Molar pregnancy (gestational trophoblastic disease)

About Molar pregnancy (gestational trophoblastic disease)

Results from an abnormal growth of cells that are supposed to develop into the placenta. A mass develops in the uterus instead of a fetus. The exact cause is unknown but may include: defects in the egg, problems within the uterus, or nutritional deficiencies. Women under 20 or over 40 years of age have a higher risk. A molar pregnancy is also called gestational trophoblastic disease or hydatidiform mole.

Symptoms

Pelvic pain, vaginal bleeding, excessive vomiting, no fetal movement, a uterus larger or smaller than the expected gestational age.

Tests & Diagnostics

A history and physical exam will be performed. The doctor will listen for a fetal heart tone. A pelvic ultrasound will be done to look for a normal pregnancy vs. an abnormal growth in the uterus.

Common tests: BHCG, Complete blood count (CBC), Ultrasound.

Conventional treatment summary

Treatment includes a dilation and curettage. A hysterectomy may be done for patients not wishing to ever become pregnant.

Medical specialties

Obstetrics and Gynecology

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Molar pregnancy (gestational trophoblastic disease).