Use of hormonal contraception after hydatidiform mole

Effective contraception is important during monitoring of human chorionic gonadotrophin (hCG) levels after uterine evacuation for hydatidiform mole (HM), to avoid confusion between a rising hCG associated with ongoing gestational trophoblastic disease (GTD) and that resulting from a new pregnancy. C...

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Bibliographic Details
Published in:BJOG : an international journal of obstetrics and gynaecology 2016-07, Vol.123 (8), p.1336-1336
Main Author: Hardman, SMR
Format: Article
Language:English
Subjects:
Birth control
Contraception
Contraceptive Agents
Female
Gestational Trophoblastic Disease
Hormones
Humans
Hydatidiform Mole
Obstetrics
Postpartum period
Pregnancy
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Summary:Effective contraception is important during monitoring of human chorionic gonadotrophin (hCG) levels after uterine evacuation for hydatidiform mole (HM), to avoid confusion between a rising hCG associated with ongoing gestational trophoblastic disease (GTD) and that resulting from a new pregnancy. Contraception should be started as soon as possible: conception can occur before menses are re-established. Braga et al. found no association between use of HC started while hCG levels are still raised after uterine evacuation for complete HM and time to hCG regression, development of gestational trophoblastic neoplasia or FIGO risk score.
ISSN:1470-0328
1471-0528
DOI:10.1111/1471-0528.13691