Care after hydatidiform mole abortion

I've been writing about miscarriage, so please forgive me for making my brain congested. I really want to avoid this question, but then I think it's not an area that is completely out of reach. Because I read about abortion in a novel when I was in middle school, so even though I didn’t experience it myself, it definitely left a deep impression on me.

The second uterine curettage is usually performed one week after the first one. Then draw blood every week to check HCG and see how it decreases. If the decrease is not satisfactory, consider single-dose MTX injection. It is recommended to check HCG regularly and then decide on a treatment plan.

1. Regular follow-up of hydatidiform mole can help detect persistent or metastatic trophoblastic tumors at an early stage. After the hydatidiform mole is cleared, HCG quantitative measurement should be performed once a week until it returns to normal levels. The patients were followed up weekly for the first 3 months, every 6 months for the next 3 months, then monthly for 6 months, and then every 6 months from the second year onwards, for a total of 2 years of follow-up. In addition to monitoring HCG every time, follow-up should also pay attention to abnormal vaginal bleeding, cough, hemoptysis and other symptoms of metastasis, and perform gynecological examinations. Pelvic B-ultrasound and chest X-ray examinations should also be repeated.

2. After the treatment of hydatidiform mole, contraception should be used for 1-2 years. It is best to use condoms for contraception. It is not advisable to use an intrauterine contraceptive device (i.e., an IUD) because it may confuse the cause of uterine bleeding. Contraceptives containing estrogen may promote the growth of trophoblasts, so it is best not to use them. Having said so much, you must pay attention to the above situation. Although it is troublesome, you must be cautious for your health and to have a healthy baby in the future. I hope my answer is helpful to you.

The main contents of the examination are: (1) measuring the HCG value in the blood. In normal patients, the HCG value returns to normal 6 weeks after evacuation of hydatidiform mole. If the HCG value is still high after 8 weeks, it is almost certain that malignant transformation has occurred. (2) Pay attention to irregular vaginal bleeding, coughing, and hemoptysis. (3) Take chest X-rays regularly. (4) Record the time of each menstrual period and seek medical attention immediately if amenorrhea occurs.

I don’t like going to the hospital, so sometimes when I’m sick I’m too lazy to go to the hospital to see a doctor. When I’m sick, I won’t take medicine unless I have no other choice. Usually when I catch a cold, I’ll tell myself not to take medicine and just get through it. In fact, if you have a cold, you can recover completely in a week at most without taking any medicine.