False pregnancy, also known as a phantom pregnancy, pseudocyesis or a hysterical pregnancy, is a condition in which a woman exhibits some of the common signs and symptoms associated with pregnancy, but is not actually pregnant. This condition can cause physical and psychological symptoms, and is often difficult to diagnose. False pregnancy is most common in women between the ages of 20 and 40, and is usually associated with a strong desire or psychological need to be pregnant.
Signs and Symptoms
Women experiencing a false pregnancy may exhibit some of the same signs and symptoms as those who are pregnant, including:
• Abdominal swelling
• Feeling fetal movements
• Morning sickness
• Tender breasts
• Weight gain
• Elevated levels of certain hormones
• Changes in appetite
• Enlarged uterus
• Menstrual period cessation
• Positive pregnancy test
Causes
In most cases, false pregnancy is the result of a psychological need or strong desire to be pregnant. It can also be caused by a hormone imbalance or a medical condition, such as tumors on the reproductive organs.
Diagnosis
False pregnancy can be difficult to diagnose. A doctor will typically perform a physical examination and ultrasounds to determine if the woman is actually pregnant. Blood tests and other tests may also be used to rule out any underlying medical conditions.
Treatment
Treatment for false pregnancy will depend on the underlying cause. If the condition is psychological, then counseling may be recommended. If a hormone imbalance or medical condition is the cause, then the doctor may prescribe medication to help correct the imbalance or treat the condition.