Molar pregnancy is a type of pregnancy in which the fertilized egg implants itself in the wall of the uterus, and not in the uterine cavity. It is a rare condition that only affects around one in 10,000 pregnancies.
Molar pregnancies are most often diagnosed during an ultrasound when they appear to be normal-looking fetuses. Molar pregnancies may be treated with surgery or other medical procedures if there are complications such as bleeding or infection. The usual complication is an ectopic (tubal) pregnancy. In a tubal pregnancy, the placenta implants in the fallopian tube rather than in the uterus proper. When a tubal pregnancy occurs, it needs to be treated as soon as possible; more often than not, treatment will involve surgically removing the baby from the fallopian tube. Unlike an ectopic pregnancy, a molar pregnancy can be treated with a medication called methotrexate, typically given through an injection in the abdomen. Methotrexate can treat the tumor causing the syndrome, but it has been shown to reduce ovarian reserve and fertility in women who have had molar pregnancies.
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