Personal and psychological issues

Despite the very high cure rates and the low long-term toxicity from chemotherapy treatment, it is perhaps unsurprising that the diagnosis of a molar pregnancy and particularly treatment with chemotherapy can result in a number of psychological sequelae. The areas that lead to stress in the short term are the loss of the pregnancy, the impact of the 'cancer' diagnosis, the treatment process and the delay of future pregnancy. During chemotherapy treatment issues regarding potential side effects, emotional problems and fertility concerns are frequent. Other studies have shown that the concerns can remain for many years, with feelings regarding the wish for more children, a lack of control of fertility and an ongoing mourning for the lost pregnancy still frequently reported 5-10 years after treatment [20]. Additionally issues regarding self-esteem, and loss of sexual desire can be troublesome for many years after treatment; however, overall marital happiness does not seem to be impaired for trophoblast patients and their partners [21]. A number of surveys have demonstrated the wish of many patients to have more support through counselling and support at diagnosis and continuing even after treatment, and the recognition of this need must be addressed at centres and in the community subsequently.

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Getting Back Into Shape After The Pregnancy

Getting Back Into Shape After The Pregnancy

Once your pregnancy is over and done with, your baby is happily in your arms, and youre headed back home from the hospital, youll begin to realize that things have only just begun. Over the next few days, weeks, and months, youre going to increasingly notice that your entire life has changed in more ways than you could ever imagine.

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