There are other factors which can cause high BHCG count ie. Some patients have a very high count, others don't. I was not aware that I had a HM until weeks after my curette. The review of pathology slides to confirm the diagnosis of a partial or complete mole is performed at the RWH by an extremely experienced specialist. The review of the pathology slides is very thorough and takes some time.
Delays can occur in transportation of slides also.
Therefore it can take some time before the report is forwarded to the doctor. Generally patients continue to see their own doctors. However, appointments can be made through the registry, if requested. The general procedure is for the diagnosing doctor to register all HM patients with the RWH, so that the follow up process is uniform and stringently performed for every patient. The hospital believes that if patients see RWH doctors as a matter of course, diagnosing doctors may be more reluctant to pass on details.