Doctors for Molar Pregnancy

Molar pregnancy is a complication of the female reproductive system involving an abnormal fertilization of an egg by a sperm. A molar pregnancy happens when a sperm fertilizes an egg incorrectly and leads to the formation of non-cancerous tumors. These tumors resemble fluid-filled sacs. They may also appear as small grapes or a bunch of grapes.

In a molar pregnancy, the embryo can not develop, and this type of pregnancy often ends up in a miscarriage on its own. However, if it does not end, the doctors perform surgery to remove it. Untreated molar pregnancy can lead to serious complications. A molar pregnancy is typically classified into two types:

• Complete
• A complete molar pregnancy is where no embryo forms. This happens when a sperm fertilizes an egg that’s empty. In this case, the placenta grows, but it differs in characteristics from a normal placenta. It has water-filled sacks or tumors. The placenta produces pregnancy hormones, which causes the individual to have a positive pregnancy test.
• Partial
• In a partial molar pregnancy, an abnormal placenta develops along with an embryo. In this case, two sperm fertilize one egg. In a partial molar pregnancy, the formed embryo has an extra set of chromosomes, and while the embryo develops, its chances of survival are fairly low.

A molar pregnancy can have severe consequences on the individual’s health. Seeking prompt treatment can help prevent potential complications and ensure the physical and mental well-being of the patients. Some benefits of getting timely management of molar pregnancy include:

• Safeguarding from complications: Timely treatment of molar pregnancy can help prevent potential complications. Some complications of molar pregnancy include gestational trophoblastic disease or GTD, invasive moles, and choriocarcinoma, which can spread to other organs as well.
• Prevent the risk of cancer: Choriocarcinoma is a type of cancer caused by untreated molar pregnancy. While choriocarcinoma can be treated, it does stand the risk of causing severe complications. Therefore, it’s advisable to get molar pregnancy treated to prevent the risk of cancer.
• Prevent recurrence of condition: Timely molar pregnancy treatment helps reduce the risk of recurrence of this condition. The doctors typically suggest regular hCG level screening for early detection of signs of complications.
• Preventing Fertility Issues: Timely management of molar pregnancy helps women safeguard their ability to get pregnant in the future.

A series of diagnostic tests are done for the diagnosis of molar pregnancy and to rule out underlying conditions. Here are some tests done to diagnose a molar pregnancy:

• Ultrasound: Ultrasound is an imaging test that uses sound waves to produce an image of the internal structures of the body. In the case of molar pregnancy, the doctors can spot some fluid-filled sacs, but not the placenta.
• HCG: HCG is produced by the placenta during pregnancy. The amount of this hormone produced during a molar pregnancy is quite high. This test helps detect HCG levels in the body and detect a molar pregnancy.

The doctors may also perform some other tests to check for other health issues, such as Preeclampsia, Hyperthyroidism, and Anemia.

A molar pregnancy can not be continued as it poses a risk to the life of the mother. In most cases, there’s no fetus present either. Therefore, to prevent potential complications, the doctors remove the placental tissue. Different treatment approaches are utilized to treat a molar pregnancy, depending on the patient's requirements. Some include:

• Dilation & Curettage (D&C): This is the most commonly used method of molar pregnancy treatment. It involves the use of a uterine suction device to remove the molar tissue from the woman’s uterus and end the pregnancy. It’s done under general anesthesia at a licensed clinic or hospital.
• Medication: In some cases, the doctors may prescribe some medications to induce contractions in the uterus and cause the contents in it to expel.
• Hysterectomy (Uterus Removal): If the doctors suspect the patient is at risk of gestational trophoblastic neoplasia (GTN), they may suggest a hysterectomy. It’s suggested for women who do not wish to get pregnant in the future. A hysterectomy for molar pregnancy is done very rarely.

Molar pregnancy requires prompt treatment, and the most suitable treatment method is decided by the doctors after a thorough assessment of the patient. In addition to the treatments mentioned above, the doctors also continuously monitor the HCG levels. Normal HCG levels after management of molar pregnancy mean the pregnancy is completely removed. However, if the levels remain the same or increase, it may hint towards a serious complication.

A molar pregnancy surgery typically aims to treat the condition and improve the affected individual’s quality of life. Here are some reasons for doing a molar pregnancy surgery:

• Removing the abnormal tissue: A surgery for molar pregnancy helps completely remove the abnormal tissue in the uterus.
• Preventing Persistent Trophoblastic Disease (PTD): A molar pregnancy surgery helps prevent a complication called PTD, which involves an abnormal cell growth that can spread to other organs as well.
• Choriocarcinoma: Molar pregnancy, in some cases, may lead to choriocarcinoma, which is a type of cancer. Timely surgery for molar pregnancy can help prevent this complication.
• A reduction in symptoms: Molar pregnancy can cause multiple symptoms. Timely diagnosis and surgical removal of a molar pregnancy can offer significant relief from these symptoms and improve the patient’s quality of life.

Molar pregnancy is a rare but serious pregnancy complication that requires medical intervention. It can cause painful symptoms, and it’s treated with surgery in most cases. The most commonly performed surgery for its treatment is dilation & curettage with suction. It is essential for patients to prepare themselves both physically and emotionally. Although doctors usually provide specific preparatory guidelines, here are some general recommendations for women receiving treatment for molar pregnancy:

• Understanding procedure: It’s important to understand the procedure thoroughly. It’s best to ask as many questions as you can to educate yourself.
• Food restrictions: In most instances, doctors suggest refraining from food intake for several hours before the surgery. This measure is crucial in minimizing the risk of complications associated with anesthesia.
• Discussing allergies:Patients must communicate any allergies to their doctor, which is a vital step to prevent potential complications during the procedure.
• Medication usage: Patients should inform their healthcare provider of any current medication usage, as certain medications might heighten the risk of bleeding during the surgical procedure.
• Bring an Attendant: Patients are advised to have a companion accompany them for the treatment. Anesthesia is often administered during the procedure, which makes it unsafe for patients to drive themselves home afterward.
• Emotional Preparedness: Preparing emotionally to cope with the impact of molar pregnancy is important, as it can come as a surprise for many. Seeking support from friends, family, and medical professionals is crucial. Emotional readiness is essential to remain calm and composed during the treatment process.
• Adherence to Instructions: Patients should diligently follow any additional or specific instructions provided by their doctor regarding the preparation for the treatment.

• Before the Surgery
• Before the surgery, the doctor will discuss the procedure with you and answer any questions you may have. If anesthesia is to be administered, the doctor will discuss the potential effects of anesthesia. The doctors may assess the diagnostic test reports and check vitals before the procedure. You'll be asked to change into a surgery gown before moving you to the operation theater.
• During the Surgery
• During the surgery, you'll be administered anesthesia. The type of anesthesia to be used and its dosage may vary depending on the requirements of the case. Then, the doctor will perform the surgery for molar pregnancy.
• Post Surgery
• After the surgery, you'll be shifted to the recovery room, where your vitals will be monitored. You'll remain in the recovery room till the effect of anesthesia wears off. The doctors will observe you for any postoperative complications while assessing your overall well-being. You'll be prepared for discharge as soon as you're out of the sedated state. The doctors will give you instructions on recovery and guide you on how you can prevent complications. Total molar pregnancy surgery recovery time can vary from person toperson.

Post your molar pregnancy surgery, irrespective of the type of surgery, you’ll be required to be very careful about recovery. The doctors typically provide instructions regarding recovery specific to your condition. It’s essential for you to particularly know what needs to be avoided after molar pregnancy surgery.

• Strenuous activities: Heavy workouts, exercise, and picking up heavy objects must be completely avoided after molar pregnancy surgery. This can lead to strain on the operated area and cause complications.
• Certain Foods and Substances: It is important for you to refrain from consuming certain foods during their recovery after a molar pregnancy treatment, as they can hinder recovery progress. Some foods to avoid include foods high in salt, sugar, and unhealthy fats.
• Immediate pregnancy: Getting pregnant immediately after molar pregnancy treatment must be avoided completely. A doctor’s advice must be sought before planning a pregnancy after molar pregnancy treatment.
• Sexual intercourse: Vaginal penetration immediately following the surgery can lead to complications and slow down recovery. It’s important to consult with the doctors on when it’s safe to resume sex after molar pregnancy surgery.
• Using tampons and menstrual cups: Inserting tampons and menstrual cups must be completely avoided after molar pregnancy surgery. The cervix needs time to heal, and using these can cause a delay in healing.
• Delaying follow-up sessions: Follow-up sessions after molar pregnancy treatment are essential. Therefore, you must not delay them.

Complications after molar pregnancy surgery are rare, but they can still happen. You need to be aware of the potential complications of molar pregnancy treatment to be able to manage them. Timely management of complications is essential. Some potential complications associated with molar pregnancy surgery include:

• Persistent Trophoblastic Disease (PTD): Sometimes, the molar tissue continues to grow. Or it may recur after treatment. This condition is known as persistent trophoblastic disease. In such cases, further treatment is necessary.
• Excessive Bleeding: All surgical procedures stand the risk of excessive bleeding. Bleeding after molar pregnancy removal may also occur which you should remain aware of.Any abnormal bleeding after molar pregnancy removal should be immediately reported to a doctor.
• Infection: The risk of infections persists with molar pregnancy surgery. All surgical methods of molar pregnancy treatment, including Dilation & curettage (D&C) or hysterectomy, accompany a small risk of infection. Some common signs of infection include fever, chills, and pelvic pain.
• Anesthesia-related Risks: General anesthesia is used in most molar pregnancy surgeries. Anesthesia-related complications may also occur after molar pregnancy surgery, including allergic reactions or respiratory issues.
• Blood Clot Formation: Since women are required to take complete rest after their molar pregnancy surgery, they stand the risk of developing blood clots. This is a serious complication that requires prompt medical intervention.

Following a D&C for molar pregnancy treatment, women must closely attend to both their physical and mental well-being to facilitate a seamless recovery. While molar pregnancy surgery recovery time may differ for patients, several things can be done to boost recovery. Here are essential measures to ensure a healthy recuperation after a surgery for molar pregnancy:

• Prioritize Rest: Quality sleep and ample rest are vital for a healthy recovery. Women should focus on getting sufficient rest to allow their bodies the necessary time to heal after a D&C.
• Avoid Strenuous Activities: It is generally advised to refrain from intense workouts and strenuous activities after a molar pregnancy surgery. Consulting a doctor before resuming regular activities is recommended. Consider incorporating yoga into your routine for overall physical and mental well-being.
• Maintain a Healthy Diet: Diet plays a pivotal role in the recovery process. Opt for a well-balanced diet that includes essential nutrients such as fruits, vegetables, lean proteins, and whole grains.
• Say No to Smoking and Alcohol: Smoking can impede the healing process, so it's crucial to avoid it. Additionally, it's advisable to abstain from alcohol and limit caffeine intake during the recovery period.
• Attend Follow Up Sessions: Follow-up sessions are essential after molar pregnancy surgery. During follow-ups, the doctors closely monitor HCG levels in the blood to ensure the pregnancy is completely removed. You must not miss any of the follow-up sessions to prevent complications.

The cost of molar pregnancy treatment in India differs for all. The cost, on an average, is between Rs.__ and Rs.__. This estimated cost can differ for individuals based on several factors. A primary reason that can cause the cost to differ is the type of treatment you’re receiving for molar pregnancy. The cost of different types of molar pregnancy treatment is as follows:

• Dilation & Curettage: Rs.30,000 to Rs.50,000
• Hysterectomy (Uterus Removal): Rs.80,000 to Rs.1,20,000.
• Molar pregnancy medication: Rs.500 to Rs. 2000.

Other factors that can impact the cost of molar pregnancy treatment in India include the severity of the condition, your choice of healthcare facility, doctor’s fees, cost of diagnostic tests, etc. The hospital offers a cost breakdown after thoroughly assessing these factors. Seeking transparency around treatment cost from the beginning can benefit in more ways than one. Firstly, it helps arrange funds for the procedure. Secondly, it helps prevent last-minute hassles regarding fund arrangement.

At Lybrate, we offer molar pregnancy treatment at cost-effective prices. We maintain complete transparency regarding the treatment cost from the beginning. To consult with our doctors for effective molar pregnancy treatment, reach out to our team today.

Yes. Treatment for molar pregnancy is considered medically necessary, and therefore, most insurance providers in India, cover this procedure under their health insurance policies. The insurance coverage offered, however, is subject to differ for all patients. You are therefore advised to seek clarity regarding the insurance coverage for this procedure.They can best guide youon whether or not this procedure would be covered and what aspects of the treatment would be covered.