What are the precautions for hydatidiform mole curettage surgery?

Hydatidiform mole is a type of unplanned pregnancy. When a woman has a hydatidiform mole, she will experience vaginal bleeding and abdominal pain. At this time, timely treatment and curettage should be performed in time. In addition, it should be noted that after the operation, emphasis should be placed on care, and pregnancy should be allowed only after one year. Follow-up work should also be done to avoid greater harm to health.

1. You need to use contraception for at least one year before you can get pregnant.

The preferred method is condoms, followed by topical devices. It is not advisable to take oral contraceptives or place an IUD, because oral contraceptives can delay the degeneration of residual trophoblastic cells of hydatidiform mole, and placement of an IUD stimulates the endometrium, both of which may indirectly promote malignant transformation.

2. Follow up regularly.

There is a 10% to 20% chance of malignant transformation in patients with hydatidiform mole, so patients with hydatidiform mole should be followed up regularly. In particular, following up the changes in HCG in urine or blood can help detect malignant tendencies at an early stage, which is particularly important for the prognosis of the disease. After hydatidiform mole curettage, urine must be checked once a week until the urine pregnancy test is negative, then once a month, and once every 3 months after 6 months, with at least 2 years of follow-up. The patient can become pregnant again only after completing the follow-up.

3. Monitor closely.

During pregnancy, patients have a higher risk of having another hydatidiform mole than the general population and therefore must be closely monitored.

4. Preventive:

Preventive chemotherapy is an effective means to prevent malignant transformation of hydatidiform mole. The chemotherapy criteria are as follows: (1) age over 40 years old; (2) trophoblastic cells highly proliferate or have anaplasia; (3) the grape tissue scraped out is mainly small grapes; (4) hCG does not decrease continuously or increases after decreasing; (5) there are no follow-up conditions.