Can hydatidiform mole be treated painlessly?

If a hydatidiform mole occurs during pregnancy, it is a very serious disease and everyone must take it seriously. A uterine curettage is generally required for a hydatidiform mole. As we all know, uterine curettage is very painful, but a hydatidiform mole can be done painlessly. However, you must go to a large and qualified hospital and never go to a small hospital, otherwise it is easy to have some post-abortion complications. You must pay more attention to rest after the operation.

Precautions after hydatidiform mole surgery

Regular follow-up after hydatidiform mole curettage is extremely important for early detection of malignant transformation, timely treatment, and achieving better treatment results. 

After curettage of hydatidiform mole, HCG quantitative measurement should be performed once a week until it drops to normal levels. Follow-up should be done once a week for the first three months, once every half a month for the next three months, and once a month thereafter for half a year. Starting every two years, the follow-up should be changed to once every six months, for a total of two years. During follow-up, in addition to monitoring HCG, attention should also be paid to the presence of abnormal vaginal bleeding, cough, hemoptysis, and corresponding symptoms of metastatic organs, and gynecological examinations, pelvic B-ultrasound, and chest X-ray examinations should be performed.

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.

After the operation, pay attention to a balanced diet and avoid spicy and irritating foods and deer antler and ginseng. After hydatidiform mole surgery, the diet should be supplemented with high-protein foods, such as milk, lean meat, fish, animal liver, red dates, red beans, etc. River crabs, eels, black fish, beef, etc. can also help increase white blood cells. For example, if you experience loss of appetite and indigestion, you can add spleen-strengthening and appetite-stimulating foods, such as hawthorn, white lentils, radish, shiitake mushrooms, tangerine peel, etc. Actively cooperate with treatment.

Treatment of hydatidiform mole

1. Qing Palace

Molar pregnancy can cause heavy bleeding. If it has been confirmed to be a molar pregnancy, it is necessary to perform uterine curettage in time, that is, to clean out the molar pregnancy tissue in the uterus. First, a full body examination is performed, and then the contents are cleaned out using suction scraping. The first uterine cleaning does not have to be completely cleaned, otherwise it will damage the uterine wall. A second uterine cleaning can be performed after a week of rest.

2. Hysterectomy

This method is for patients over 40 years old who do not need to get pregnant again. If the pregnancy is less than 14 weeks, the uterus can be removed directly, but both ovaries cannot be removed. Regular checkups are required after hysterectomy.

3. Blood transfusion

Patients with severe anemia need multiple small blood transfusions and close observation for bleeding. They should wait until their condition improves before undergoing uterine curettage. During uterine cleaning, if there is bleeding, blood transfusion is also needed in time.

4. Correct electrolyte imbalance

If the patient loses blood for a long time and has no appetite, it may lead to dehydration and cause electrolyte imbalance in the body. At this time, it is necessary to check and correct it in time.

5. Infection Control

Frequent uterine bleeding or improper cleaning can easily lead to infection and cause sepsis. At this time, sufficient amounts of anti-inflammatory drugs should be used to treat anemia and other diseases.

6. Chemotherapy

There is currently no consensus in the medical community on this method. Because chemotherapy has little effect on hydatidiform mole, the rate of malignancy is lower than that without chemotherapy, but there is not enough data to prove that this method is indeed beneficial.