{"id":103103,"date":"2019-11-01T07:55:10","date_gmt":"2019-11-01T11:55:10","guid":{"rendered":"https:\/\/wp.oviahealth.com\/guide\/103103\/what-is-molar-pregnancy-pregnancy\/"},"modified":"2025-02-21T15:28:46","modified_gmt":"2025-02-21T20:28:46","slug":"what-is-molar-pregnancy-pregnancy","status":"publish","type":"article","link":"https:\/\/www.oviahealth.com\/guide\/103103\/what-is-molar-pregnancy-pregnancy\/","title":{"rendered":"What is a molar pregnancy?"},"content":{"rendered":"A hydatidiform mole, also known as a molar pregnancy, is a noncancerous tumor that grows inside the uterus, forming from tissue that develops after fertilization. In a molar pregnancy, the fertilized egg doesn&#8217;t develop into an embryo, but rather into a harmless mass of cysts.\n\nUnfortunately, molar pregnancies cannot develop into healthy, viable pregnancies. They are treated by removing the abnormal tissue from the uterus using either medication or surgery. Choice of treatment depends on the type, size, and age of the molar pregnancy.\n<h4><strong>Two\u00a0types of molar pregnancies<\/strong><\/h4>\nThe different types of molar pregnancies are\u00a0characterized by the process in which they began.\n<ul>\n \t<li><strong>Partial molar pregnancy:<\/strong> This type of molar pregnancy occurs when an egg is fertilized by two sperm cells, resulting in the zygote (fertilized egg) having 69 chromosomes instead of the normal 46. Some fetal tissue will form in a partial molar pregnancy, but it is not viable.<\/li>\n \t<li><strong>Complete molar pregnancy:<\/strong> This type occurs when an egg that contains no genetic information is fertilized by a sperm cell. No fetal tissue will develop within the molar tissue, and it is not viable.<\/li>\n<\/ul>\n<h4><strong>Risk factors for molar pregnancy<\/strong><\/h4>\nSome women are at higher risk than others for developing a molar pregnancy. Risk factors include the following.\n<ul>\n \t<li>Personal history of molar pregnancy<\/li>\n \t<li>Pregnant women over 35 years old<\/li>\n \t<li>Pregnant women younger than 25 years old<\/li>\n \t<li>Pregnant women living in Asia, the South Pacific, or Mexico<\/li>\n<\/ul>\n<h4><strong>Symptoms of a molar pregnancy<\/strong><\/h4>\nVery often, a molar pregnancy will seem like a normal pregnancy through the first several weeks of gestation. This is because molar tissue releases hCG, the hormone responsible for pregnancy symptoms, just like normal pregnancy tissue. However, there are certain signs you can look for that might clue you in to the presence of a molar pregnancy.\n<ul>\n \t<li>Vaginal bleeding during the first trimester.<strong>\u00a0<\/strong>This blood could be any color, ranging from dark brown to bright red.<\/li>\n \t<li>Severe nausea and vomiting continuing after the first trimester.\u00a0Sometimes, this is so intense that the woman has to be hospitalized.<\/li>\n \t<li>Grape-like cysts passing from the vagina.\u00a0These look like small sacs that are filled with fluid.<\/li>\n \t<li>Larger pregnancy size than expected based on gestational age.\u00a0Particularly with complete molar pregnancies, women may feel \u201cbigger\u201d than they expect at a specific point in pregnancy.<\/li>\n \t<li>Preeclampsia-like symptoms in the first or early second trimester.\u00a0This includes high blood pressure and swelling of the legs, ankles, or feet. Because preeclampsia doesn\u2019t normally develop this early in pregnancy, these symptoms strongly point to a molar pregnancy.<\/li>\n \t<li>Symptoms of hyperthyroidism.\u00a0These can be caused by very high levels of hCG associated with molar pregnancies, and symptoms range from a rapid heart rate, trembling hands, and unexpected weight loss.<\/li>\n<\/ul>\nIf you notice any of the above symptoms, you should talk to your provider right away. He or she may suspect a molar pregnancy based on specific signs and symptoms, and will perform blood work and an ultrasound to confirm the diagnosis. A blood test will show higher than normal hCG levels for the pregnancy date. Additionally, an ultrasound will show no fetal parts or movement, and fetal heart sounds will not be heard.\n<h4><strong>Treatment and beyond<\/strong><\/h4>\nTo treat a molar pregnancy, the molar tissue must be removed from the uterus. This is usually done through a procedure called a dilation and curettage (D&amp;C), which is performed vaginally through a woman\u2019s cervix. It involves the provider giving\u00a0the woman anesthesia, and then removing the molar tissue from her uterus using a vacuum device. Some women choose to have their uterus removed in a procedure called a hysterectomy, but this procedure can only be used on women who don\u2019t want to become pregnant in the future.\n<ul>\n \t<li><strong>Follow-up:\u00a0<\/strong>After the initial treatment, women will be followed regularly by their provider to make sure no more molar tissue grows in the uterus. Their provider will measure hCG levels every month for 12 months to make sure the hormone goes back to pre-pregnancy levels.<\/li>\n \t<li><strong>Contraception:\u00a0<\/strong>Becoming pregnant again too soon after a molar pregnancy puts you at a high risk for recurrence of the condition. Therefore, it is very important to use a reliable form of contraception for 6-12 months after a molar pregnancy.<\/li>\n<\/ul>\nRecovering from a molar pregnancy can be difficult. It\u00a0usually involves a mix of emotional and physical healing. Every experience is different, and many women don\u2019t feel emotionally healed for some time after a molar pregnancy. It is important that the woman has the support and care she needs to get back to a good physical and mental state of being after a molar pregnancy.\n\n<em>Reviewed by the Ovia Health Clinical Team<\/em>\n\n<hr \/>\n\n<h5><\/h5>\n<h5 class=\"wp-block-heading\">Read more<\/h5>\n<h5> <\/h5>\n<ul class=\"wp-block-list\">\n \t<li><a href=\"https:\/\/www.oviahealth.com\/guide\/102483\/what-are-complications-molar-pregnancy\/\">Are there any complications\u00a0of a molar pregnancy?<\/a><\/li>\n \t<li><a href=\"https:\/\/www.oviahealth.com\/guide\/15036\/vaginal-bleeding-during-pregnancy\/\">Vaginal bleeding during pregnancy<\/a><\/li>\n<\/ul>\n<h5><\/h5>\n<h5>Sources<\/h5>\n<ul>\n \t<li>Mayo Clinic Staff. \u201cMolar Pregnancy: Symptoms.\u201d <em>MayoClinic<\/em>. Mayo Foundation for Medical Education and Research, Oct 24 2014. Web.<\/li>\n \t<li><span style=\"font-weight: 400;\">\u201cMolar pregnancy.\u201d <\/span><em><span style=\"font-weight: 400;\">MarchofDimes. <\/span><\/em><span style=\"font-weight: 400;\">March of Dimes Foundation, May 2014. Web.<\/span><\/li>\n \t<li><span style=\"font-weight: 400;\">\u201cHydatidiform mole.\u201d <em><span style=\"font-weight: 400;\">MedlinePlus. <\/span><\/em><span style=\"font-weight: 400;\">US National Library of Medicine, Nov 14 2014. Web.<\/span><\/span><\/li>\n \t<li><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Kerri Durnell Schuiling, Frances E. Likis. <em>Women&#8217;s Gynecologic Health<\/em>. 3rd edition. Jones &amp; Bartlett Learning, Aug 2016. Web.<\/span><\/span><\/li>\n \t<li><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The American Cancer Society medical and editorial content team. &#8220;What are the Risks For Gestational Trophoblastic Disease?&#8221; <em>Cancer.\u00a0<\/em>American Cancer Society, Feb 6 2014. Web.\u00a0\u00a0<\/span><\/span><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Molar pregnancy occurs when tissue that would normally develop into the placenta forms an abnormal mass of cysts, instead. There are two types of molar pregnancy, and although it&#8217;s not always possible to notice signs of a molar pregnancy, there are certain symptoms that may indicate a molar pregnancy. <\/p>\n","protected":false},"author":1,"featured_media":233578,"template":"","format":"standard","meta":{"ovia_author_name":"","ovia_author_prefix":"","ovia_author_image":"","ovia_content_type_id":"175","ovia_product_mode":"3","ovia_days_from_signup":"","ovia_days_from_lmp":"","ovia_days_from_baby_birth":"","ovia_days_from_enroll":"","ovia_health_module_days_from":"","ovia_article_for_email_days_from":"","ovia_health_module":"","ovia_legacy_id2":"","ovia_ttc":"","ovia_article_subtype":"","ovia_health_symptom":"","ovia_partner_id":"","ovia_partner_custom_group":"","ovia_legacy_category":"20","ovia_legacy_category2":"","ovia_content_url_id":"103103","ovia_include_share_buttons":"","ovia_fertility_goal":"","ovia_secondary_module":"","ovia_trimester":"","ovia_child_age":"","ovia_share_image":"","ovia_more_menu_image":"","ovia_button1_url":"","ovia_days_from_postpartum":"","footnotes":"","_links_to":"","_links_to_target":""},"fert-category":[],"preg-category":[91,88,59,56],"parent-category":[],"fert-tag":[],"preg-tag":[],"parent-tag":[],"class_list":["post-103103","article","type-article","status-publish","format-standard","has-post-thumbnail","hentry","preg-category-faqs","preg-category-how-to-use-ovia-pregnancy","preg-category-pregnancy-complications","preg-category-staying-healthy-while-pregnant"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What is a molar pregnancy? - Ovia Health<\/title>\n<meta name=\"description\" content=\"Molar pregnancy occurs when tissue that would normally develop into the placenta forms an abnormal mass of cysts, instead. There are two types of molar pregnancy, and although it&#039;s not always possible to notice signs of a molar pregnancy, there are certain symptoms that may indicate a molar pregnancy.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.oviahealth.com\/guide\/103103\/what-is-molar-pregnancy-pregnancy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What is a molar pregnancy? - Ovia Health\" \/>\n<meta property=\"og:description\" content=\"Molar pregnancy occurs when tissue that would normally develop into the placenta forms an abnormal mass of cysts, instead. 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