-
Indian Journal of Pediatrics Feb 2010
Topics: Child; Cognition Disorders; Female; Humans; Pseudopregnancy
PubMed: 19936647
DOI: 10.1007/s12098-009-0268-x -
American Journal of Hospital Pharmacy Nov 1981The pathophysiology of endometriosis and its treatment are discussed. Endometriosis is a gynecological disorder characterized by the growth of the ectopic endometrium.... (Review)
Review
The pathophysiology of endometriosis and its treatment are discussed. Endometriosis is a gynecological disorder characterized by the growth of the ectopic endometrium. The usual plaque looks like a small blood-filled cyst that is surrounded by a puckering scar. This tissue responds to fluctuating levels of hormones just as the normal endometrium does, and monthly bleeding of the cysts occurs followed by inflammation and scarring. Endometriosis may cause infertility, dyspareunia, dysmenorrhea, pelvic pain, and other menstrual problems. Therapy is chosen based on extent of disease, tolerance of side effects, and desire for pregnancy. Surgery is usually reserved for more extensive cases of the disease or if fertility is no longer desired. Induction of "pseudopregnancy" with estrogen-progesterone combinations has been used frequently; however, weight gain, initial exacerbation of pain, and the possibility of thromboembolism are limiting factors. Pseudomenopause, induced by danazol therapy, is an alternate method of treatment that causes a static endometrium. It offers rapid relief of symptoms to the majority of patients, and its most common side effects of weight gain and edema are reversible. Fertility rates after treatment are difficult to compare, but they appear to be similar for both hormonal therapies. Danazol has emerged as an effective alternative to the estrogen-progesterone combination treatment of endometriosis. Danazol may be prescribed before surgery to reduce lesions, following surgery to ablate any remaining lesions, or as the sole therapy for endometriosis.
Topics: Endometriosis; Female; Hormones; Humans; Menopause; Pseudopregnancy
PubMed: 7030070
DOI: No ID Found -
Psychosomatics 1997
Topics: Adult; Female; Fetal Movement; Humans; Pseudopregnancy
PubMed: 9427859
DOI: 10.1016/S0033-3182(97)71411-7 -
International Journal of Geriatric... Jan 1997We present five case reports of elderly ladies with delusions of pregnancy. This symptom is discussed with reference to the cases and a review of the literature. (Review)
Review
We present five case reports of elderly ladies with delusions of pregnancy. This symptom is discussed with reference to the cases and a review of the literature.
Topics: Aged; Aged, 80 and over; Delusions; Dementia; Depressive Disorder; Female; Humans; Obesity; Pseudopregnancy
PubMed: 9050433
DOI: 10.1002/(sici)1099-1166(199701)12:1<115::aid-gps486>3.0.co;2-l -
The Australian & New Zealand Journal of... Nov 1998
Topics: Adult; Female; Humans; Pregnancy; Pseudopregnancy
PubMed: 9890236
DOI: 10.1111/j.1479-828x.1998.tb03114.x -
Psychosomatic Medicine 1985There is a paucity of information concerning the interrelationship of psychiatric and neuroendocrine abnormalities in pseudocyesis. We have studied two patients using a...
There is a paucity of information concerning the interrelationship of psychiatric and neuroendocrine abnormalities in pseudocyesis. We have studied two patients using a multimodal investigatory approach, with particular attention to the association of depression and alterations in endocrine secretory patterns. Both patients had abnormal growth hormone secretory patterns, as demonstrated by lack of sleep-associated peaks and the absence of a response to L-dopa administration. Both patients had elevated testosterone and estradiol levels and normal prolactin levels. Only the patient who met DSM III criteria for a major depressive episode had abnormally elevated luteinizing hormone (LH) levels and large LH pulse amplitudes. These findings, together with a review of cases reported in the literature, suggest that no single neuroendocrine profile is common to all patients with pseudocyesis.
Topics: Adult; Depressive Disorder; Estradiol; Female; Grief; Growth Hormone; Histrionic Personality Disorder; Hormones; Humans; Luteinizing Hormone; Pseudopregnancy; Testosterone
PubMed: 3975327
DOI: 10.1097/00006842-198501000-00005 -
The British Journal of Psychiatry : the... Aug 1982
Topics: Adult; Crime; Female; Humans; Infant; Pseudopregnancy
PubMed: 7116062
DOI: 10.1192/bjp.141.2.196 -
Anales de La Real Academia Nacional de... 1994
Review
Topics: Female; Humans; Pseudopregnancy; Psychopathology; Psychophysiologic Disorders; Terminology as Topic
PubMed: 7598209
DOI: No ID Found -
The American Journal of Psychiatry Sep 1982Pseudocyesis is a diagnosis out of medical antiquity in with the physiological and psychological concomitants of pregnancy develop in the absence of the true gravid...
Pseudocyesis is a diagnosis out of medical antiquity in with the physiological and psychological concomitants of pregnancy develop in the absence of the true gravid state. Along with other dramatic and polymorphous psychiatric disorders pseudocyesis appears to have decreased in frequency or altered its clinical manifestation in this century. The author discusses the reasons behind these changes and describes a comparable modern neuroendocrine diagnosis, the galactorrhea-amenorrhea hyperprolactinemia syndrome. He advocates the combined use of the term pseudocyesis for a selected population of patients.
Topics: Amenorrhea; Animals; Boston; Female; Galactorrhea; Humans; Pregnancy; Prolactin; Pseudopregnancy; Terminology as Topic
PubMed: 7114306
DOI: 10.1176/ajp.139.9.1140 -
Psychosomatics 2015The authors review the literature on two dramatic psychosomatic disorders of reproduction and offer a potential classification of pregnancy denial. (Review)
Review
OBJECTIVE
The authors review the literature on two dramatic psychosomatic disorders of reproduction and offer a potential classification of pregnancy denial.
METHOD
Information on false and denied pregnancies is summarized by comparing the descriptions, differential diagnoses, epidemiology, patient characteristics, psychological factors, abdominal tone, and neuroendocrinology. Pregnancy denial's association with neonaticide is reviewed.
RESULTS
False and denied pregnancies have fooled women, families, and doctors for centuries as the body obscures her true condition. Improvements in pregnancy testing have decreased reports of false pregnancy. However, recent data suggests 1/475 pregnancies are denied to 20 weeks, and 1/2455 may go undiagnosed to delivery. Factors that may contribute to the unconscious deception include abdominal muscle tone, persistent corpus luteum function, and reduced availability of biogenic amines in false pregnancy, and posture, fetal position, and corpus luteum insufficiency in denied pregnancy. For each condition, there are multiple reports in which the body reveals her true pregnancy status as soon as the woman is convinced of her diagnosis. Forensic literature on denied pregnancy focused on the woman's rejection of motherhood, while psychiatric studies have revealed that trauma and dissociation drive her denial.
CONCLUSIONS
False pregnancy has firm grounding as a classic psychosomatic disorder. Pregnancy denial's association with neonaticide has led to misleading forensic data, which obscures the central role of trauma and dissociation. A reappraisal of pregnancy denial confirms it as the somatic inverse of false pregnancy. With that perspective, clinicians can help women understand their pregnancy status to avoid unexpected deliveries with tragic outcomes.
Topics: Denial, Psychological; Dissociative Disorders; Female; Humans; Pregnancy; Pseudopregnancy; Psychological Trauma; Somatoform Disorders
PubMed: 25624179
DOI: 10.1016/j.psym.2014.09.004