What happens when a mole occurs in menopausal women?

　　The doctor told her, Uterus Changes in the endometrial hyperplasia phase indicate that the ovaries are not ovulating. Since then, Ms. Nian thought that since her ovaries were not ovulating, she would not be able to get pregnant again. Since you won't get pregnant again, why bother with contraception? From then on, she no longer used contraceptive measures every time she had sex with her husband. As a result, 3 months ago, Ms. Nian had an "artificial abortion" due to early pregnancy. What the doctor scraped out of her uterus this time was not a gestational sac, but a large number of different sizes.“ blister ”. The scraped blisters were diagnosed as "erosive" by pathological examination. Grape "Malignant molar pregnancy" (also called "malignant molar pregnancy"). The doctor immediately performed an extensive hysterectomy on her, followed by chemotherapy after surgery.

　　Why do women still get pregnant after entering menopause?

　　In fact, after a woman enters menopause, her ovarian function begins to decline, her ovulation function becomes impaired, and her ovaries often fail to ovulate. As a result, some women will suffer from "anovulatory dysfunctional uterine bleeding" like Ms. Nian's. Some menopausal women conclude that since their ovaries no longer produce eggs, they no longer need to use contraception. The result? These unprotected sex life have caused some women to have "hidden knots", but they have no choice but to get Hospital Go for an abortion. In fact, the ovaries of menopausal women have just begun to decline. It is like the weather of "Huangmei Tian". Although it is rainy, the sun will still tear open the clouds from time to time and shine the sunlight on the earth. menopause female The ovaries will also release eggs from time to time to carry out "sneak attacks", and unsuspecting women fall into the "pregnancy trap".

　　So what's the deal with molar pregnancy?

　　The female ovary is like a warehouse, where hundreds of thousands of ovules are stored at one time. After puberty, with the onset of menstruation, the ovaries ovulate again and again, and the follicles in the ovaries are continuously consumed and reduced. Women have gone through nearly 30 years from adolescence to menopause. The few follicles left in the ovaries, like the goods that have been piled in the warehouse for a long time, will also undergo quality changes, such as metamorphosis, aging, etc. During menopause, when the molting and aging follicles sperm After meeting and fertilization, molar pregnancy may occur. Menopausal women suffering from hydatidiform mole are at greater risk of malignant transformation and should be taken seriously.

　　Vaginal bleeding after menopause is the most common symptom of hydatidiform mole; it starts with a small amount of irregular bleeding, continues, and then gradually increases, often leading to heavy bleeding, shock, and sometimes bleeding. stomach ache Often not obvious. Another characteristic is that pharyngeal vomiting of pregnancy occurs early, is severe, and lasts for a long time. This is due to the significantly increased concentration of chorionic gonadotropin (HCC) in patients with mole pregnancy. Gynecology The examination revealed that the patient's uterus was significantly enlarged beyond the month of menopause. And the uterus is extremely tender.

　　The conventional treatment method for hydatidiform mole is dilatation and curettage, which completely removes the blister-like fetal mass in the uterine cavity, and sends all the scraped "blisters" for pathological examination to determine whether they are benign or malignant, so as to guide the next treatment. A benign mole must be followed up regularly for two years after dilation and curettage to prevent it from developing into an erosive mole or choriocarcinoma. Because moles in menopausal women are prone to malignant transformation, doctors often recommend that patients undergo hysterectomy and preventive chemotherapy.

　　It can be seen that if menopausal women do not take contraceptive measures, once they become pregnant, the seriousness is obvious. It's not just about receiving flow of people The pain of surgery, and more seriously, the risk of mole, or even erosive mole or choriocarcinoma. Therefore, menopausal women must not be careless because their ovarian function begins to decline, and they should take effective contraceptive measures.

　　For menopausal women, intrauterine devices (commonly known as IUDs) should not be used for contraception. This is because menopausal women's ovarian function declines and functional uterine bleeding is prone to occur. After the IUD is inserted, uterine bleeding may be further aggravated, thus affecting physical health. Menopausal women are more sensitive to estrogen. If oral contraceptives are used for long-term contraception, the estrogen contained in oral contraceptives may induce gynecological cancer. Therefore,