Patient's question:
Intermittently, coffee-colored discharge has been observed. The doctor diagnosed it as threatened miscarriage and prescribed medication to support the pregnancy. An ultrasound was performed at 8 weeks of pregnancy, with the following findings: An echogenic gestational sac was observed within the uterus, measuring approximately 3826mm. An echogenic yolk sac was visible within the sac, along with echogenic embryonic structures and primitive cardiac activity. The doctor diagnosed it as normal. Could you please tell me if there is a high possibility of molar pregnancy in my case?Medical History and Treatment Effects:
An ultrasound was performed at the hospital, and the doctor suspected threatened miscarriage. Five injections of progesterone were administered.
Desired Assistance:
Can an ultrasound performed at the county hospital detect anything at 10 weeks of pregnancy?
Doctor's answer:
Hello, molar pregnancy is divided into complete molar pregnancy and partial molar pregnancy. Complete molar pregnancy is generally easy to detect with ultrasound, but partial molar pregnancy may not be accurately diagnosed. It is recommended that you combine color Doppler ultrasound to determine if there is a possibility of molar pregnancy, and further evaluate based on your symptoms, blood HCG hormone test. If necessary, a pathological examination after curettage is required for a definitive diagnosis. In addition to ultrasound, it is recommended to perform a urine pregnancy dilution test. If the urine is strongly positive even after being diluted 500 times, it can be confirmed as a diagnosis. Moreover, there is generally no need to worry too much. If all the above tests are normal, it can basically rule out the possibility of molar pregnancy. If you are pregnant, it is important to maintain a good mindset, which is beneficial for the baby as well.