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Diagnosis and treatment of molar pregnancy
The doctor suggests a few diagnostic tests to determine the best treatment for molar pregnancy:
Molar pregnancy involves the excessive growth of trophoblast cells. Any delay in treatment can lead to some serious complications, including a rare form of cancer. Molar pregnancy is treated either by medication or surgery, depending on the severity of the condition.
Medication- In medication treatment, doctors suggest methotrexate. Methotrexate medicine helps in stopping the rapid growth of hydatidiform moles. Methotrexate is given as an injection in a single dose. If the first dose fails to end the pregnancy, then you may need a second dose. The doctor monitors the level of hCG before and after the procedure.
Avoid anti-inflammatory medicines such as ibuprofen and aspirin while taking methotrexate, as they can increase the risk of side effects of methotrexate.
Surgical treatment- There are two types of surgical treatment for a molar pregnancy, D&C procedure and hysterectomy. Mostly, the D&C procedure is suggested to end molar pregnancy, while hysterectomy is suggested in most severe cases when there is a risk of gestational trophoblastic neoplasia.
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Yes, insurance covers the cost of molar pregnancy surgery, as it falls under the category of the medically necessary list of treatments. We suggest contacting your insurance provider to understand the policy before the treatment.
Treatment options for termination of molar pregnancy depends on the severity of the condition. Medication is usually prescribed for partial molar pregnancy to make the womb contract and get rid of the normal cell. While surgery is suggested in most severe cases.
Doctors usually suggest methotrexate in medication treatment. Methotrexate is an effective medicine, but it has some side effects like- stomach pain, painful or difficult urination, loss of appetite, vaginal bleeding, and inflammation of the mouth.
There is no particular way to prevent molar pregnancy. If you had a previous molar pregnancy, then consult your doctor and ask them about the chances of its recurrence.
If molar pregnancy is left untreated or not evacuated completely, it can lead to serious conditions known as gestational trophoblastic neoplasia. It can progress and shows signs of malignancy in the wall of the uterus.
Here is the list of questions you should ask your gynaecologist to understand the treatment procedure and associated risks.
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