Best time to evacuate uterus for hydatidiform mole

For female friends with hydatidiform mole, it is undoubtedly very painful, and it will also cause very serious harm to the pregnant women themselves. Because hydatidiform mole requires uterine curettage, and more than once, and it must be performed at the best time, so when is the best time to perform uterine curettage for hydatidiform mole? Let’s follow the editor for an in-depth analysis and understanding.

When we find that the size of the uterus is less than three months' size, we can use the method of uterine cleaning once to completely clean it out, that is, to cure hydatidiform mole. If the uterus is too large, a second uterine cleaning can be performed.

Hydatidiform mole generally requires two uterine curettages. If vaginal bleeding still persists after two curettages, and HCG does not decrease or decreases insignificantly, a third curettage is necessary. Therefore, the most important thing is that HCG must drop to the normal value before the hydatidiform mole can be considered cured.

The uterus is often cleaned at least twice because the uterus of patients with hydatidiform mole is relatively large, and the uterine wall is thin and soft, with more uterine secretions. Therefore, the first time the uterus is vacuumed, attention is not paid to clean it out, so as to avoid problems such as rupture and internal bleeding caused by excessive scratching. Generally, a second curettage is performed one week later. At this time, due to the active proliferation of hydatidiform mole trophoblasts, it has grown a little, so it is best to remove it completely this time. But it is not the last uterine curettage. It depends on the state of moisturizing cell proliferation after re-examination of the scraping, and whether the HCG reaches the standard value.

After the hydatidiform mole curettage, it is best for the patient to establish long-term contact with the hospital outpatient department, and follow-up examinations and HCG quantitative measurement should be performed within 2 years after the operation. After the curettage, it is once a week until it returns to normal levels, then once a week for 3 months, then once every 2 weeks for another 3 months, and then once a month for at least half a year. Contraceptive methods should be used within 2 years, preferably condoms. Emergency contraception can also be used. Generally, no IUD is needed to prevent rupture or confusion with abnormal uterine bleeding. If there is irregular vaginal bleeding during this period, you should go to the hospital for follow-up at any time.