Diagnosis of Molar Pregnancy

What can mimic a molar pregnancy?

He or she may detect other signs of a molar pregnancy, such as: Rapid uterine growth the uterus is too large for the stage of pregnancy. High blood pressure. Preeclampsia a condition that causes high blood pressure and protein in the urine after 20 weeks of pregnancy.

When do molar pregnancy symptoms start?

Some women pass pieces of the molar tissue, which can look a bit like small bunches of grapes. Bleeding caused by a molar pregnancy usually begins between weeks 6 and 12 of pregnancy.

What is low hCG?

An hCG level of less than 5 mIU/mL is considered negative for pregnancy, and anything above 25 mIU/mL is considered positive for pregnancy. An hCG level between 6 and 24 mIU/mL is considered a grey area, and you’ll likely need to be retested to see if your levels rise to confirm a pregnancy.

How is partial molar pregnancy diagnosed?

How is a partial molar pregnancy diagnosed? The doctor diagnoses a molar pregnancy by performing an ultrasound, which will reveal the presence of cysts in the uterus. The doctor will also perform another test that measures the levels of beta human chorionic gonadotropin (hCG).

How does an ultrasound describe a molar pregnancy?

Can you detect a molar pregnancy at 5 weeks?

There are often no symptoms of a molar pregnancy. It may only be diagnosed during a routine ultrasound scan at 8-14 weeks or during tests are done after a miscarriage.

What happens if a molar pregnancy is not treated?

If not treated, a molar pregnancy can be dangerous to the woman. It sometimes can cause a rare form of cancer. A molar pregnancy is a kind of gestational trophoblastic disease (also called GTD). This is a group of conditions that cause tumors to grow in the uterus.

Can you have a molar pregnancy with low hCG?

In contrast, patients with partial mole present with signs and symptoms of an incomplete or missed abortion, and have bleeding, a small uterus, and low hCG levels. Cytogenetic studies have characterized the two molar syndromes.

Will a molar pregnancy test positive?

Women with a molar pregnancy will have a positive pregnancy test and the same early symptoms of a normal pregnancy. In the absence of medical intervention or diagnosis, the pregnancy might seem normal for the first three to four months.

What was your hCG level at 4 weeks?

At 4 weeks pregnant, your hCG levels can range from about 10 to 708 mIU/mL.

Why do I feel pregnant but negative tests?

If you feel pregnant but had a negative test result, you may have experienced a very early miscarriage (also known as a chemical pregnancy). This occurs when there is a problem with the fertilized egg, most commonly a chromosomal disorder that makes the pregnancy non-viable.

Are molar pregnancies painful?

Tissues in a molar pregnancy grow faster than they should, especially in the second trimester. Your stomach may look too large for that early stage in pregnancy. The fast growth can also cause pressure and pain.

Is a blighted ovum the same as a molar pregnancy?

Blighted ovum is when the embryo manages to implant itself in the uterus but stops developing. Molar pregnancy refers to pregnancies wherein the fertilized egg does not develop into a fetus but instead turns into an abnormal mass.

How is molar pregnancy diagnosed after miscarriage?

Diagnosis after miscarriage or abortion A doctor usually examines the placental and foetal tissue if you’ve had a miscarriage in hospital or an abortion. These checks can pick up the abnormal cells of a molar pregnancy. Your doctor or midwife will tell you if they see molar tissue.

How long does it take for hCG to drop after molar pregnancy?

In most women, the hCG level virtually disappears within 4 to 6 weeks of removing the molar pregnancy. Once the molar tissue has gone from the womb, it can’t produce hCG. So apart from follow up blood tests and urine tests to check for any return of the molar tissue, you won’t need any further tests to stage it.

Can you see a molar pregnancy on ultrasound at 6 weeks?

An ultrasound can detect a complete molar pregnancy as early as eight or nine weeks of pregnancy.

Can a molar pregnancy be misdiagnosed?

Conclusion: Clinical and histopathologic diagnosis of twin molar pregnancies is inaccurate in many suspected cases; therefore, a second (expert) opinion should be sought. When the diagnosis is accurate, maternal and fetal complications are common.

What is hCG level for molar pregnancy?

Quantitative beta-hCG levels: hCG levels greater than 100,000 mIU/mL indicate exuberant trophoblastic growth and raise suspicion for a molar pregnancy.

How can I check my hCG levels at home?

For some home pregnancy tests, you’ll hold an indicator stick directly in your urine stream until it’s soaked, which should take about 5 seconds. Other kits require that you collect urine in a cup and then dip the indicator stick into the cup to measure the hCG hormone level.

Diagnosis of Molar Pregnancy

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.Jul 13, 2018

Can you see a molar pregnancy on an ultrasound?

An ultrasound of a complete molar pregnancy which can be detected as early as eight or nine weeks of pregnancy may show: No embryo or fetus. No amniotic fluid. A thick cystic placenta nearly filling the uterus.