What is total egg pregnancy?

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Pregnancy causes unpredictable harm, and affects reproductive health for women if not detected and treated well. Egg pregnancy is divided into two types, complete and partial egg pregnancy.

1. What is total egg pregnancy?

The placenta is responsible for nourishing the fetus during pregnancy. When the placenta overproduces, it grows uncontrollably to form cysts that look like eggs or bunches of grapes, so it's called ovum.
There are 2 types of ovum pregnancy: full ovum and partial ovum. In particular, a whole egg pregnancy is an egg that will not have a fetus, the placental spines enlarge, the hairy blood vessels disappear, and the layer of cells grows rapidly.
The cause of total ovum is the union of a normal sperm with an egg that does not contain genetic information. It is the defect in the genetic system that it cannot develop into a normal fetus, but instead develops a fetus without an embryo.
Ovarian pregnancy is a benign disease, however, with a complete oocyte pregnancy, 15% will become trophoblastic cancer.

2. Diagnosis of total ovulatory pregnancy

Initially, pregnant women also have the same symptoms as a normal pregnancy. However, people who are pregnant often have very heavy morning sickness, vomiting a lot, and people are thin and pale. Some women also have edema and high blood pressure. Pregnant women will have vaginal bleeding, usually black or red, persistent between the 6th and 16th weeks of pregnancy. The doctor may order a number of tests including:
Ultrasound: On ultrasound, you can see snowfall or honeycomb-like holes, you can see bilateral thyroid cysts, you can't see an embryo when you have a full pregnancy. part. In a partial pregnancy, it is more difficult to distinguish from a stillbirth, where an abnormal part of the placenta may be seen. Quantification of β-hCG: It is a basic test to diagnose and monitor pregnancy. The amount of β-hCG increased above 100 000 mUI/ml. Estrogen quantification: In the urine, estrogen in the form of estrone, estradiol or estriol is lower than in normal pregnancy, due to the disorder of vegetable secretion and because no change in estradiol and estriol occurs in the fetal adrenal gland. . But little significance and no use in practice because this difference is only evident when the gestational age is 14 weeks or more. HPL quantitative test: HPL level is low in ovulatory pregnancy but often high in normal pregnancy. Pathophysiology: A complete ovum has all vegetative spines that develop into follicles. The papillae are edematous and degenerate, leaving no fibrous cells, fibers, and blood vessels. The binding shaft contains the internal fluid. Hypertrophic thyroblasts (morphologically similar to normal trophoblastic cells, but may also encounter some trophoblastic nuclei or mitotic nuclei), imbalance between homozygous ratio and cultured stem cells. Formation of clumps of free trophoblastic cells

3. Is the whole egg pregnancy dangerous?

Ovarian pregnancy is a benign disease, however, about 15% of cases with total egg pregnancy lead to trophoblastic cancer, trophoblastic neoplasms or epithelial trophoblastic tumors. Whole egg pregnancy in particular and egg pregnancy in general, if not detected and treated early, will lead to many dangerous complications for pregnant women such as blood loss, malnutrition, bleeding during pregnancy or due to pregnancy. penetrate deeply into the uterus causing intense bleeding in the abdomen.

4. Treatment and prevention of total ovulatory pregnancy

4.1 Abortion of eggs Once the diagnosis is confirmed, proceed to dilation or aspiration of eggs as soon as possible.
Infusion of uterotonic oxytocin during and after the procedure and antibiotics to prevent infection. Send the pathology of the scraped tissue organization. Scheduled Postprocedure Follow-up Beta hCG and scheduled ultrasound Contraception for 2 years is recommended 4.2 Prophylactic hysterectomy Total hysterectomy or total hysterectomy after curettage is commonly used in women who do not want to have children anymore or are over 40 years old and in case of an invasive pregnancy, the uterus is perforated.
4.3 Follow-up after curettage It is necessary to monitor the whole condition, morning symptoms, symptoms of vaginal bleeding, shrinkage of thyroid cysts and uterine contractions.
After curettage, it is necessary to continue monitoring the Beta-HCG index once a week until this index returns to normal. After returning to normal - in the next 2 years it is necessary to monitor this indicator to ensure that the pregnancy has been completely eliminated. The frequency of Beta-HCG test during this period is as follows:
First 3 months: Beta-HCG test once every 2 weeks. - Next 6 months: Beta-HCG test once a month (if the previous results are negative).- In the following year: Quantify Beta-HCG 1 time every 2 months (monitoring continuously for 2 years) Ultrasound: find nodules for metastases, monitor follicular cysts line.

Pregnancy is a dangerous obstetric disease, with many risks of complications, so every woman needs to have certain knowledge about it to prevent it. Eating well is very important during childbearing years. In addition, mothers need to practice family planning, not have too many children, and give birth close to each other, and should not give birth when they are over 35 years old. In addition, when planning a pregnancy, mothers should visit a doctor to check the risk as well as the possibility of pregnancy to take early prevention measures.
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