How to treat hydatidiform mole

The explanation of hydatidiform mole on major web pages is: "The microvessels in the villous matrix disappear, resulting in accumulation of fluid in the villous matrix, forming bubbles of varying sizes, shaped like grapes, hence the name hydatidiform mole." Just looking at these explanations, I still don't quite understand. Since medical terminology is very difficult to understand, friends should be careful to retain selectively when looking up information.

Once a hydatidiform mole is diagnosed, uterine evacuation should be performed immediately. Electric suction curettage is generally used. Preparations for blood transfusion should be made before the operation, and uterine perforation should be prevented during the operation. The curettage can be performed again one week after the operation. Generally, the patient needs to undergo multiple curettages, depending on the patient's condition. Moreover, patients with hydatidiform mole require hospitalization.

1. After the hydatidiform mole is removed, the patient should insist on regular follow-up to monitor the changes in the condition:

- After the hydatidiform mole is cleared, the value of chorionic gonadotropin should be measured once a week until the measured value drops to normal levels. If the value remains high or rises, it indicates a malignant change.

——After the value of chorionic gonadotropin returns to normal level, it should still be checked once a week for 3 consecutive months; if the value is still normal, it should be checked every half a month for 3 consecutive months.

——In the next six months, you can check once a month. Because the risk of malignant transformation of partial hydatidiform mole is low, no follow-up is required after everything returns to normal. The total follow-up time is one year. If the chorionic gonadotropin level of complete hydatidiform mole is still normal, the follow-up period can be changed to once every six months, with a total follow-up period of 2 years.

2. During the follow-up period, if the patient has symptoms such as irregular vaginal bleeding, cough, hemoptysis, etc., he should go to the hospital for examination in time.

3. After the hydatidiform mole is cleared, the patient should use contraception during the follow-up period. The best method of contraception is condoms. It is not advisable to use intrauterine devices or take contraceptives containing estrogen.

4. After completing the follow-up, the patient can become pregnant again. However, the risk of another hydatidiform mole during pregnancy is higher than the average person, so close monitoring is required.

As I have been reading up on hydatidiform mole recently, I found that with a better understanding of this disease, I am not as afraid of it as before. Sure enough, everything needs to be understood, and everything is built on the basis of understanding. Understanding something not only helps you eliminate your fear of it, but also helps you understand it better.