Molar overgrowth occurs with excess paternal chromosomal content. If small uterus, can do under local anesthesia. If large uterus, have anesthesia present and consider central venous access. If thecalutein cysts present, be very careful with ovaries, similar to hyperstimulated ovary syndrome with ascites. Rupture, hemorrhage or infection is easy.
Size returns to normal within twelve weeks usually.
Prophylactic chemotherapy at time of initial evacuation not indicated routinely. May provide benefit for very high risk patients, currently under investigation. Amenorrhea, or irregular bleeding may be early symptoms secondary to elevated hCG levels. Patients are divided by their prognostic features. Weekly serum quantitative RIA hCG titers until 0 2.