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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Should We Have To Wait For The Next Pregnancy?

my wife had a moller pregnancy and we lost our baby,we were told we had to wait 12 months before trying again,we had hormone test and the levels are back to 0 and have been for a few months..Why do we have to wait 12 months and what are the chances of this re-0ccuring if we dont wait?
Tue, 28 Jul 2015
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OBGYN 's  Response
Hallow dear,

I have understood your concern and fully empathize with your feelings.

Molar pregnancy is of two types, degenerative and neoplastic. The neoplastic variety may undergo cancerous changes. These cancerous changes are screened by the levels of hCG in the woman's blood. Normally, after the molar pregnancy has been completely evacuated, the levels of hCG start decreasing and subsequently after about a week or so become undetectable.

The risk is considerable and needs this monitoring for at least 1 year, may be some times two years. Hence periodically, the hCG levels are assessed. If they start increasing, then the cancer named as Choriocarcinoma is suspected and further investigations have to be undertaken. This cancer is very much sensitive to chemotherapy ands can be completely cured if treated well in time and properly.

In pregnancy also the levels of hCG start increasing naturally. Hence if during this monitoring high risk period pregnancy happens, it will be difficult to differentiate between the cause of increasing hCG levels. Thus either we may have false alarm or we may miss the choriocarcinoma.

Therefore, after molar pregnancy, we advice the woman not to go for pregnancy at least for one year, may be sometimes for two years.

I am sure your concern is satisfied and you will cooperate with your obstetrician in monitoring follow up. If everything turns out non-alarming, you will have a healthy baby in future.

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Why Should We Have To Wait For The Next Pregnancy?

Hallow dear, I have understood your concern and fully empathize with your feelings. Molar pregnancy is of two types, degenerative and neoplastic. The neoplastic variety may undergo cancerous changes. These cancerous changes are screened by the levels of hCG in the woman s blood. Normally, after the molar pregnancy has been completely evacuated, the levels of hCG start decreasing and subsequently after about a week or so become undetectable. The risk is considerable and needs this monitoring for at least 1 year, may be some times two years. Hence periodically, the hCG levels are assessed. If they start increasing, then the cancer named as Choriocarcinoma is suspected and further investigations have to be undertaken. This cancer is very much sensitive to chemotherapy ands can be completely cured if treated well in time and properly. In pregnancy also the levels of hCG start increasing naturally. Hence if during this monitoring high risk period pregnancy happens, it will be difficult to differentiate between the cause of increasing hCG levels. Thus either we may have false alarm or we may miss the choriocarcinoma. Therefore, after molar pregnancy, we advice the woman not to go for pregnancy at least for one year, may be sometimes for two years. I am sure your concern is satisfied and you will cooperate with your obstetrician in monitoring follow up. If everything turns out non-alarming, you will have a healthy baby in future.