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Molar pregnancy follow-up — DRCOG MCQ

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HardEarly PregnancyMolar pregnancy follow-upDRCOG

A 25-year-old woman has had evacuation of a complete molar pregnancy. She asks why she needs ongoing blood and urine hCG testing after the procedure. What would you advise?

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Correct answer: D — Follow-up detects persistent gestational trophoblastic disease

After molar pregnancy, serial hCG monitoring is essential to detect persistent gestational trophoblastic disease. It does not determine fetal sex or rubella immunity. It does not prevent ectopic pregnancy, although future pregnancy planning is discussed. Contraception is usually advised during surveillance so hCG interpretation remains clear.

Reference: RCOG Green-top Guideline No. 38