Molar Pregnancy : Causes, Clinical manifestations, Diagnosis, and Treatment
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- Опубліковано 14 жов 2024
- 📌𝐅𝐨𝐥𝐥𝐨𝐰 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦 :- / drgbhanuprakash
What is a molar pregnancy?
A molar pregnancy occurs when an egg and sperm join incorrectly at fertilization and a noncancerous tumor forms instead of a healthy placenta. The tumor, or mole, cannot support a developing embryo, and the pregnancy ends. It is also called a hydatidiform mole.
Molar pregnancies are a type of gestational trophoblastic disease. In a molar pregnancy, a tumor grows in the uterus. The tumor forms as fluid-filled cysts resembling clusters of grapes.
Who is likely to have a molar pregnancy?
Although molar pregnancies are very rare, anyone can have a molar pregnancy. You are more likely to have a molar pregnancy if you:
Are younger than age 20
Are over age 40
Have a history of molar pregnancies
Have had two or more miscarriages
Live in certain geographical locations, including the Philippines, Southeast Asia and Mexico
In the United States, women of European heritage have a higher risk of molar pregnancy compared to women of other ethnicities.
How common are molar pregnancies?
Less than 1% of all pregnancies - about 1 in 1,000 - are molar pregnancies.
What are the types of molar pregnancies?
Molar pregnancies fall into two categories: complete and partial.
In complete molar pregnancies, the tissue making up the placenta is abnormal, and no embryo forms. The tumor still forms and produces the pregnancy hormone HCG, which is made by healthy placentas during normal pregnancies. HCG levels are measured by many pregnancy tests.
A partial molar pregnancy occurs when an abnormal placenta forms along with an embryo. In these cases, embryos have severe birth defects. The developing tumor quickly overcomes the embryo.
What causes a molar pregnancy?
Molar pregnancies result when specific genetic errors occur during the fertilization of an egg by a sperm.
In a healthy pregnancy, a placenta forms to nourish the growing embryo. With a molar pregnancy, instead of a placenta, a tumor forms inside the uterus. A developing embryo is almost never involved in a molar pregnancy.
Occasionally, molar pregnancies develop after a miscarriage, a successful pregnancy, or an ectopic pregnancy, when cells remain in the uterus. In an ectopic pregnancy, a fertilized egg implants outside the uterus.
What are the symptoms of a molar pregnancy?
The most common symptoms of molar pregnancy include:
Vaginal bleeding within the first three months of pregnancy
Severe nausea and vomiting.
Preeclampsia (extremely high blood pressure)
High HCG levels
Increases in abdominal size that occur much faster than in a healthy pregnancy
No heartbeat or fetal movement
Grape-like cysts coming out of the vagina
How is a molar pregnancy diagnosed?
Your doctor diagnoses a molar pregnancy by obtaining an ultrasound of your uterus. An ultrasound uses sound waves to produce pictures of your uterus. Your doctor may also recommend blood tests to check your HCG levels.
How is a molar pregnancy treated?
Most molar pregnancies spontaneously end on their own. In these cases, grape-like cysts pass out of the uterus and through the vagina naturally.
Some women require treatment to remove molar pregnancies. Treatment involves dilation and curettage (use of a tool to remove tissue) with suction to remove all abnormal tissue from the uterus.
In rare cases, a hysterectomy, or surgical removal of the entire uterus, is necessary to treat a molar pregnancy.
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I am a final year student. Thank you for this simple explanation 😇
You're very welcome!
was having a hard time understanding about molar pregnancy but you explained it so clearly!! thank you so much this video helps a lot, god bless^^
You are a great teacher, and the presentation is concise. Thank you
Glad it was helpful!
Thank for amazing explanation... I'm now gynecology student at Alexandria University
Your teaching technique is very good ..thank you very much
Wonderful teacher .you really explained it to reach an absolute understanding.
Glad you think so!
Ur the greatest lecturer I have seen
Thanks alot❤🎉
Good day Sir. Thank you so much for simplified, understandable information on Molar Pregnancy. Thank you very much.
thanks for ur lectures, i am from Nigeria and i enjoy watching your videos. I wish atimes you could please talk slowly to help me follow properly
tnq sir I'm 4th year nursing student this vedio helps me alot ...... keep it up💖💖💖💖
It's my pleasure
@@doctorbhanuprakash sir I had d n c due to molar pregnancy on jan 26 2024 ,when can I plan next pregnancy
Thank you sir iam a final year mbbs student. It is very useful for me👍👍👍
Welcome 👍
Very concise explanation 👌🏽👌🏽👌🏽 thank you very much Sir🙏🏼
Thanks and welcome
Thank you for the lecture,it is amazing !
You are welcome!
I had a complete molar pregnancy in January 2022. I had to get surgery, D&C
Unfortunately, it turn into GTD and I had to get six rounds of chemotherapy 😢
Now, I’m still trying for baby #2✨
I had complete molar pregnancy in Feb 2021...it converted into gtn...I got 7 rounds of chemotherapy...
OMG so sorry to hear that. Hoping this doesn't happen to my family member who may be going through this now. Still to early to tell 🤞
@@Babykooner mari bi complete moler pregnancy hai
Hiii sorry to hear... Im into the same situation,, entering into second set of Chemo injections... I wanted to clarify once Beta Hcg becomes 0 and we stop the injections will it increase again?? Or will the tissue grows again..???
@@Drafted_tales hope you recover🙏 and my doctor said the HCG levels need to be under 0.8 to be normal and then I got two last rounds of chemo treatment. For me, it didn’t come back and I went every month to have HCG levels checked, so far so good🥹I’m actually six months pregnant with a healthy baby🤰🏻wish you the best!🙏
But Doc how can I get GTN topic I can't find in your list vedieos thanks
I'm not a student but watching your classes because I want to know after how many weeks the period comes, if there are tissues still not clear from uterus by C&W then what we need to do. Kindly reply or suggest your video if you have already shared. Thanks
Your teaching way always amazing sirr❤ don't know anything before watching your video...now all topic concept i know very well sir bcoz of u thanks a lot sir
It's my pleasure
Great explanation ❤
Tq sir, my age 33 -yesterday cleared my molar pregnancy of 7th week pregnancy. Dr given anesthesia and cleared my stomach. Dr said weekly βhcg test done for 2months till less than 5.
Mujhe bhi hogya hai...bht dar lag raha hai plz btaiye aapko dard to nahi hua....dr admit krne ko bol rahi hai aaj hi
@@Alishaanjum-officialno pain, because they give anesthesia. Nothing will happen it's cool going process don't afraid.
@@anusree833 thanks sis...total kya cost aaye the aapke..mere se 10k bol rahi hai
@@Alishaanjum-official meraku 40 k liye hai
thanks so much
Very clear and useful information ♥️♥️
Thx alot ♥️♥️
Glad it was helpful!
Where can I find the gestational trophoblastic Neoplasia video😢
Very helpful lecture thank you Sir
tq sir for making the difficult topic easy ❤🙏🏻
Thank you verymuch it is realy easy and nice
This channel is phenomenal 👍
Superb explanation.👏👏👏
Thank you 🙂
Excuse me sir, I have a question. In complete mole the prophylactic there are four condition right to give MTX so I want to that must have all the conditions or 1 of 4 in this conditions
you are a great teacher.
Thank you! 😃.
Thank you .Good explanation
Glad you liked it
Very nice , perfect explaination , amazing presentation
Best teaching sir
Thanks and welcome.
Wow , what an explanation bro ....so legendary macha2allah ❤️🙌🏿
very helpful video sir, thank alot
Superb lecture lots of concepts cleared 👍
Thanks a ton
Excellent class sir
Thanku sir ....very nice lecture 🎉
Thank you very much sir, I was looking for such a video
Most welcome
Sir so good the way u teach
Thank you very much sir,, this is so helpful 🎉
So nice of you
Nice lecture
Thanks and welcome
Thank you sir for clear explanation
You are welcome
very helpful thank you sir
Most welcome
Thank you so much sir 🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏 this video is really helpful for me
I was diagnosed with GTD III with twins. 😢Got congested heart failure at 15 weeks of pregnancy. Unfortunately due to the heart failure the mole was killing me and my viable baby had to terminate my pregnancy. Later to begin my battle with cancer. It was a malignant persistent GTD III reoccurrence and it took 2 1/2 years to finally be cancer free. In between the years had to get open heart surgery due to the port that caused a blood clot in my right atrium of my heart. Chemotherapy caused chaos and ravaged my mind, body, soul and extremely financially. I totally believe I was missed diagnosed and I believe that it was Choriocarcinoma because it metastasized to my lungs. I got 15 blood clots in lungs after open heart surgery. Picc line caused a staph infection. I also got a blood clot in my arm from the picc line. There is always hope and remain positive. I had a miracle child afterwards. She is now 12. God is good and faithful! But ohhhhh it was hell and on wheels.
A simple question was you on birth control before getting pregnant and if so which method
Hello sir. My name is Tripty. My age is 18 year old. Sir I was positive molar pregnancy. Complete mole . I have done operation by good doctors . But I am very scared about my HCG levels. Doctor told me to test HCG in next 7day later. But what should I do for HCG levels coming normal. I am not good at speaking English please understand sir and please reply.
Salam my bahbi is same how's u nw
So fantastic class sir 🙏
So nice.
Excellent!!🎉
Perfect❤
Super explaination sir tqqq
You're most welcome
Where is the video of GTN ?
Sir molar pregnancy kis vjh se hoti h reply plz
Excellent!!
Good lecture
I have had two moral pregnancies will I be able to get a normal pregnant again am worried about it
Great video!!
Thanks for the visit
osm sir thank u so much for this great video 👏
Most welcome
Awesomeee explanation 👍🏻
Thank you dear Doctor.
Biggest thank you sir❤❤🙏🙏🙏🙏🙏🙏
Excellent. So thx so much
Plz add labour lectures also
Sir hemoroids explaination and diagnosis
Amazing concept.
tysm
Tooo good ,please we want more such videos of obg 🥹🥹🥹🥹
More to come!
Thank you Sir🎉
Most welcome
Sir why placenta is formed in partial pregnancy why not in complete
Amazing!!!
Thank you! Cheers!
Ty sooooo much love u sir ❤❤❤❤
I was giving injections for molar pregancy removal but I didn’t bleed I was only having some thick discharge
Is it normal to bleed after removal
Excellent 👏
Best ❤
I don't understand one thing the sperm is always supposed to be a Y how can it be an X? like we have studied x +y=xy is female AND y+y=male
Xx is female, xy is male.
Thank you.
You're welcome!
Thank you so much sir
So nice of you
Excellent sir
Keep watching
Hi sir if a woman who has 6 kids already an then the 7 pregnancy is premoler can she still get pregnant after
Sir,why can't 2 y y sperm fertilize a ovum and produce xyy or yy ?
Partial hyderti mole treatment
At the age 22 in my 1st conception I had a gestational troplastic disease in 2011 till now no baby 😭😭
Am a Nigerian my friend had similar condition but became pregnant after 4yrs, this year her baby is 1yr old.
Try ivf
Molar pregnancy purush ke shukranu kam hone ke karan hoti hai kya ... please answer sir
Nahi aisa nahi hai , it's just a random process due some other reason
I wa disgnosed by partial molar pregnaancy.d&c done..can i get pregnant again
Thnquuuu so much sir..,😍
Thank you so much!😊
In IVF process, at the stage of insemination, does this mistake happens, where 2 sperms are put inside the female egg, and this results in molar pregnancy ?
Excellent sir 👌👌👌
Great sir
I love this man
Sir i also recently molar pregncy ....i had get d&c now i plan for pregncy sir plzz rply
👏👏very well understood
Tysm
Sir gestational tropoblastic neoplasia class
After d n c of molar pregnancy when can we plan next pregnancy for women with age 31
1 year
Thank u very much ❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️
Ur most welcome
Slip or mistake regarding GTN
Great 👍🏼
Thank you 👍
Sir.. My wife has Diagnosed with Partial Molar pregnancy and done suction evacuation and beta hcg is 156 miu/ml now but doctor given Methotroxate50mg injection but as you said it needed only for above 40 age women with complete mole please help
You need to go back hospital and yes 40 years it can cause
But I was only 28 an had 6 kids already an I got a pre molar how did that happened
Doctor please reply... please....sir we did Beta HCG test after 3-4 months of unprotected sex and the result is 0.16 ...sir is this normal? Is preganancy their?..... please reply
No
missed the lecture in my medical college. faced too much difficulty while going through the text books. knew i had to see an indian on the youtube.
Hi can I ask if I'm pregnant august 2 we have intercourse then this august 16 I have bleeding I feel all the symptoms of pregnancy I have cramping this august 20 is my regular men's can u explain why I feel like this thank u
Sir i had a partial molar pregnancy..d&c is done but still bleeding is there...what to do?
Main bhi same problem face kar rahi hoon😢😢😢
Need chemotherapy