Treatments and drugs

By Mayo Clinic Staff

A molar pregnancy can't continue as a normal viable pregnancy. To prevent complications, the molar tissue must be removed. Treatment usually consists of one or more of the following:

  • Dilation and curettage (D&C). To treat a molar pregnancy, your doctor removes the molar tissue from your uterus during a procedure called dilation and curettage (D&C). A D&C is usually done as an outpatient procedure in a hospital.

    During the procedure, you receive a local or general anesthetic and lie on your back with your legs in stirrups. Your doctor inserts a speculum into your vagina, as in a pelvic exam, to see your cervix. Your doctor then dilates your cervix and removes uterine tissue with a vacuum device. A D&C usually takes about 15 to 30 minutes.

  • Hysterectomy. If the molar tissue is extensive and there's no desire for future pregnancies, you might have surgery to remove your uterus (hysterectomy).
  • HCG monitoring. After the molar tissue is removed, your doctor repeats measurements of your HCG level until it returns to normal. If you continue to have HCG in your blood, you may need additional treatment. Once treatment for the molar pregnancy is complete, your doctor may continue to monitor your HCG levels for six months to one year to make sure there's no remaining molar tissue. Because pregnancy makes it difficult to monitor HCG levels, your doctor may recommend waiting until after follow-up before trying to become pregnant again.
Oct. 24, 2014