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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnancy scan done. Do the results indicate molar pregnancy?

Hello. I did my first pregnancy scan at 9 weeks and 3 days gestation age (I have long and unstable cycle for about 42 days that vary all the time and not sure what week I am in). The scan showed gestational sac of 16 mmx12mmx16mm with the mean 14.7 mm, but the yolk sac and embrio were not visualised. In addition, they found thickened echogenic endometrium (1.3cm) containing small cyclic areas. Does it mean I have a molar pregnancy? A complete one or partial? If so, when should I expect D and C operation? Is there any other way to deal with this sort of failed pregnancy. I had absolutely no pregnancy symptoms and not having any pains or bleeding at the moment.
Thu, 6 Jun 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

The ultrasound scan of your pelvis confirms the presence of gestational sac.
However, there is no embryo or fetus in the gestational sac.
Instead there is a mass with cystic spaces.
This is characteristic of molar pregnancy.
However, it is difficult to determine whether the mole is partial mole or complete mole.
A dilatation and curettage 9D&C) is required for termination of the pregnancy.
A histopathological examination of the products of conception is required to know whether the mole is complete or partial.
Besides, histopathological examination, chromosomal analysis should also be done to look for chromosomal anomalies.
chromosomal anomalies are commonly seen in cases of molar pregnancies.

Thanks and take care
Dr Shailja P Wahal

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