Gulshan Grover on Ace Medicare

What exactly is molar pregnancy?

Molar pregnancy happens when the tissue that would usually develop into a foetus instead develops into an abnormal growth in the uterus. It is an uncommon kind of pregnancy that occurs in 0.005 to 0.001% of all pregnancies. Molar pregnancy, known as molar pregnancy in hindi, is caused mostly by the fertilization of empty eggs and the double fertilization of female cells, giving rise to its pregnancy meaning. There are two forms of molar pregnancy: full molar pregnancy and partial molar pregnancy. There is no fetal tissue present in a full molar pregnancy, which is one of the types of pregnancy. Understanding molar pregnancy treatments is crucial for managing this condition effectively. There is some fetal tissue present with partial molar pregnancy. It's important to be aware of common molar pregnancy symptoms and the significance of molar pregnancy ultrasound in diagnosing and monitoring the condition. After experiencing a molar pregnancy, considering appropriate contraception is advisable for future family planning. It's important to consider appropriate contraception after molar pregnancy to ensure a healthy and well-planned reproductive journey.

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Diagnosis and treatment of molar pregnancy

Diagnosis of molar pregnancy in Faridabad 

To find the appropriate treatment for molar pregnancy, the doctor advises a few diagnostic tests:

  • Blood test - This test is used to determine the amount of hCG in the blood. In molar pregnancy, the hCG level is substantially greater than in normal pregnancy. During pregnancy, routine blood testing can aid in the detection of molar pregnancy.
  • Transvaginal ultrasound - This procedure is used to get pictures of the uterus, fallopian tubes, and ovaries. This test detects abnormal structures or growths in your pelvic region.
  • Urine test - The doctor recommends this test to determine the colour and content of the urine. This test also aids in determining hCG levels.  
Treatment of molar pregnancy in Faridabad 

  • Molar pregnancy is characterised by increased trophoblast cell proliferation. Any delay in therapy might result in significant problems, such as a rare type of cancer. Depending on the severity of the problem, a molar pregnancy is treated with medication or surgery.
  • Drug- Doctors recommend methotrexate as a drug therapy. Methotrexate medication helps to slow the growth of hydatidiform moles. Methotrexate is administered as a single injection. If the initial dosage fails to terminate the pregnancy, a second dose may be required. The doctor checks the hCG level before and after the surgery.
  • Anti-inflammatory medications such as ibuprofen and aspirin should be avoided when using methotrexate since they might increase the likelihood of methotrexate adverse effects.  
  • Surgical treatment- For a molar pregnancy, there are two options for surgical treatment: D&C operation and hysterectomy. The D&C treatment is usually recommended to stop a molar pregnancy, but hysterectomy is recommended in the most severe instances if there is a danger of gestational trophoblastic neoplasia.
  • D&C procedure- This is carried out while under the influence of general anaesthesia. The doctor administers medication to dilate the cervix, which normally takes 30-40 minutes. Once the dilation is complete, the surgeon inserts uses a suction device inserted inside the uterus to expel all the molar tissues from the uterine cavity. D&C operations are often performed in a hospital or surgical facility.
  • Hysterectomy – It is typically recommended in the most severe circumstances, such as when a molar pregnancy causes extensive uterine bleeding or there is a high risk of gestational trophoblastic neoplasia (GTN). Hysterectomy can be performed by open cut incision or laparoscopy.  The D&C operation is carried out under the influence of general anaesthetic. The doctor administers medication to dilate the cervix, which normally takes 30-40 minutes. When the dilatation is finished, the surgeon puts a suction equipment into the uterus to evacuate all of the molar tissues from the uterine cavity. D&C operations are often performed in a hospital or surgical facility.   
  • When a molar pregnancy causes extensive uterine bleeding or there is a high risk of gestational trophoblastic neoplasia (GTN), a hysterectomy is typically recommended. Hysterectomy can be performed by open cut incision or laparoscopy.

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