How to distinguish between false pregnancy and real pregnancy?

The symptoms of false pregnancy are similar to those of real pregnancy, including:

• Missed periods;
• Early pregnancy symptoms such as dizziness, fatigue, drowsiness, nausea, vomiting, and loss of appetite;
• Breast tenderness, enlarged nipples, and darkened areolas.

Methods for confirmation: Pregnancy test, blood test, or ultrasound

False pregnancy will show negative results in urine tests, negative blood tests for β-hCG (human chorionic gonadotropin), and no gestational sac or signs of ectopic pregnancy or gestational trophoblastic disease (which may cause elevated β-hCG) in ultrasound examinations.

In a real pregnancy, at least one of these tests will be positive.

Important note

In rare cases, β-hCG may be positive, but it is still a false pregnancy. If repeated ultrasounds show no gestational sac or signs of gestational trophoblastic disease, consider the possibility of a biochemical pregnancy or β-hCG secretion from an ectopic tumor. Professional diagnosis by an obstetrician, gynecologist, or physician is required.

How to avoid false pregnancy?

• Psychological aspect: Reduce stress

Whether you fear pregnancy or hope for it, try to maintain a calm and scientific attitude. Avoid excessive mental stress and emotional fluctuations.

If you suspect pregnancy, seek medical examination promptly to confirm and avoid prolonged anxiety.

If you have been trying to conceive for over a year (or six months for women aged 35 or older) without success, consult a doctor for evaluation and treatment for both partners.

If diagnosed with infertility but long-term treatment has failed, and you face immense pressure from family or society, consider seeking help from a psychological counselor.

• Physical aspect: Check for underlying conditions

Women with recurrent delayed periods should undergo uterine ultrasounds and endocrine tests (e.g., thyroid function, reproductive hormone levels) to rule out uterine abnormalities or other endocrine disorders affecting menstruation.

Those with nipple discharge should test prolactin levels to check for hyperprolactinemia.

Women who repeatedly believe they are pregnant despite false results should be screened for psychiatric conditions.

If an ectopic tumor secreting β-hCG is suspected, consult a physician for early diagnosis and treatment.

• Be cautious with medications

Recent or long-term use of certain medications, especially antipsychotics, may delay periods and cause pregnancy-like symptoms. Consult a doctor and avoid such medications if possible.