Clinical manifestations of hydatidiform mole

If you can give birth to a baby smoothly and healthily after pregnancy, it will be the happiest thing for the family and the pregnant woman. But if some unexpected situations occur after pregnancy. For example, the occurrence of hydatidiform mole will make this matter not a good thing. You may not understand the specific situation of hydatidiform mole. Let’s take a look at the clinical manifestations of hydatidiform mole. The following is a detailed introduction.

1. Vaginal bleeding after menopause

Most patients experience irregular vaginal bleeding 2 to 4 months after amenorrhea. The amount is small at first and can easily be misdiagnosed as threatened abortion. The bleeding will gradually increase and often occur repeatedly. Sometimes blister-like tissue will be discharged naturally, which may lead to shock or even death.

2. Abdominal pain

When the molar pregnancy grows rapidly and the uterus expands rapidly, it can cause lower abdominal distension and pain. When the molar pregnancy is about to be expelled, there will be paroxysmal pain in the lower abdomen due to uterine contractions.

(1) Abnormal enlargement and softening of the uterus. Due to villous edema and intrauterine blood accumulation, the uterus of most patients with hydatidiform mole is larger than that of a normal pregnancy in the corresponding month and is softer in texture. In 1/3 of patients, the size of the uterus matches the month of menopause. Only a few cases are younger than the menopausal month, which may be due to the degeneration and cessation of development of the blisters.

(2) Symptoms of pregnancy vomiting and pregnancy-induced hypertension Since the proliferating trophoblastic cells produce a large amount of HCG, the vomiting is often more severe than in normal pregnancy. Because the uterus of patients with hydatidiform mole grows rapidly and the tension in the uterus is high, pregnancy-induced hypertension syndrome may occur in the middle and early stages of pregnancy, and even acute heart failure or eclampsia may occur.

(3) Ovarian lutein cysts: Due to the stimulation of large amounts of HCG, patients with hydatidiform mole often develop multiple cysts on one or both ovaries. Generally no symptoms occur, but acute torsion occasionally causes acute abdominal pain. Lutein cysts may regress on their own after the hydatidiform mole is removed. Flavin cysts can store a large amount of HCG. Therefore, after the expulsion of hydatidiform mole and the patient with a giant flavin cyst, the disappearance of HCG in the blood and urine is slower than that of ordinary patients.

(4) Hyperthyroidism: A small number of patients with hydatidiform mole develop mild hyperthyroidism and elevated plasma thyroxine concentrations, but only about 2% develop obvious signs of hyperthyroidism. Symptoms disappear quickly after the hydatidiform mole is cleared.

The above is a comprehensive and detailed introduction to the clinical manifestations of hydatidiform mole, which can help people increase their understanding and knowledge of hydatidiform mole. Let more people know about the clinical manifestation of hydatidiform mole. It will no longer make people feel unfamiliar with hydatidiform mole, and it will also allow people to understand the symptoms of hydatidiform mole in advance and do a better job of self-monitoring and examination.