Is hydatidiform mole the cause of all females?

Hydatidiform mole is an abnormal pregnancy. If it is not treated in time, it may threaten the life of women. There are many causes of hydatidiform mole, but they are not necessarily all caused by women. It may also be related to men. After hydatidiform mole surgery, you must pay more attention to rest and go to the hospital for regular check-ups. You must strengthen your nutrition in your diet and avoid overwork.

What are the precautions after hydatidiform mole surgery?

1. Rest in bed

After the uterine curettage, patients should pay special attention to rest. This type of operation causes great damage to women's bodies. Women need to stay in bed for a long time, strengthen their diet and nutrition, and do appropriate physical exercise. It will take about three to six months to fully recover to their previous physical condition. Arrange rest appropriately and avoid overwork.

2 Early contraception After the evacuation of hydatidiform mole, the couple does not need to rush to get pregnant again, and they must use 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.

3. Regular check-up of hydatidiform mole is generally difficult to completely remove in one go. B-ultrasound check-up is required one week after the operation. If there is no cervix, the uterus needs to be cleaned again. 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.

4 Use condoms . Condoms are the preferred method of contraception after hydatidiform mole curettage. Intrauterine contraceptive devices are generally not used because they may cause perforation or uterine bleeding. Sexual intercourse must be prohibited within one month after the operation, otherwise danger may occur, which may be life-threatening.

What causes female hydatidiform mole?

1. Hydatidiform mole is caused by the proliferation of trophoblastic cells and edema of villous interstitium, which transforms the villi into blisters of varying sizes, which are connected to each other by thin pedicles, like a bunch of grapes. It has little ability to erode the surrounding areas and only causes slight damage locally, so it is also called vesicular fetal mass. Vesicular degeneration often involves the placenta, so that no placenta or fetus can be seen, which is called complete hydatidiform mole. If part of the placenta undergoes chorionic hydatidiform mole, part of the placenta may be retained and the fetus may even survive, which is called partial hydatidiform mole. The cause of hydatidiform mole is not yet clear, but it may be related to nutrition, infection, genetics and immune mechanism disorders.

Second, the clinical characteristics of hydatidiform mole are mainly:

1. Amenorrhea usually lasts for 2 to 3 months or longer.

2. Vaginal bleeding is an obvious manifestation of hydatidiform mole, which is mostly intermittent. The amount is small at the beginning and then gradually increases, stopping from time to time. Patients often have anemia to varying degrees. Heavy bleeding and even shock often occur before the hydatidiform mole is expelled on its own. Blisters may sometimes be seen in the discharged blood clots.

3. The abnormal enlargement of the uterus is inconsistent with the pregnancy period. The uterus is soft and the lower segment is full. The fetal body cannot be felt, the fetal heartbeat cannot be heard, and the patient has no sense of fetal movement.

4. Abdominal pain is caused by rapid expansion of the uterus, which stimulates uterine contraction or stretches the uterus.

5. Early pregnancy reactions are more severe and symptoms of pregnancy-induced hypertension syndrome such as edema, hypertension and proteinuria appear earlier.

6. Anemia and infection: Repeated bleeding can lead to anemia. People with anemia have reduced resistance, and bacteria in the vagina can take advantage of the situation to enter and cause infection. 7. It is often accompanied by ovarian lutein cysts, which are mostly bilateral.

8. Urine pregnancy reaction is positive.

9. Fetal heart rate monitoring can only hear uterine blood flow murmurs, but no fetal heart sounds.

3. After hydatidiform mole occurs, the pregnancy must be terminated as soon as possible. Generally, two uterine curettages are required, with an interval of one week, and the scrapings should be sent for pathological examination. If necessary, preventive chemotherapy can be carried out under the guidance of a doctor. The effectiveness of Chinese medicine treatment varies from person to person. Most hospitals will follow up on women who develop hydatidiform mole. Although the vast majority of cases have a benign course, 5% to 20% may develop into malignant hydatidiform mole or choriocarcinoma.