The risk of phantom pregnancy is higher in women who have depression or who have:

• Lost a pregnancy
• A history of infertility
• A history of abuse or current abuse
• Relationship instability

Phantom pregnancy symptoms

Phantom pregnancy symptoms are primarily the same as for pregnancy, including:

• Menstrual changes (no period or irregular cycle)
• Weight gain, swollen belly
• Enlarged and tender breasts
• Sensation of fetal movements
• Gastrointestinal symptoms and abdominal pain
• Nausea
• Vomiting
• Frequent urination
• Food cravings

Phantom pregnancy treatments

If a woman has a phantom pregnancy, her caregiver will:

Provide evidence. This can be devastating to a woman who thought she was pregnant, but her caregiver will show her (with test results and/or an ultrasound if necessary) that she isn’t pregnant. The caregiver should strive to be empathetic. She might assure the patient that her belief that she was pregnant was understandable given the symptoms, for example.

Address other medical conditions. After determining that a woman has a phantom pregnancy, her caregiver will want to rule out – or address – other medical conditions that may be causing the pregnancy symptoms.

Reduce symptoms. If the woman isn’t having menstrual periods, for example, the caregiver may restore them with the use of hormonal intervention, if necessary. She might also help address symptoms such as nausea and fatigue.