Why does hydatidiform mole bleed after curettage?

Why does hydatidiform mole bleed after curettage?

Mole will bleed after curettage, because curettage will cause certain damage to the endometrium, which will cause bleeding. In addition, bleeding will also occur after infection, so it is important to observe the bleeding after surgery. After curettage, you should pay attention to diet conditioning, rest in time, maintain personal hygiene, and use contraception. You can only get pregnant again after one year.

Hydatidiform mole refers to partial degeneration and edema of the placental villi, but the fetal tissue, amnion, umbilical cord and other tissues can still be seen. Whether it is a partial hydatidiform mole or a complete hydatidiform mole, the pregnancy needs to be terminated in the initial treatment stage, which is usually called a curettage. There will be bleeding after the curettage. So, why does a hydatidiform mole bleed after being scratched?

Uterine evacuation surgery will inevitably cause some damage to the endometrium, and the possibility of infection cannot be ruled out, so there will be blood outflow after uterine evacuation surgery. If the uterine congestion is not cleared for a long time, or the bleeding has been cleared, a detailed examination is required to check for normal menstruation, uterine infection, secondary hydatidiform mole and other factors, so that appropriate measures can be taken in time.

After the curettage, the patient must closely observe the changes in the condition, vaginal bleeding and abdominal pain, that is, observe the location and nature of the stomach pain, and the color and amount of vaginal bleeding. At the same time, the doctor also needs to closely observe the patient's breathing, blood pressure, pulse and other vital signs. Once an abnormality occurs, you must contact the doctor in time. At the same time, the patient must eat more high-vitamin, high-protein, easily digestible food and maintain a good rest.

Patients also need to keep the vulva clean, must change sanitary pads frequently, and clean the vulva every day. Sexual intercourse is not allowed within one month after curettage. After curettage, hydatidiform mole may cause malignant changes in about 20%, so patients should also be followed up regularly after discharge. During the follow-up, in addition to HCG measurement, it is also necessary to pay attention to whether the patient has symptoms such as vaginal bleeding and hemoptysis. If abnormalities are found, they should be checked and treated in time.

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