Will a molar pregnancy grow again after surgery?

Mole may grow again after surgery, and prevention is necessary through regular monitoring of hCG levels and imaging examinations. Mole is an abnormal pregnancy, mainly caused by abnormal development of the fertilized egg, and close follow-up is required after surgery to prevent recurrence.

The formation of hydatidiform mole is related to genetics, environmental factors, physiological factors and other factors. Among genetic factors, chromosomal abnormalities are the main cause. For example, in complete hydatidiform mole, all chromosomes of the fertilized egg come from the father. Among environmental factors, older pregnant women, malnutrition, smoking and other factors may increase the risk. Among physiological factors, abnormal ovarian function or hormonal imbalance may also lead to the occurrence of hydatidiform mole.

Surgical treatment is the main treatment for hydatidiform mole, including curettage and hysterectomy. Curettage is suitable for most patients by scraping away abnormal tissue in the uterine cavity; hysterectomy is used for patients at high risk or who no longer have fertility needs. Serum hCG levels need to be monitored after surgery to ensure that they gradually decrease to the normal range. If hCG levels continue to rise or abnormal symptoms occur, further examination is required to rule out malignant lesions.

Drug therapy also plays an important role in the postoperative management of hydatidiform mole. Chemotherapy drugs such as methotrexate can be used to prevent or treat malignant hydatidiform mole and inhibit the proliferation of abnormal cells. Hormone therapy such as progesterone regulators can help restore the normal endometrial environment. Immunomodulators such as interferon can be used to enhance the body's ability to eliminate abnormal cells.

Diet is essential for postoperative recovery. It is recommended to increase foods rich in vitamins C and E, such as citrus fruits and nuts, to help improve immunity. Eat more foods rich in iron and protein, such as lean meat and beans, to promote body repair. Avoid high-sugar and high-fat diets to reduce inflammatory responses.

Regular follow-up is the key to preventing the recurrence of hydatidiform mole. In the early postoperative period, hCG levels are tested every 1-2 weeks until they are normal for 3 consecutive times, and then changed to once a month for half a year. Imaging examinations such as ultrasound and CT can help monitor the situation in the uterine cavity and detect abnormalities in time. Psychological counseling is also very important. Patients may have anxiety due to the disease and treatment. It is recommended to get help through psychological counseling or support groups.

After hydatidiform mole surgery, comprehensive treatment and long-term management are required. Through surgery, medication, diet and regular follow-up, the risk of recurrence can be effectively reduced and the patient's healthy recovery can be ensured.