Molar Pregnancy and its Ayurvedic Management
Abstract
Molar pregnancy is the most common benign gestational trophoblastic disease. It is also known as a hydatidiform mole. Hydatidiform mole is generally an abnormal conception which is characterised by abnormality of chorionic villi, poor foetal development, trophoblastic hyperplasia.molar pregnancy can lead to severe complications that also include a rare type of cancer. Usually some women who are suffering from the hydatidiform mole require chemotherapy for the persistent gestational trophoblastic neoplasia. There is further risk of developing hydatidiform moles in subsequent pregnancies. In the following text, we shall see some detail of the Molar pregnancy and its management. Let’s discuss it!!
Introduction
A molar pregnancy is a gestational trophoblastic condition that is characterised by proliferated placental tissue after abnormal fertilisation of an empty ovum with one or two sperm. When an empty ovum with one sperm leads to a complete mole and no foetus and when an empty ovum fertilised with two sperm then it leads to a partial mole and the foetus is present. Complete hydatidiform moles are androgenic diploid conception whereas partial hydatidiform moles are dispermic triploid conception. Both partial and complete hydatidiform moles have two paternal chromosomes and expression of paternally derived genes predominates. Both partial and complete hydatidiform moles can lead to increased chances of future hydatidiform moles. In Ayurveda, it can be correlated with beej dushti. Vata and pitta dosha vitiation usually lead to beej dushti and other genetic conditions.
Causes of hydatidiform mole or Molar pregnancy
- Abnormally fertilised egg with one or two sperm is the main cause of complete or partial hydatidiform moles.
- Genetic errors can lead to molar pregnancy
- Prior miscarriages are the leading cause of molar pregnancy.
- Prior ectopic pregnancy can cause a hydatidiform mole.
Risk factors
- Below the age of 20 and above the age of 40.
- History of molar pregnancies
- Geographical locations including latin America and Southeast Asia
- Dietary deficiencies
Symptoms and Signs
- Vaginal bleeding of dark brown to bright red colour in the first three months of pregnancy
- Nausea and vomiting are the most common.
- Grape-like cysts pass through vagina.
- Pain is a universal symptom.
- Pelvic pressure is increased with the advancement of the molar pregnancy.
- Uterine growth is rapid as compared to the gestational period/age.
- High blood pressure can accompany molar pregnancy.
- Preeclampsia can exist with molar pregnancy as a complication.
- Anaemia can occur due to severe bleeding.
- Hyperthyroidism
- Ovarian cysts can occur as a complication arises from the molar pregnancy
- Severe morning sickness is a dominant feature of molar pregnancy.
Diagnosis
- No heartbeat or foetal movement is felt.
- An ultrasound can help to diagnose molar pregnancy.
- Hcg levels are raised as compared to healthy pregnancy.
Management
Most of the molar pregnancies end spontaneously on their own.
1. Dilation and curettage
It is the basic procedure that can be done to get rid of a molar pregnancy in early months.
2. Hysterectomy
Surgical removal of the uterus is known as hysterectomy. It is considered best if the condition is recurrent and may lead to complications.
3. Chemotherapy
When cancerous changes have developed after molar pregnancy conception, cancer treatment medications are used.
Complications
- Gestational choriocarcinoma
- Gestational trophoblastic disease
- Haemorrhage
- Breathlessness
- Preeclampsia
- Invasive mole
Herbal Remedies for Molar pregnancy by Planet Ayurveda
Planet Ayurveda is a renowned GMP certified, ISO 9001:2015 certified and US-FDA registered Ayurvedic Company, which adhered to the aim of manufacturing quality Ayurvedic formulations as described in the various ancient texts of Ayurveda. Products are manufactured without additives and preservatives and other kinds of chemicals or artificial flavouring substances which cause many side effects on the human body. Products prepared at Planet Ayurveda are pure and devoid of any kind of adulteration. Planet Ayurveda presents its formulations that can beat the problem of molar pregnancy.
Following is the list of products that are helpful to get rid of molar pregnancy and establishing a healthy conception :
- Female health support
- Kanchnaar Guggul
- Pradrantak Churna
- Graviola capsules
- Pushyanug churna
- Chandraprabha Vati
- Pitta Balance
Product Description
1. Female Health Support
As the name of the product suggests, it is herbal capsules that contain the herbs beneficial to improve the health of a woman. It is helpful in regulating reproductive health that is required for a healthy pregnancy. The formulation is a blend of ashok (Saraca indica), shatavari (Asparagus racemosus) and lodhra (Symplocos racemosa). All the herbs are known to be establishing normality in the women’s reproductive system.
Dosage : One capsule twice daily with plain water after meals.
2. Kanchnaar Guggul
Kanchnaar guggul is beneficial in molar pregnancy as it reduces the size of the abnormal conception. It contains the herbs that are known to reduce the abnormal sizes of the tissues and reduce pain. Ingredients of the formulation include kachnar bark (Bauhinia variegata), amalaki (Emblica officinale), haritaki (Terminalia chebula), bibhitaki (Terminalia billerica), ginger (Zingiber officinale), marich (Piper nigrum), pippali (Piper longum), varuna bark (Crataeva religiosa), tejapatra (Cinnamomum tamala), guggul (Commiphora mukul) etc. The formulation reduces the size of the uterus due to molar pregnancy as well as provides a clean uterus for a healthy conception. It also alleviates the symptoms associated with molar pregnancy. It also helps in regulating improper periods and gynaecological disorders.
Dosage : Two tablets twice daily with plain water after meals.
3. Pradrantak Churna
Pradrantak Churna is beneficial in bleeding and leucorrhoea. The formulation also regulates proper menstruation thus avoiding abnormal conception that leads to molar pregnancy. The pradrantak churna contains lodhra (Symplocos racemosa), ashok (Saraca indica), arjuna (Terminalia arjuna) and udumbar (Ficus glomerata). The formulation also possesses blood coagulant property therefore it stops the abnormal and excessive bleeding caused by hydatidiform moles.
Dosage : One teaspoon twice with warm water after meals.
4. Graviola Capsules
Graviola capsule containing the herb graviola (Annona muricata). Graviola is known to kill cancerous cells. Hence, it is beneficial in Molar pregnancy. Furthermore it is useful in all other problems including pelvic inflammatory disease as well as polycystic ovarian syndrome as fibroid uterus
Dosage : One capsule twice a day with plain water after meals.
5. Pushyanug Churna
Pushyanug churna is an ayurvedic powder formulation best for gynaecological wellness. It is a blend of various herbs which include kutaj twak (Holarrhena antidysenterica), patha (Cissampelos pareira), jamun beej majja (Syzygium cumini), pashanbhed (Bergenia ligulata), rasanjan (Berberis asiatica), mochras (Salmalia malabarica), manjistha (Rubia cordifolia), kesar (Crocus sativus), attes (Aconitum heterophyllum) and many more. All the ingredients help in maintaining complex vital functions of the female reproductive system like proper egg formation, proper menstruation, proper lactation. As it maintains the proper cycles of the female reproductive system. It is also beneficial in preventing molar pregnancy.
Dosage : – One teaspoon twice with decanted rice water.
6. Chandraprabha Vati
It is a classical formulation which is also known as Sarvaroga Pranashini which means it is used in all the aliments. It pacifies all the three doshas. It contains a lot of herbs and minerals. It is constituted with darvi (Berberis aristata), sarjikakshara (Sodium carbonate), saindhava lavana (Rock salt), maricha (Piper nigrum), trivrit (Operculina turpethum), gaja pippali (Piper chaba), chitraka bark (Plumbago zeylanica), vanshlochan (Bambusa arundinacea), ela (Elettaria cardamomum) etc. Chandraprabha vati is used adversely in various health conditions related to the reproductive health of both men and women. It is a potent emmenagogue, it balances the hormones and corrects issues regarding menstruation, stomach cramps, oligomenorrhea, amenorrhea and dysmenorrhea. It is also used for uterine polyps and uterine bleeding. It is also beneficial for Polycystic Ovary Syndrome. It strengthens the uterine muscles and therefore prevents abortions and miscarriages. furthermore it clears the molar pregnancy and establishes a healthy foetus.
Dosage : Two tablets twice a day after meals with plain water.
7. Pitta Balance
Pitta balance is a formulation that balances the pitta dosha. It is a herbomineral formulation which contains jaharMohra, kaharawa, akik, mukta, giloy satva (Tinospora cordifolia). As it manages the pitta vitiation, it also relieves the patient from toxins produced by Hydatidiform moles. It is beneficial in molar pregnancy and prevents its further recurrence.
Dosage : One capsule twice a day after meals with plain water.
Conclusion
Molar pregnancy is the worst because it can mimic a healthy pregnancy but not for a longer run. It affects a woman physically as well as mentally. As we have discussed what are the serious impacts that a molar pregnancy can have on a woman’s health, so it becomes mandatory to prevent and treat the molar pregnancy as soon as it gets diagnosed. Also we have discussed there is no better management in the contemporary system of medicine because it usually advises about dilation and curettage, if not accurately done it can cause various infections and serious health issues like cancer. Furthermore, it is not advisable to get uterus surgically removed for those women who want to bear pregnancy. In addition to this, there are chances of future molar pregnancies and miscarriages. Whereas Ayurveda treats the molar pregnancy efficiently and improves overall female health. Ayurveda also minimises recurrent molar pregnancy to a wide extent. Planet Ayurveda’s aforementioned formulations are of great help in molar pregnancy.
