Molar Pregnancy Management

A molar pregnancy is a rare complication of pregnancy. It involves unusual growth of cells called trophoblasts. These cells typically become the organ that feeds a growing fetus. That organ also is known as the placenta.

There are two types of molar pregnancy — complete molar pregnancy and partial molar pregnancy. In a complete molar pregnancy, the placental tissue swells and appears to form fluid-filled cysts. There is no fetus.

In a partial molar pregnancy, the placenta might have both regular and irregular tissue. There may be a fetus, but the fetus can't survive. The fetus usually is miscarried early in the pregnancy.

A molar pregnancy can have serious complications, including a rare form of cancer. A molar pregnancy requires early treatment.

Symptoms

A molar pregnancy may seem like a regular pregnancy at first. But most molar pregnancies cause symptoms that can include:

  • Dark brown to bright red bleeding from the vagina during the first three months
  • Severe nausea and vomiting
  • Sometimes grapelike cysts that pass from the vagina
  • Pelvic pressure or pain

Because of improved ways of detecting a molar pregnancy, most are found in the first trimester. If it is not found in the first three months, symptoms of a molar pregnancy might include:

  • A uterus growing quickly and being too large early in the pregnancy
  • Preeclampsia — a condition that causes high blood pressure and protein in the urine — before 20 weeks of pregnancy
  • Ovarian cysts
  • Overactive thyroid, also known as hyperthyroidism