Will hydatidiform mole always bleed?

Patients with hydatidiform mole have many typical symptoms. For example, they will experience amenorrhea after contracting the disease, and the duration of amenorrhea generally lasts about 2 to 3 months. After 2 to 3 months, vaginal bleeding may occur, and this bleeding is irregular. Most patients with hydatidiform mole have vaginal bleeding, and this phenomenon is a typical symptom of immorality. It usually occurs about 6 weeks after the onset of the disease, and in later cases it will occur about 12 weeks. It is generally a small amount of bleeding.

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.

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. 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. The pain may be caused by rapid enlargement of the uterus or intrauterine bleeding, which stimulates uterine contractions and may be mild or severe.

In fact, patients with hydatidiform mole have other typical symptoms, such as rapid enlargement of the uterus and possible abdominal masses. A small number of patients with hydatidiform mole will experience abdominal pain or intrauterine bleeding due to the rapid enlargement of the uterus. In the middle stage of the disease, poisoning may occur, causing the patient to vomit or dizziness.