False/Phantom pregnancy

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False pregnancy is also known as phantom or pseudocyesis. This is the appearance of clinical or subclinical signs and symptoms associated with pregnancy when the person is not actually pregnant which may sometimes be purely psychological.

Only recently have doctors begun to understand the psychological and physical issues that are at the root of pseudocyesis. Although the exact causes still aren’t known, doctors suspect that psychological factors may trick the body into “thinking” that it’s pregnant.

When a woman feels an intense desire to get pregnant, which may be because of infertility, repeat miscarriages, impending menopause, or a desire to get married, her body may produce some pregnancy signs (such as a swollen belly, enlarged breasts, and even the sensation of fetal movement). The woman’s brain then misinterprets those signals as pregnancy and triggers the release of hormones (such as estrogen and prolactin) that lead to actual pregnancy symptoms.

Some researchers have suggested that poverty, a lack of education, childhood sexual abuse, or relationship problems might play a role in triggering false pregnancy. Having a false pregnancy is not the same as claiming to be pregnant for a benefit (for example, to profit financially), or having delusions of pregnancy (such as in patients with schizophrenia).

Symptoms of False Pregnancy

Women with pseudocyesis have many of the same symptoms as those who are actually pregnant, including:
Interruption of the menstrual period
Swollen belly
Enlarged and tender breasts, changes in the nipples, and possibly milk production
The feeling of fetal movements
Nausea and vomiting
Weight gain

These symptoms can last for just a few weeks, for nine months, or even for several years. A very small percentage of patients with false pregnancy will arrive at the doctor’s office or hospital with what feels like labour pains.

References

  1. WebMD. False Pregnancy. Accessed on 25th September 2018
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