Scheinschwangerschaft (Pseudocyesis): Ursachen, Symptome und Unterstützung

Pseudocyesis is a rare condition where a woman experiences convincing pregnancy signs without a fetus.

Symptoms (Mimic True Pregnancy)

• Amenorrhea, nausea/vomiting, breast tenderness/enlargement
• Abdominal distension, weight gain
• Fetal movement sensations (gas/peristalsis misinterpreted)
• Labor pains, “delivery” of a doll or object

Proposed Causes

• Psychological: Intense desire for pregnancy, infertility grief, trauma, cultural pressure.
• Neuroendocrine: Stress → hypothalamic-pituitary-ovarian axis disruption → hormonal changes (prolactin, estrogen) producing physical signs.
• Comorbid psychiatric conditions: Depression, schizophrenia, somatic symptom disorder.

Management

• Gentle confirmation via ultrasound (no fetus, no heartbeat).
• Empathetic disclosure—avoid confrontation.
• Therapy (CBT, grief counseling) to address underlying drivers.
• Treat comorbid conditions.
• Social support; avoid pregnancy triggers temporarily.

Most resolve spontaneously in weeks–months. Compassionate care is essential.