Hi everyone
I'm 6 weeks today, due 8th April. I have one nearly 5 year old and I had a partial molar pregnancy earlier in the year. I have a scan on Thursday when I'll be 6+4.
Mummy3, congrats on the twins, you've got me slightly worried though my levels at 17dpo was 2019!
Ahh sorry! Do you have a prior to compare or one done after? One of my sacs is a little smaller than the other and I had a weird jump in levels, looks like it just implanted a few days later. That is a high level though! When do you have a scan?
What's involved in a partial molar pregnancy if you don't mind me asking?
I don't have any other levels to compare it to yet. I've only had my levels checked because I'm still undergoing follow up monitoring following the partial molar pregnancy. Because HCG was detected in my last sample I had to do another one yesterday, so I'll get my current levels Wednesday afternoon/Thursday morning. I also get routinely scanned earlier in pregnancy. As long as there's a heartbeat seen on Thursday's scan that will rule out a complete molar, I'm not sure what happens after that, mt GP thinks early antenatal care with further weekly or fortnightly scans for the remainder of the first trimester. It's a bit awkward as there's quite a lot of passing the buck when it comes to a care plan. A molar pregnancy is pretty rare, my hospital see <5 cases a year and nationally I've estimates varying between 1 in 600 pregnancies, to 1 molar pregnancy registered for every 1000 live births registered, to 1 in 6000 pregnancies. It's classed as a chance event, but the risk of another does increase slightly to 1 or 2%. If you've had 2 or more then chance of another jumps to around 20%.
A partial molar pregnancy is where the egg was fertilized with 2 sperm, so although a foetus begins to form it is genetically abnormal, so it cannot survive beyond 1st trimester. The placenta also develops as abnormal cells and is quite often larger than what would be expected for the gestation. In my case the HB stopped between 9 and 10 weeks, so at first it was treated as a MMC. It was suspected as a partial molar after surgical removal, it took a while for this to be confirmed so I wasn't referred for follow up monitoring until 11 weeks after surgery.
In the UK every molar pregnancy is registered with 1 of 3 centres depending on where you live. These centres then provide follow up monitoring to make sure HCG drops back to 0. As I understand it the abnormal cells produce their own HCG on top of what the body produces which typically means that molar pregnancies cause very high HCG levels. If it doesn't return to 0 after removal then can be a sign of cells having been left behind which can then multiply again. If this happens further surgery or treatment with chemotherapy may be needed. Further treatment is far less likely after a partial molar than it is if you have a complete molar. A complete molar is where the egg is fertilized correctly but the genetic material from the mother is lost. Then a mass of rapidly growing cells develop, but they don't contain a foetus and can not develop into a baby.
Sorry I've rambled, hope this all makes sense.