The current clinical presentation of complete molar pregnancy.

OBJECTIVE

To study the current clinical presentation of complete molar pregnancy.

METHOD: Retrospective study of the clinical and ultrasonographic records of 41 patients with complete hydatidiform mole.

RESULTS

17 (41%) patients were asymptomatic. 24 patients (58%) presented with vaginal bleeding, 6 (15%) had excessive uterine size, 1 (2%) had anemia and 1 (2%) had hyperemesis. Non of the patients had any other systemic manifestation. Pre-evacuation ultrasound was performed in all cases and molar pregnancy was diagnosed in 36 (88%).

CONCLUSIONS

Currently with routine first trimester ultrasonography a significant proportion of patients with molar pregnancy are asymptomatic at the time of diagnosis.