Can you still have a baby after a hydatidiform mole?

Hydatidiform mole is a deformed fetus and must be treated by abortion. Abortion will not affect a woman's second pregnancy, so she can still have children after a hydatidiform mole. The key is that women should adjust their bodies and then take preparations for pregnancy. When they want to conceive for the second time, they can go to the hospital to check the condition of the fetus, because hydatidiform mole is mainly related to ovarian lesions, so as to avoid the recurrence of hydatidiform mole.

Can you still have a baby after a hydatidiform mole?

It is still possible to have a baby after a hydatidiform mole.

Hydatidiform mole is a benign lesion of the fertilized egg itself, but about 15% of them can undergo malignant transformation. Therefore, once the diagnosis is confirmed, surgical curettage should be performed immediately. Generally, a second curettage should be performed about 7 days after the first operation. After the operation, a urine pregnancy test or a blood HCG test should be performed once a week until the result is negative. Check once a month thereafter, every 3 months after half a year, every 6 months after one year, for a total follow-up of 2 years. Pregnancy should not be expected within 2 years.

Having had a molar pregnancy has no effect on the chances of getting pregnant again, but the possibility of having another molar pregnancy still exists. After one hydatidiform mole, the risk of another hydatidiform mole is less than 1/50; after two hydatidiform moles, the risk of another hydatidiform mole is 1/6; after three hydatidiform moles, the risk of another hydatidiform mole is 1/2.

How to reduce the risk of fertility after hydatidiform mole? Early contraception

After the evacuation of hydatidiform mole, the couple does not need to rush to get pregnant again, and they should practice contraception for at least one year. Because if you get pregnant again too early, it may lead to the recurrence of hydatidiform mole. Generally speaking, you cannot consider getting pregnant again within two years after a hydatidiform mole curettage. Even if it is a normal hysterectomy, contraception is required within six months.

Regular review

It is generally difficult to completely clear a hydatidiform mole in one go. An ultrasound examination is required one week after the operation. If there is no cervix, another uterine cleaning is required. After the evacuation of hydatidiform mole, it is important to check the hcg and B-ultrasound results once a week until they return to normal levels. After recovery to normal levels, regular follow-up is still required, which should be done according to the doctor's advice. Regular follow-up must be adhered to, without interruption without reason, and sexual intercourse is prohibited within one month. Afterwards, contraception and regular blood HCG checks are required for two years, at least half a year.

Abstinence

Sexual intercourse is prohibited within one month after hydatidiform mole surgery to ensure that the uterus recovers well. Avoid having sexual intercourse too early to prevent wound infection, gynecological diseases, etc.

Early symptoms of hydatidiform mole

1. Vaginal bleeding after menopause Most patients experience irregular vaginal bleeding 2 to 4 months after menopause. The amount is small at the beginning and it is easy to be misdiagnosed as threatened abortion. The bleeding will gradually increase and often occur repeatedly. Sometimes blister-like tissue will be discharged naturally, which may lead to shock or even death.

2. Abdominal pain When the hydatidiform mole grows rapidly and the uterus expands rapidly, it can cause lower abdominal distension and pain. When the molar pregnancy is about to be expelled, there will be paroxysmal pain in the lower abdomen due to uterine contractions.

(1) Abnormal enlargement and softening of the uterus. Due to villous edema and intrauterine blood accumulation, the uterus of most patients with hydatidiform mole is larger than that of a normal pregnancy in the corresponding month and is softer in texture. In 1/3 of patients, the size of the uterus matches the month of menopause. Only a few cases are younger than the menopausal month, which may be due to the degeneration and cessation of development of the blisters.

(2) Symptoms of pregnancy vomiting and pregnancy-induced hypertension Since the proliferating trophoblastic cells produce a large amount of HCG, the vomiting is often more severe than in normal pregnancy. Because the uterus of patients with hydatidiform mole grows rapidly and the tension in the uterus is high, pregnancy-induced hypertension syndrome may occur in the middle and early stages of pregnancy, and even acute heart failure or eclampsia may occur.

(3) Ovarian lutein cysts: Due to the stimulation of large amounts of HCG, patients with hydatidiform mole often develop multiple cysts on one or both ovaries. Generally no symptoms occur, but acute torsion occasionally causes acute abdominal pain. Lutein cysts may regress on their own after the hydatidiform mole is removed. Flavin cysts can store a large amount of HCG. Therefore, after the expulsion of hydatidiform mole and the patient with a giant flavin cyst, the disappearance of HCG in the blood and urine is slower than that of ordinary patients.

(4) Hyperthyroidism: A small number of patients with hydatidiform mole develop mild hyperthyroidism with elevated plasma thyroxine concentrations, but only about 2% develop obvious signs of hyperthyroidism. Symptoms disappear rapidly after the hydatidiform mole is cleared.