Is complete hydatidiform mole serious?

Pregnancy is a happy thing, but some women have hydatidiform mole when they are pregnant. Most people are very scared when they hear about hydatidiform mole. Hydatidiform mole is generally divided into complete hydatidiform mole and incomplete hydatidiform mole. Although both are hydatidiform mole, there are actually differences between the two. However, hydatidiform mole has a great impact on human health. Is complete hydatidiform mole serious?

Is complete hydatidiform mole serious?

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

2. Vaginal bleeding after menopause. It is a common symptom of hydatidiform mole. Usually, irregular vaginal bleeding begins about 8 to 12 weeks after the menstruation stops. The amount of bleeding is uncertain, and it stops and comes repeatedly, gradually increasing. In some cases, it may cause rupture of the mother's large blood vessels, resulting in massive bleeding, shock, or even death. Molar tissue sometimes passes on its own, but it is often preceded and followed by heavy bleeding.

3. The uterus becomes abnormally enlarged and softened. The uterus of most patients is larger than the pregnant uterus of the corresponding amenorrhea month. Many patients come to the hospital for 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.

4. All patients with hydatidiform mole should be advised to have regular follow-up. It is best to keep in touch with the hospital for a long time. More importantly, regular check-ups within 2 years are required to detect malignant changes at an early stage. However, there may be residual vesicular fetal masses sometimes. Patients should be advised to take effective contraceptive measures for at least 2 years and should have monthly check-ups for the first six months. If irregular vaginal bleeding, hemoptysis, headache or other discomfort occurs, they should go to the hospital for examination immediately.

Women with hydatidiform mole usually have obvious pregnancy reactions in the early stages of the disease, especially women over 40 years old. They experience amenorrhea after taking contraceptive measures, and soon after the amenorrhea, they have severe nausea, vomiting, anorexia and other symptoms, or they develop symptoms of pregnancy poisoning such as hypertension, edema, and proteinuria at an early stage. Therefore, when women, especially middle-aged women, have menopause and experience obvious pregnancy reactions or early onset of preeclampsia, they should suspect the possibility of hydatidiform mole and go to the hospital for examination.

What is hydatidiform mole during pregnancy?

There is still no good explanation for the cause of hydatidiform mole during pregnancy. However, in some investigations, it was found that the possibility of hydatidiform mole during pregnancy is mostly found in older pregnant women, which is several times higher than that of younger pregnant women. However, some of them will occur in women who are too young, because there will be defects in fertilization at this age.

However, there is no definite evidence whether hydatidiform mole pregnancy is related to age. There are also some sayings that hydatidiform mole pregnancy is related to race, nutrition, endocrine and other reasons.

What are the symptoms of hydatidiform mole during pregnancy?

If you have a hydatidiform mole during pregnancy, you will generally experience the following symptoms:

First, amenorrhea occurs and intermittent small amounts of vaginal bleeding occur. This symptom is usually more serious, occurring between 2 and 3 months of amenorrhea, during which time symptoms of heavy bleeding may also occur.

Second, the uterus enlarges and abdominal pain occurs. If a hydatidiform mole occurs, the uterus may enlarge, thereby stimulating uterine contractions and causing abdominal pain.

Third, severe vomiting, hemoptysis, and even gestational hypertension.

Fourth, in case of hydatidiform mole, no fetal movement can be felt at all, and the fetal heartbeat cannot be heard or even the image of the fetus can be seen through B-ultrasound examination.

How to treat hydatidiform mole during pregnancy

Generally, women who have hydatidiform mole during pregnancy will undergo uterine curettage to resolve the problem. If you have just undergone a hydatidiform mole curettage, it is not appropriate to prepare for pregnancy immediately. Contraceptive measures should be taken, and it usually takes about 1 year before pregnancy can continue.