Is it painful to have a curettage for a molar pregnancy?

As the name suggests, hydatidiform mole is a situation in which the fetus is deformed from the beginning and cannot develop. This situation is very harmful to the female body. Once it is detected, a curettage operation must be performed. Therefore, many women are very worried and are very cautious after becoming pregnant. In fact, the current causes of hydatidiform mole are malnutrition in the early stage and too many toxins in the female uterus. Young women will be fine as long as they adjust their bodies before becoming pregnant. Women over 40 need to take precautions if they want to become pregnant.

Is it painful to have a curettage for a hydatidiform mole?

There was feeling during the curettage of hydatidiform mole, but now it is painless.

Hydatidiform mole, also known as vesicular mole, refers to the proliferation of trophoblastic cells after pregnancy, edema of villous stroma, and blister-like formation. The blisters are connected in clusters and are named after their shape like grapes. It is a benign trophoblastic tumor. The exact cause of hydatidiform mole is unknown. The occurrence of hydatidiform mole is related to nutritional status, socioeconomic status and age. The uterus of a patient with hydatidiform mole is abnormally enlarged and softened, the fetal body cannot be felt, and the fetal heartbeat cannot be heard; there may be bilateral ovarian cysts; and vesicular tissue is discharged from the vagina. Once diagnosed, treatment should be aggressive.

Causes of hydatidiform mole:

In fact, the true cause of hydatidiform mole is unknown. Case-control studies have found that the occurrence of hydatidiform mole is related to nutritional status, socioeconomic status and age. Age is a significant related factor in etiology. The incidence of hydatidiform mole in women over 40 years old is 10 times higher than that in young women. Young women are also at high risk of complete hydatidiform mole. Women in these two age groups are prone to fertilization defects. Partial hydatidiform mole has nothing to do with maternal age.

Complete hydatidiform mole: All the placental villi are affected, there is no fetus and its appendages, and the uterine cavity is filled with blisters; even if only one sperm enters the egg, problems may occur. If the mother's egg is an "empty egg", it will cause chromosomal abnormalities because only the father's chromosomes are constantly dividing, which will cause the trophoblast to continue to proliferate, but there is no fetus. The same thing will happen if two sperm enter an empty egg at the same time. This condition is called a complete molar pregnancy.

Complete hydatidiform mole may be related to factors such as region, race, nutrition, socioeconomic factors and gestational age.

(1) People whose diets lack vitamin A, its precursor carotene, and animal fat are at a significantly increased risk of developing hydatidiform mole.

(2) Age is another high-risk factor. The incidence of hydatidiform mole in women aged 35 and 40 is 2 times and 7.5 times that of younger women, respectively. Conversely, the incidence of hydatidiform mole in women younger than 20 years old is also significantly increased.

Early symptoms of hydatidiform mole:

1. Amenorrhea. Because hydatidiform mole occurs in the trophoblast of the fertilized egg, it usually causes amenorrhea for 2 to 3 months or even longer.

2. Vaginal bleeding is a serious symptom and is a manifestation of spontaneous abortion of hydatidiform mole. Bleeding can occur as early as 6 weeks of pregnancy and as late as 12 weeks of pregnancy. The bleeding is intermittent and in small amounts, but there may be repeated heavy bleeding in between. If you examine carefully, you may sometimes find blister-like objects in the bleeding. Vaginal bleeding obviously comes from the uterus. In addition to flowing out of the vagina, some of it accumulates in the uterus; it may also accumulate completely in the uterus for a while, thereby prolonging the period of amenorrhea.

3. The uterus grows rapidly. The uterus of most patients is larger than the gestational uterus of the corresponding amenorrhea month. Many pregnant women seek medical treatment because of touching a mass in the lower abdomen (swollen uterus or lutein cyst), but there are also a few whose uterus matches the amenorrhea month or is even smaller than the amenorrhea month. There may be two situations: ① The chorionic vesicles degenerate into atrophy and stop developing, forming a retained hydatidiform mole; ② Some of the vesicular fetal masses have been expelled, causing the uterus to shrink, resulting in an incomplete abortion of the hydatidiform mole.