Gestational Trophoblastic Disease: After Treatment

Approved by the Cancer.Net Editorial Board, 07/2014

ON THIS PAGE: You will read about your medical care after treatment is finished and why this follow-up care is important. To see other pages, use the menu on the side of your screen.

After treatment for GTD ends, talk with your doctor about developing a follow-up care plan. This plan may include regular physical examinations and/or medical tests to monitor your recovery for the coming months and years. ASCO offers treatment summary forms to help keep track of the treatment you received and develop a survivorship care plan once treatment is completed.

Follow-up treatment always includes the doctor measuring the blood’s beta hCG levels, typically every one to two weeks until the hormone level is normal for three consecutive tests. After that, beta hCG levels should be monitored monthly for the first year, every four months for the second year, then yearly for the third and fourth years.

Women are encouraged to talk with their doctors about the recommended amount of time to wait before becoming pregnant after reaching normal levels of beta hCG. If the woman had either a complete or partial HM and no chemotherapy was given, pregnancy may be safe after three to six months. Also, patients with a history of GTD should have a beta hCG check after each pregnancy, even if the pregnancy was completely normal.

If chemotherapy was given, talk with your doctor about possible long-term side effects based on the specific drug(s) used. Different drugs and doses can cause different side effects.

Women recovering from GTD are encouraged to follow established guidelines for good health, such as maintaining a healthy weight, not smoking, eating a balanced diet, and having recommended cancer screening tests. Talk with your doctor to develop a plan that is best for your needs. Moderate physical activity can help rebuild your strength and energy level. Your doctor can help you create an appropriate exercise plan based upon your needs, physical abilities, and fitness level. Learn more about the next steps to take in survivorship, including making positive lifestyle changes.

The next section offers a list of questions you may want to ask. Use the menu on the side of your screen to select Questions to Ask the Doctor, or you can select another section, to continue reading this guide.