Molar Pregnancy: Care Instructions

Your Care Instructions

A molar pregnancy is a mass of abnormal tissue inside your uterus. It is also called a hydatidiform mole. It causes symptoms of pregnancy. But a molar pregnancy never makes a baby. This abnormal tissue is removed to prevent problems.

You will need regular urine tests. The tests will check your levels of human chorionic gonadotropin (hCG). High levels of this hormone in your urine may mean that you have molar tissue left in your body. You may need to have these urine tests every 1 to 2 weeks until your hCG levels are normal. You may need follow-up tests every 1 to 2 months for 6 months to a year.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine.
You may have vaginal bleeding that's similar to a period. It may last for up to 10 days. Use sanitary pads until you stop bleeding. Using pads makes it easier to keep track of your bleeding. You may use tampons during your next period. It should start in 3 to 6 weeks.
Ask your doctor when it is okay for you to have sex.
Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve), to relieve pain or cramping. Read and follow all instructions on the label. Do not take two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful.
Get plenty of rest. You may be more tired than normal for a few weeks.
Take it easy. Do not exercise too much or lift heavy objects (more than 20 pounds) until your doctor tells you it is safe to do your normal activities.
Pay attention to your feelings. If you're sad and it's not getting any easier, talk with your doctor or a counselor.
Talk to your doctor if you are worried about having children in the future.
Most doctors suggest waiting for 6 to 12 months before trying to get pregnant. Ask your doctor about birth control. Without birth control, you might get pregnant before your next period starts.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

You passed out (lost consciousness).
You have severe vaginal bleeding.
You are dizzy or lightheaded, or you feel like you may faint.

Call your doctor now or seek immediate medical care if:

You have new or worse pain in your belly or pelvis.
You have a fever.
You have vaginal discharge that smells bad.

Watch closely for changes in your health, and be sure to contact your doctor if:

You do not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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The Health Encyclopedia contains general health information. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. For recommended treatments, please consult with your health care provider.