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.

Pregnancy Diet Plan

Pregnancy Diet Plan

The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.

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