Almost every woman of childbearing age may have had a moment where we thought we were pregnant when in reality, we were not. It may have happened because you felt that pregnancy was underway or your period was late by a few days. Maybe you skipped your period and started thinking you were experiencing some signs of pregnancy. You may even have had some signs and symptoms of pregnancy, such as sore breasts or nausea . But your suspicions or hope were cancelled when you got your period or by taking a test and getting a negative pregnancy test result. Surprisingly, it’s common for most women in their childbearing years to go through this sort of thing several times: a hunch that you may indeed be pregnant and even experience some pregnancy symptoms only to find out later it’s not true.

What Is Pseudocyesis?

Pseudocyesis is a real condition where the body shows early pregnancy signs without an actual pregnancy. A strong desire to conceive leads to genuine physiological changes. These responses illustrate the connection between emotional intentions and bodily processes, distinguishing pseudocyesis from cases where false pregnancy beliefs occur without physical symptoms.

Pseudocyesis is “a false belief that one is pregnant associated with reported symptoms of pregnancy and objective signs, which may include reduced menstrual flow, abdominal enlargement, nausea, breast engorgement and secretions, subjective sensation of fetal movement, and labour pain at the expected delivery date” In other words, for a person to be diagnosed as suffering from pseudocyesis, they should not only have false beliefs that they are pregnant, but they should also exhibit physical signs of pregnancy .

How Common Is False Pregnancy?

Pseudocyesis is extremely rare, with international and Australian studies showing incidence rates between 1 and 6 per 22,000 births. Research from various Australian healthcare centres aligns with global data, indicating that false pregnancy is uncommon in developed countries. These consistent findings emphasize the need for precise diagnostics to differentiate pseudocyesis from true pregnancy, ensuring individuals receive proper care and support when experiencing pregnancy-like symptoms.

False Pregnancy Causes

Experts have not yet found the leading causes of pseudocyesis. It’s often believed to be a psychosomatic condition whereby a person hopes or believes they are pregnant, and their body produces pregnancy-related symptoms. However, there are certain circumstances where other medical conditions may result in a person experiencing pregnancy symptoms. Let’s discuss some of the reasons a person may experience pseudocyesis symptoms:

• After a pregnancy loss or during a strong desire to conceive, the body may undergo subtle hormonal changes similar to early pregnancy. These temporary shifts—including slight increases in human chorionic gonadotropin (HCG), minor fluctuations in prolactin levels, and elevated stress hormones—can cause symptoms like nausea, breast tenderness, and abdominal swelling. Although these hormonal responses result from the body’s reaction to emotional stress, they usually cannot sustain a true pregnancy. This highlights the need for a thorough medical evaluation.

Other factors that may most likely make a mother experience pseudocyesis are:

• History of spousal abuse, sexual abuse or trauma
• Lower socioeconomic status (however, women of all socioeconomic status can experience a false pregnancy)
• History of infertility
• Multiple pregnancy loss
• Mental illness or depression

False Pregnancy Symptoms

Individuals with pseudocyesis may experience signs that closely mimic early pregnancy. These include:

• Persistent nausea, sometimes with vomiting
• Unexplained weight gain and abdominal swelling
• Missed menstrual cycles or significant changes in menstrual regularity
• Reduced appetite disrupting usual eating habits
• Breast tenderness and soreness
• Episodes of morning sickness with occasional vomiting
• Intermittent uterine contractions resembling early labor pains
• Sensations similar to fetal movements or “quickening”
• Changes in the areola and nipple, such as darkening or enlargement

Testing and Diagnosis of Pseudocyesis

Accurate diagnosis starts with standard pregnancy tests—urine and blood tests for human chorionic gonadotropin (HCG)—alongside an initial ultrasound to detect a gestational sac. If the results are negative or inconclusive and physical symptoms like abdominal swelling or nausea persist, a structured follow-up is necessary.

In such cases, healthcare providers may:

• Repeat HCG measurements over several days to track any changes.
• Arrange additional imaging studies, such as another ultrasound or an MRI, to rule out an early pregnancy or other structural issues.
• Perform extended laboratory tests to evaluate a wider range of hormones, including estrogen, progesterone, and thyroid function, to exclude other endocrine disorders.

If uncertainty remains after these tests, an interdisciplinary approach is recommended. Consulting specialists like endocrinologists and mental health professionals ensures that both physical and psychological aspects are addressed. This thorough diagnostic process confirms the absence of a viable pregnancy and reassures patients that all potential causes have been carefully examined according to medical guidelines.

Treatment for False Pregnancy

Managing false pregnancy requires a clear, step-by-step approach. Once medical tests confirm there is no actual pregnancy, support shifts to physical reassurance and emotional recovery. Physical discomfort typically subsides soon after confirmation, but emotional healing may take weeks or months.

Early professional guidance is crucial. Regular counseling or therapy addresses feelings of loss and confusion, providing a safe space to work through emotional distress. These sessions help rebuild confidence and promote mental well-being using proven methods recommended by healthcare providers.

In addition to professional support, establishing a consistent self-care routine enhances recovery. Activities like mindfulness, gentle exercise, and maintaining a balanced daily schedule support overall well-being. Local mental health services and support groups in Australia offer resources tailored to individual needs, ensuring continuous care.

Recovery from false pregnancy involves patience and self-compassion. With ongoing professional support and a commitment to self-care, individuals can regain emotional stability and achieve long-term healing.

Unfortunately, if the person strongly believes they are pregnant and tests confirm that they are not, the grief afterwards may be intense. Sometimes, it may be almost impossible for you to convince someone experiencing pseudocyesis that they are not pregnant. You need to be gentle when caring for a loved one experiencing pseudocyesis. In most cases, pseudocyesis results from the trauma of having experienced infertility or losing a pregnancy. To care for someone experiencing symptoms of pregnancy pseudocyesis, you need to have the compassion to validate their feelings and acknowledge the facts of their situation. Even though pseudocyesis is treatable and can be resolved with time, it can be painful for the person experiencing it and their loved ones. So, you must be kind and encourage them to seek professional help if the situation warrants it. Many support groups are available in Australia, and many have regular meetings in places like local halls, councils, and healthcare services. If you need support, you can get in touch through Beyond Blue Australia & Pregnancy Loss Australi t.

How to get over a false pregnancy?

It’s normal to feel emotionally crushed if you initially thought you were pregnant and even experienced pregnancy symptoms, only to find out later that you were not. You may feel numb and confused; all these reactions are typical of this experience. You may have desired to have a child and believed you were experiencing pregnancy. So you may be going through an intense sense of loss. If you are diagnosed with a false pregnancy, phantom pregnancy, or pseudocyesis, you may feel upset, ashamed, and scared that it happened to you. You may be afraid to seek professional help because you wonder what is wrong with you. However, it’s a condition that you should not be ashamed of. There are plenty of reasons why you may experience a false pregnancy. It’s essential to explore all the available resources with your doctor and have the necessary medical tests to determine the problem. If your doctor recommends you go for therapy, book an appointment with a counsellor or a therapist. You deserve compassionate care, and your mental health is important right now. Most of all, know that you’re not alone, and as long as you get proper care within no time, you will feel like yourself again.

False Pregnancy Summary

Even though the exact causes of pseudocyesis are unknown, doctors suspect that physiological factors play a role in tricking the body and mind into thinking you are pregnant. Also, when a woman has an intense desire to get pregnant, which may be fueled by repeated miscarriages, impending menopause, or infertility, her body may start producing some pregnancy-related symptoms. If you suspect you are pregnant, the best thing to do is see a doctor to perform pregnancy tests and an ultrasound to confirm your pregnancy.

Evan kurzyp

Evan Kurzyp

Evan is the founder of Fertility2Family and is passionate about fertility education & providing affordable products to help people in their fertility journey. Evan is a qualified Registered Nurse and has expertise in guiding & managing patients through their fertility journeys.