestational trophoblastic neoplasia (GTN).
Preparation before surgery
To prepare well for the surgical treatment of molar pregnancy, follow these tips:
Ensure a smooth operation by discussing all your current medications, supplements, and herbal potions with your consultant surgeon.
To avoid anaesthesia-related complications, it is recommended not to drink anything for at least 4-6 hours before the surgery.
After surgery, carry some loose cotton clothes to change into.
For post-surgical vaginal bleeding, carry a pack of sanitary pads.
Precautions
To avoid further complications, you should take these precautions for at least two weeks.
Use Sanitary pads for post-surgical vaginal bleeding- The use of sanitary pads prevents leakage of post-surgical vaginal bleeding and is safer than using tampons or menstrual cups.
Avoid using tampons- The use of tampons after molar pregnancy surgery can increase the risk of microbial infection.
Avoid using scented soaps- The harsh chemicals in scented soap can damage your skin and increase the risk of infection.
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