What tests should be done after treatment for ovulatory pregnancy?

This is an automatically translated article.

The article was professionally consulted with Master, Doctor Nguyen Van Thanh - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Nha Trang International General Hospital.
The majority of pregnancies are benign. In the absence of active monitoring and treatment, egg pregnancies cause dangerous complications, even leading to trophoblastic cancer.

1. How to treat pregnancy?

For ectopic pregnancy, the doctor will prescribe an aspiration abortion to prevent the risk of miscarriage causing bleeding. After 2-3 days, the patient will be re-examined and may need a second aspiration if the eggs are not exhausted. At the same time, after abortion, the patient needs to take antibiotics to prevent infection.
Patients who are pregnant with eggs are often prescribed early abortion
Women who are over 40 years old or have had enough children and do not want to have more children can choose the method of total hysterectomy without abortion eggs first. This method helps to reduce the risk of pregnancy complications into trophoblastic cancer.
In case of complications of ectopic pregnancy or placental cancer, the doctor will prescribe one or a combination of the following treatment methods:
Chemotherapy. Surgery. Radiotherapy.

2. Tests after treatment of oocyte pregnancy

After abortion, the patient will be monitored on an outpatient basis and periodically examined for at least 12-18 months as directed by the doctor. Tests that need to be done are:
Blood tests, urine tests 2 times a week until the beta HCG level returns to normal (negative - indicates not pregnant). When the beta HCG level has returned to the allowable level, the patient must continue to test the urine 4 times a week for the next 6 months. In addition, the patient may be assigned to do other tests and ultrasound if needed. The purpose of this is to help doctors detect and promptly handle when complications occur.

Note: Unfavorable pathological developments after ectopic pregnancy include:
The uterus is still large, the thyroid cyst does not disappear, and metastases appear. The concentration of beta HCG in the latter test was higher than in the previous test. Beta HCG levels after 3 consecutive tests did not decrease or only decreased by less than 10%. Beta HCG concentration >20,000 UI/L after 4 weeks of abortion. Beta HCG concentration >500 UI/L after 8 weeks of abortion. Beta HCG concentration >5 UI/L after 6 months of abortion, In this case, the doctor will designate a suitable treatment plan for the patient.
For those who want to have children: it is necessary to have contraception immediately after treatment with birth control pills or condoms. During the follow-up period, the patient was not pregnant. After 2 years of follow-up, if there are no complications, the new woman should become pregnant again. In this pregnancy, pregnant women need to be examined and closely monitored, beta HCG testing at 6 and 10 weeks of pregnancy.

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