Investigations of Molar

Pregnancy
Investigations
• Full blood count, Blood grouping and cross matching
• Quantitative estimation of chorionic gonadotrophin :
• β-hCG values > 100000mIU/mL is seen in molar pregnancy
• Ultrasound will show “snowstorm appearance”
Management Of Molar Pregnancy
1. Suction evacuation
• It is done with general/regional anesthesia.
• IV oxytocin is given to stimulate the uterine contraction, reduce blood loss
and reduce the risk of perforation.
• Once the suction is done, the product of conception should be sent for
histopathological examination.
• Pelvic ultrasound should be done to confirm complete evacuation.
2. Serum β-hCG is done
• Weekly for 4 weeks
• Monthly for 12 months, 3 monthly for 1 year and 6 monthly for life
3. Advice patient to use contraception for atleast 1 year
Corpus Luteal Cyst
Corpus Luteal Cyst
• Usually occurs due to overactivity of corpus luteum
• There is excessive bleeding inside the corpus luteum
• The progesterone and estrogen secretion continues despite blood-
filled cyst.
• The menstrual cycle maybe normal, amenorrhea or delayed cycle.
• Diagnosis is made when the cyst measures more than 3cm
Corpus Luteal Cyst
• Clinical Presentation :
• Heavy bleeding
• Pain due to rupture or hemorrhage
• Often associated with pregnancy and persists for about 12 weeks.
• If there is no complications, spontaneous regression is seen
• Management :
• Analgesia
• If features of acute abdomen appears, laparotomy with enucleation of the
cyst is done
• The risk of corpus luteal cyst is reduced by the use of COCPs
Corpus Luteal Cyst