Molar Pregnancy

A molar pregnancy involves abnormal uterine growth, mimicking early pregnancy signs. As part of the gestational trophoblastic disease, it demands immediate medical attention. If suspected, it’s crucial to consult a doctor.

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What is Molar Pregnancy?

A molar pregnancy is a rare and unusual growth of cells called trophoblasts inside the uterus, leading to symptoms of pregnancy. These cells typically evolve into the placenta, the organ that nourishes a growing fetus. However, in the case of a molar pregnancy, they develop abnormally, often resulting in the absence of a fetus or the formation of an abnormal fetus. 

This condition is part of a group of rare and noncancerous tumors that develop in the uterus known as gestational trophoblastic disease (GTD). The majority of molar pregnancies are noncancerous and are treated with a curative intent.

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What are the symptoms of Molar pregnancy?

  • Behavioral health concerns: Issues such as anxiety, depression, bipolar disorder or post-traumatic stress disorder can be indicators.
  • Concerns about baby’s growth: If there are worries about the baby’s growth or condition, it might be an indicator of a high-risk situation.
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Types of molar pregnancy and treatment options

  • Are there different types of molar pregnancy?

    There are two primary types of molar pregnancies:

    • Complete molar pregnancy: An extremely rare condition, it occurs when fertilized eggs lack maternal genes. This results in no embryo or normal placenta, meaning there is no baby. The placental tissue swells and appears to form fluid-filled cysts.
    • Partial molar pregnancy: This occurs when more than one sperm fertilizes a normal egg. The placenta might contain both regular and irregular tissue. There may be a fetus, but it's severely abnormal and typically miscarried early in the pregnancy.

    It's worth noting that other aggressive types of GTD, such as choriocarcinoma, placental site trophoblastic tumor, and epithelioid trophoblastic tumor, can spread to other parts of the body. Women diagnosed with any type of GTD may need to avoid pregnancy for some time post-treatment due to the risk of complications.

  • What are the treatment options for molar pregnancy?

    There are several treatment options for a molar pregnancy:

    • Dilation and curettage (D&C): This involves removing molar tissue from the uterus using a vacuum device.
    • Hysterectomy: This option is considered if the molar tissue is extensive and the patient does not wish to retain childbearing capabilities. It involves the surgical removal of the uterus.

    Following the removal of molar tissue, it's crucial to monitor the levels of hCG. If these levels remain present after 8-12 weeks of weekly monitoring, further treatments like repeat D&C or chemotherapy may be required.

    If hCG levels rise or don't normalize, it indicates that the molar pregnancy has become malignant, known as gestational trophoblastic neoplasia (GTN). GTN requires further testing and monitoring, but it's worth noting that even in malignant cases, GTN is highly curable.

Why choose us?

Navigate molar pregnancy with personalized care.

At Nuvance Health®, we understand that a molar pregnancy is more than just a medical condition; it's an emotional journey. We prioritize your well-being, offering individualized and compassionate care tailored to your needs. With a team dedicated to guiding you every step of the way, we aim to provide clarity, support and the best possible outcomes. Ready to embark on this journey with us? We're here, always listening and ready to help.
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