What are the symptoms of incomplete uterine curettage of hydatidiform mole?

Hydatidiform mole is a symptom of abnormal pregnancy, or it is a malignant pregnancy and a manifestation of a malformed fetus. At this time, uterine cleaning is needed. If the uterine cleaning is not thorough, women will often experience some symptoms, such as continued vaginal bleeding and continued increase in human chorionic gonadotropin. Through B-ultrasound examination, some residual tissue may be found, which is relatively harmful to women.

Symptoms of incomplete uterine curettage of hydatidiform mole

1. Vaginal bleeding continues

As we all know, after becoming pregnant with a hydatidiform mole, unexplained vaginal bleeding will occur. If you go to the hospital for a check-up, you will be told that it is a hydatidiform mole and that you need to undergo a uterine curettage. However, it is very likely that a hydatidiform mole cannot be completely cleared with a single operation, in which case symptoms of continued vaginal bleeding will occur.

2. HCG will continue to rise

HCG refers to human chorionic gonadotropin, which can reflect the status of a woman's pregnancy. However, the amount of HCG in a woman with hydatidiform mole is much higher than that in a normal pregnant woman. Its value will decrease after a uterine curettage, but it will continue to increase if the uterine curettage is not thorough.

3. Ultrasound examination will show residual tissue

Hydatidiform mole is usually discovered during B-ultrasound examination, which means that B-ultrasound examination is a common means of diagnosing hydatidiform mole. When a patient with hydatidiform mole has undergone a uterine curettage but the uterus is not completely cleared, another B-ultrasound examination will reveal hydatidiform mole tissue remaining in the uterus.

Why does a molar pregnancy occur?

After pregnancy, the villous trophoblasts of the embryo proliferate and the interstitial edema forms small blisters of varying sizes. The blisters are connected by the ground to form a string like grapes, which is called hydatidiform mole. Hydatidiform mole is divided into complete hydatidiform mole and partial hydatidiform mole. A complete hydatidiform mole has no embryo, while a partial hydatidiform mole has both embryonic tissue and grape-like tissue. From a clinical perspective, complete hydatidiform mole is more common.

A normal embryo is formed by the union of a normal egg and a normal sperm. Hydatidiform mole is caused by problems with the quality of sperm and egg. There are many reasons for hydatidiform mole. For example, there are two types of complete hydatidiform mole: (1) an empty egg missing chromosomes or a lost empty egg (an egg without chromosomes) is fertilized by a haploid sperm and replicated into a diploid egg; (2) an empty egg missing chromosomes or a lost empty egg is fertilized by two sperms.

Through our introduction, I believe everyone should have some understanding of the symptoms of incomplete uterine curettage of hydatidiform mole. The main manifestations of incomplete uterine curettage of hydatidiform mole are continued vaginal bleeding, continued elevated HCG, and residual hydatidiform mole tissue found during B-ultrasound examination. If patients feel that the uterine curettage they underwent was not thorough, they can confirm this through these symptoms.