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Hydatidiform mole - Treatment

Alternative Names

Hydatid mole; Molar pregnancy

Treatment:

If your doctor suspects a molar pregnancy, a suction curettage (D and C) may be performed.

A hysterectomy may be an option for older women who do not wish to become pregnant in the future.

After treatment, serum HCG levels will be followed.

Expectations (prognosis):

More than 80% of hydatidiform moles are benign (non-cancerous). The outcome after treatment is usually excellent. Close follow-up is essential. After treatment, you should use very effective contraception for at least 6 to 12 months to avoid pregnancy.

In 10-15% of cases, hydatidiform moles may develop into invasive moles. These moles may grow so far into the uterine wall and cause bleeding or other complications.

In a few cases, a hydatidiform mole may develop into a choriocarcinoma, a fast-growing, spreading form of cancer. For treatment and outlook information for this condition, see choriocarcinoma (also called gestational trophoblastic disease).

Complications:

Lung problems may occur after a D and C if the woman's uterus is bigger than 16 weeks gestational size.

  • Reviewed last on: 11/17/2006
  • Audra Robertson, MD, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.