HCG comparison table after hydatidiform mole abortion

Hydatidiform mole is actually a benign tumor, but there is also a risk of malignant transformation. Once a hydatidiform mole occurs during pregnancy, it must be treated in time. After the abortion surgery for hydatidiform mole, special attention should be paid to the decrease of HCG. If any abnormality is found, it must be treated in time to avoid deterioration. It is best to check HCG once a week until it drops to normal values.

Generally speaking, the serum HCG test value of a normal woman is less than 75mIU/ml when she is not pregnant. The HCG content in the body will increase after pregnancy or in patients with hydatidiform mole. The median peak value of serum HCG in normal pregnant women is below 100,000 mIU/ml, but the serum HCG value of patients with hydatidiform mole is much higher than 200,000 mIU/ml. Therefore, HCG is also an important indicator for diagnosing hydatidiform mole.

In addition to hydatidiform mole, ectopic pregnancy and choriocarcinoma can also cause an increase in HCG, but the range and index of the increase vary from person to person and are not constant. In addition, the diagnosis of hydatidiform mole is not just based on HCG alone, but also requires a comprehensive analysis based on other test results. Therefore, we cannot simply and one-sidedly say what the elevation number and normal range of hydatidiform mole are. It should be determined based on the specific situation and other examination results.

In short, the diagnosis of hydatidiform mole cannot be simply based on the elevated HCG index and range. Because everyone's physical condition and status are different, some people's HCG content grows particularly fast, and the HCG growth rate of different people may not be the same, so a comprehensive judgment needs to be made based on other test results. At present, in addition to HCG measurement, ultrasound diagnosis is also required for the diagnosis of hydatidiform mole.

Because some hydatidiform mole may recur, it is necessary to have continuous checkups for up to two years, and contraceptive tools must be used during this period. Because oral contraceptives may affect the condition. If the results are normal for one month, you can have a checkup every two weeks. After two months, change to monthly. After half a year, if the results are still normal, change to every two months. After one year, you can have a follow-up check every 3-6 months. You can have a baby again after two years. Just do the normal preparations before pregnancy. Do an ultrasound in time two months after pregnancy.

How to treat hydatidiform mole?

First, clear the contents of the uterine cavity by suction evacuation, which is quick and produces less bleeding. It is best to use low negative pressure and choose a large suction tube when suctioning the uterus to prevent uterine perforation and blockage by hydatidiform mole tissue that may affect the operation. A curettage and dilation procedure may be an alternative.

Second, preventive chemotherapy. This approach is mainly used for high-risk patients. High-risk patients refer to patients over 40 years old, with abnormally high HCG values ​​before the expulsion of hydatidiform mole, obvious trophoblastic hyperplasia or atypical hyperplasia, and patients whose HCG levels do not progressively decrease after the hydatidiform mole is cleared, but instead continue to stop decreasing after dropping to a certain level or remain at a high value, as well as those with suspected metastatic lesions. A drug is used.

Third, hysterectomy is mainly used for patients over 40 years old who have no fertility requirements.

Fourth, treatment of lutein cysts.

Fifth, the treatment of hydatidiform mole combined with severe gestational hypertension is to control heart failure, provide sedation, lower blood pressure, and administer diuretics, and then perform uterine curettage after the condition stabilizes.