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Pregnancy (Expert Forum)
Gestational Trophoblastic Disease
Answered by
Keith Downing, MD - Obstetrics, Gynecology
MA
This forum is for questions and support regarding Caesarean Section , Childbirth, Diabetes, Depression, Fetal Monitoring, Genetic Testing, Hormonal Changes, Labor, Lamaze, Morning Sickness , Nutrition, Parenting, Prenatal Care, Weight gain.
Gestational Trophoblastic Disease
by waiting21, Mar 02, 2008 01:07PM
Hi-
I had a D&C in November after being about 6 weeks along. They said it was a blighted ovumn. There was no fetal tissue found. They looked at the tissue taken out at the D&C and she says it is not a molar pregnacy. However, my HCG had been dropping, but very slowly. I have taken a blood test every week, and every week it had dropped, but not much. Two weeks ago it was at 13 so I was excited because I thought I would be at 6 or under the next week. I had also started bleeding like a period that week, so I thought whatever was left in there was finally coming out. But when I got tested this past week I was at 15, which is the first time it has ever gone up. So, my doctor became concerned and I have gestational trophoblastic disease. Friday I had an ultra sound, chest X-ray. and blood work done. I will find out results from my tests on Monday. I am concerned that I will need to take this chemo medicine to get rid of the cells/tissues producing the HCG. She said it might have been a fluke that they went up, but I don't want to get my hopes up. I am scared that it has spread to other organs and now I have cancer.
Thank you for your time.
I had a D&C in November after being about 6 weeks along. They said it was a blighted ovumn. There was no fetal tissue found. They looked at the tissue taken out at the D&C and she says it is not a molar pregnacy. However, my HCG had been dropping, but very slowly. I have taken a blood test every week, and every week it had dropped, but not much. Two weeks ago it was at 13 so I was excited because I thought I would be at 6 or under the next week. I had also started bleeding like a period that week, so I thought whatever was left in there was finally coming out. But when I got tested this past week I was at 15, which is the first time it has ever gone up. So, my doctor became concerned and I have gestational trophoblastic disease. Friday I had an ultra sound, chest X-ray. and blood work done. I will find out results from my tests on Monday. I am concerned that I will need to take this chemo medicine to get rid of the cells/tissues producing the HCG. She said it might have been a fluke that they went up, but I don't want to get my hopes up. I am scared that it has spread to other organs and now I have cancer.
Thank you for your time.
Doctor's Answer
by Keith Downing, MD, Mar 04, 2008 03:40PM
, Mar 04, 2008 03:40PM
Hello,
The fact your pathology showed no molar pregnancy is a good thing but gestational trophoblastic disease can occur after a non-molar pregnancy and thus doesn't absolutely rule out the possibility of some type of GTD. Continue to follow up with your physician. If the hCG does not resolve and/or your bleeding persists a pelvic ultrasound and possibly a D&C will be required to help make a proper diagnosis.
Best regards,
Dr. Downing
The fact your pathology showed no molar pregnancy is a good thing but gestational trophoblastic disease can occur after a non-molar pregnancy and thus doesn't absolutely rule out the possibility of some type of GTD. Continue to follow up with your physician. If the hCG does not resolve and/or your bleeding persists a pelvic ultrasound and possibly a D&C will be required to help make a proper diagnosis.
Best regards,
Dr. Downing
