Benign Gestational Trophoblastic Disease - CRASH! Medical Review Series

[@NancyCronk]

I had one in 1991. The nausea and vomiting were extreme, to the point my throat bled. At the time of the bleeding and D&C I was 16 weeks (I had turned down an earlier ultrasound because they were still relatively new). I asked for a saddle block instead of general anesthesia for the D&C because I wanted to be awake and see the contents, for psychological closure, and they agreed. MY HCG was a million and a half, which was the highest lab value the lab had ever seen. The whole thing was a nightmare, particularly because there was no internet at the time and no one had heard of it around me. There was no one to talk to for reassurance, except the Dr. at the University Hospital who was not very sympathetic (terrible bedside manner). I was told to not get pregnant for a year, and I did have weekly blood tests until my value was >1 (that took many months). No one said anything about chemotherapy at the time, although a CT and MRI showed a small "spot" on my lung. They gave me the option of going in to biopsy it, remove it, or "wait and see". I chose to wait and see. I ended up having two healthy pregnancies after that, but I did have hyperthyroidism in my 3rd pregnancy. I had 11 ultrasounds with my second child and was considered "high risk". My heart goes out to any woman who experiences this. It was very traumatic. 30 years later, I still get emotional telling people about it. Doctors -- be sure you help your patient emotionally, and recommend grief counseling. As interesting as these things are, it is still a miscarriage.

[@kirannadagaddi5975]

Doctor did his work, and u saved only bcz of doctors and yet u don't have thankfulness for him

[@caylarose6658]

I had this at the age of 20. My very first pregnancy. I learned i was pregnant and the very next day I was bleeding and I went to the hospital. I had a bad feeling in my heart the whole time that it wasn't ok. I did and ultrasound and they didn't see anything. I was 8 weeks along. I felt this urge to go to the bathroom. When I did a huge blood clot came out. It didn't look like grapes, it looks like a giant bight red fleshy blood clot. I immediately started freaking out and I opened the door and told an EMT "I think I just lost my baby" and she got a nurse for me. The nurse scooped up the mass from my undies as I tried, she was so nice. They took it away for testing and I remember thinking "they are taking my baby away".. I waited a week to find out for sure and it was the most traumatic thing I ever been threw. I fell to the floor when I found out I miscarried. Then maybe a week later I was notified that I had gtd, but they said it spread and I was going to need a full hysterectomy at the age of 20. I was so devastated. I had to go to the cancer center. They told me to pack a bag cuz I may be rolled into surgery. Once I got thier they said they had a mistake and it didn't spread. I still had to get blood draws weekly for a bit and then couldn't get pregnant again for 6 months. Exactly 6 months later I got pregnant with my first child and then 9 months later I got pregnant with my second 🥰 Just wanted to tell my story most people don't even know I went threw it at all.

[@caylarose6658]

Never got a d&c though. It all came out as a whole

[@makanakamutumhe780]

P

[@sjas8128]

Correction: there is a higher malignancy potential in complete molar preg (2%) over partial. Great video as always!

[@ihewagaula6951]

He said so, I think there was an error on the slide

[@rebeccafernandes6415]

Thank you. This really helped to explain the topic in a simple way. 😊

[@joshuadamon3394]

I guess it is kinda off topic but does anyone know a good site to watch newly released movies online ?

[@stephaniekara6834]

Have a period but not realise it? Not the clinical explanation I thought of!!!

[@Habe111]

Thank you so much Paul !

[@TheSuicidalUnicorn]

I've never had a period and not noticed it.

[@aaronlutchman7539]

is the snow storm appearance the same as the cluster of grapes sign on ultrasound?

[@EininBelle]

Thank u so much Sir, I understand it now..

[@DrAlpha-ek7go]

Amazing as always ♡♡♡

[@MAmeer-fr2hp]

Thanks for the video

[@Ash-iz5ex]

Ending was very interesting sir ,😅😅😅✍️✍️✍️🔥🔥🔥😍❤️ thanks a million . U shud make a webseries it wud rock @dr.paulbolin

[@liudmiladibulat4694]

Big thank you!

[@mohiuddinalfarra5440]

thanks dr. bolin.

[@drmjmrboh]

Couldn't the dispermic event result in a 46 YY? If both spermatozoa are 23 Y?

[@bkdash8468]

Partial hydration mole treatment which prosses tell me

[@clarishnovellefuentes2228]

Do patients with molar pregnancy manifest painless bleeding or no abdominal pain??

[@marwaa2895]

Thank you 🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻

[@eugeniosramos]

Thanks, great video as always.

[@dheerajkc7051]

thanks a lot sir

[@syriantnt2123]

please what is the incidence of partial and complete mole .... because I think u versed them partial is more cummon

[@inchyokk]

complete is more common

[@swiley9844]

Can you have a Molar pregnancy with no positive HCG? I was just diagnosed with GTD, and going in for a D&C to rule out Molar Pregnancy. I gave birth 01/18/2019 and haven't been sexually active since. How could I have a Molar pregnancy?

[@TheJtoben]

Wow that is quite strange . Did u get more info on this ?

[@sanketanaik]

Hi Paul.. am 31 and 5 weeks pregnant, twice ultra sound was done both AV and TV since last week and nothing was seen not even sac. My hcg level is raising but not doubling as needed, my progesterone is 50 and I have hypothyroidism (t4 is 5). Can this be the case of molar pregnancy? And too early to say? And also my endometrial thickness is 14.4. Can you plz explain it to me why doc can't see anything in my womb

[@MrMh996]

I know this is very late, but can you please tell what was the outcome?

[@inchyokk]

just a student here based on case i can see a few reasons for the things you are experiencing. hope all went well in the end the progesterone being 50 means you ovulated and have a pregnancy ongoing. hcg not doubling as need is usually in keeping with an ectopic pregnancy especially as u said there was no sac. they would have to check the tubes or elsewhere for the sac. if you didnt experience any symptoms it may have meant that that the tubal pregnancy had been miscarried (absorbed) on its own. the thickened endometrium occurs when there is a pregnancy occuring as the womb prepares to receive the fertilised eggs. curious as to what happened and hope you are well

[@topkat578]

👏🏼👏🏼👏🏼✨🌈🙉👏🏼👏🏼