Symptoms of an uncleared hydatidiform mole

Hydatidiform mole is a group of conditions arising from the embryonic trophoblast and is a condition related to pregnancy. Due to the proliferation of villous trophoblastic cells of the embryo and interstitial edema after pregnancy, small blisters of varying sizes will be produced. The small blisters are connected by thin pedicles to form a cluster, shaped like red grapes, and are called hydatidiform mole. It can be divided into two categories: complete hydatidiform mole and partial hydatidiform mole. For women who have irregular vaginal bleeding after menopause and whose uterus is larger than the menopausal month, the possibility of hydatidiform mole should be considered, and ultrasound and blood hcg measurement are needed to assist in the diagnosis.

Once hydatidiform mole is confirmed, uterine curettage should be performed immediately. Because patients with hydatidiform mole bleed more during curettage, and the uterus is large and soft, it is easy to rupture. Therefore, under the preparation of intravenous drip and blood preparation, a venous safe channel should be established, the cervical canal should be fully dilated, and a small plastic straw should be used for suction. After most of the erythema tissue has been sucked out and the uterus has been significantly reduced, a spatula should be used for gentle curettage. For patients who are less than 12 weeks pregnant, the uterus can be scraped clean in one time. However, if the uterus is more than 12 weeks pregnant or it is difficult to scrape clean in one time during the operation, a second scraping and curettage is usually performed one week later.

The main clinical symptoms of hydatidiform mole are non-menstrual bleeding in the vagina after menstruation, the amount of which is uncertain, abnormal enlargement and loosening of the uterus, abdominal pain, and more obvious vomiting during pregnancy. After the hydatidiform mole is completely cured, the above symptoms gradually improve and disappear. If the uterine curettage of hydatidiform mole is not clean, there will still be spotting bleeding in the vagina, vomiting and other early pregnancy symptoms will still exist, accompanied by abdominal discomfort, a feeling of falling, and the uterus is still enlarged. The blood hcg test result cannot return to normal regularly. Color Doppler ultrasound examination can show that there is still tissue in the uterine cavity. This situation often requires a second uterine curettage.

Once hydatidiform mole is diagnosed, it must be treated with curettage in time. If the curettage is not thorough, it will stimulate prolonged intrauterine bleeding and the HCG content in the blood test will increase. Some women will experience discomfort symptoms such as lower abdominal pain, nausea, fatigue, etc. If ultrasound examination reveals residual hydatidiform mole tissue in the uterine cavity, another uterine curettage surgery is required to resolve the problem. After the uterine curettage, you need to follow the doctor's instructions for regular follow-up visits, pay attention to rest, keep warm, and avoid eating raw, cold, or irritating foods. Pay attention to the bleeding and seek medical attention immediately if any abnormalities are found.