What should I do about a molar pregnancy?

Patient's question:

(1) The hair follicle becomes V-shaped and enlarged.
(2) Hyperplasia of the cells outside the hair follicle.
(3) The blood vessels within the hair follicle disappear.
(4) The o (embryo) develops resistance to the drug.

Doctor's answer:

Hello: The cervical dilation and curettage (D&C) procedure is typically used to clear a molar pregnancy, and the grape-like tissue must be completely removed. Only in very few cases is a hysterectomy necessary.
  After the surgery, the level of human chorionic gonadotropin (hCG) is measured to determine if the molar pregnancy has been completely eliminated. Once the molar pregnancy is fully cleared, the hormone levels usually return to normal within 8 weeks and remain stable. If a patient becomes pregnant shortly after the molar pregnancy is removed, it can be difficult to distinguish the cause of the elevated hCG levels. Both a subsequent pregnancy and retained tissue can cause this hormone level to rise. Therefore, it is recommended that patients with a molar pregnancy do not become pregnant again within one year after the tissue is removed.
  Benign molar pregnancies generally do not require chemotherapy, but malignant molar pregnancies must be treated with chemotherapy. Commonly used drugs include methotrexate, bleomycin, or a combination of chemotherapeutic agents.
  In early stages, patients with mild conditions have a cure rate of 100%. Even in cases where the disease has widely spread, the cure rate can still reach 85%. Most patients can retain their fertility.

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