Patient's question:
After 40 days of miscarriage, continuous bleeding was diagnosed as endometrial leiomyoma with grape-like growths (2.21.0) through hysteroscopy. I'm wondering if such a condition has 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 upset 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 vesicular 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, if it is a molar pregnancy, this hormone level is particularly high because molar pregnancy can produce a large amount of this hormone. In early normal pregnancy, the level of human chorionic gonadotropin is also quite high, so this method is rarely used for differential diagnosis in early pregnancy.
Treatment measures:
Currently, chemical drug therapy is the main treatment, with specific methods similar to those for choriocarcinoma. In this case, women who do not wish to have further children or are over 40 years old may undergo total hysterectomy.
Generally, regular follow-up examinations are recommended after molar pregnancy treatment. Pregnancy is usually considered after two years.