Routine Control Of Post-TTG Chemotherapy?
I want to ask. Last September 16, I finished chemotherapy because of TTG. Then the doctor recommends checking the B-HCG u0026amp; control to poly content every 2 weeks. When the third control the doctor said I control it up to 4 times (more or less for 2 months). But when the 4th control I was handled by a different obstetrician understand because the doctor who served in obstetric poly at the hospital where I chemotherapy u0026amp; control is always different every day, depending on the busy life u0026amp; the number of patients. He said I had to control up to 6 times (meaning for 3 months) and so continued every once a month. I am confused, ideally how long does the B-HCG routine check u0026amp; control to poly uterine post-TTG chemotherapy even though I have no complaints at all u0026amp; every time I test pack the results are always negative u0026amp; the results of my B-HCG laboratory are always below 5?
Hello, thank you for the question to HealthReplies.com
What do you mean by TTG is GTD or gestational trophoblastic disease? If it is not the GTD you are referring to, you can ask your question again by explaining in more detail about the intended TTG.
GTD is a group of diseases where abnormal trophoblast cells grow in the uterus after conception. The most common GTD is hydatidiform mole, also known as molar or grape pregnancy (which is a benign GTD), but there are also other types of GTD that are almost always malignant such as invasive moles, choriocarcinomas, placental-site trophoblastic tumors, and epithelioid trophoblastic tumor. If you are advised to undergo chemotherapy, chances are you have a malignant GTD.
Therapeutics that can be recommended for women who experience GTD can be different, the chemotherapy given can also be of different types and can be different ways of administration, all depending on the type of GTD and response of each patient's therapy. We cannot explain in detail about the therapeutic method you received because only the doctor who examines you directly or can check your medical record can find out (again the method of therapy given to each patient can vary). However, we can only explain that indeed after doing chemotherapy on GTD, it still requires regular control to the obstetrician to ensure there is no relapse of the disease (re-emergence of this disease). If you have been referred to remission (your hCG has been below 5 on 3 consecutive tests), chemotherapy will be continued for several more times, and after that you will still need to monitor hCG every month for a year. If after a year you experience certain symptoms, hCG examination again can be done.
We recommend that you consult further when you control your obstetrician about your future treatment plan (including if you have plans to get pregnant again after this, ask exactly when you can get pregnant again). Make sure you always follow the advice of your doctor (including if your doctor recommends using contraception to prevent pregnancy).
So much information from me, hopefully enough answer