Patient's question:
After 40 days of miscarriage, continuous bleeding led to a diagnosis of endometrial polyps confirmed through hysteroscopy, which resembled grape-like growths (2.21.0). I'm wondering if such a condition carries a high risk of progression. If treatment is needed, what methods should be used, and how much damage will it cause? Can it recur? What are the chances of success? I'm very frustrated because I'm still young, and I urgently need your answer!!!Doctor's answer:
Hello, if the pregnancy is a molar pregnancy, it will be found that there is no fetal movement and fetal heartbeat during the examination. Sometimes, small bubble-like fetal masses may be expelled from the vagina. Sending these expelled tissues for pathological examination can confirm the diagnosis.Ultrasound can differentiate between molar pregnancy and normal pregnancy. Measuring the level of human chorionic gonadotropin (hCG) in the blood can help diagnose molar pregnancy, as this condition produces a significantly high level of hCG. In early normal pregnancy, the hCG level is also quite high, so this method is rarely used for differential diagnosis in the early stages of pregnancy.
Treatment measures:
Currently, chemotherapy is the primary treatment method, with the same specific approach as for choriocarcinoma. In cases where the patient does not wish to have further children or is over 40 years old, a total hysterectomy may be performed.
After treatment for molar pregnancy, regular follow-up examinations are generally recommended. Pregnancy is typically considered again after two years.