Brief Answer:
There is a syndrome called pseudocyesis that mimics pregnancy

Detailed Answer:
Hello, and I hope I can help you today.

I want to first make something clear to you from the beginning. If you have all negative pregnancy tests, and you have had ultrasounds that do not see a baby, you are definitely not pregnant.

As far as hearing a heartbeat is concerned, a Doppler ultrasound machine, normally used to listen to a baby's heartbeat, can double your own heartbeat if it cannot pick up one by a fetus, creating a reading that can be between 130 and 170, which is normal for a fetal heartbeat. Women with PCOS, as you said you have, can go months without menstruating, and the buildup of hormones in your system can cause many of the symptoms commonly ascribed to pregnancy, including bloating, weight gain, nausea and vomiting, headaches, spotting and breast tenderness. Your sensation of fetal movement is likely your intestines moving, and many women who hope for pregnancy desperately look for physical signs mistake those movements for fetal movements.

Psudocyesis is the medical term for the condition of having symptoms of pregnancy without actually being pregnant. Even men can develop pseudocyesis. It is a psychological condition, usually brought on by some type of emotional trauma. I do not know your psychological background, but loneliness, loss of a child or a relationship, or other psychological factors can cause it. Men can develop pseudocyesis when their partners are pregnant- it is believed that their desire to share in their partners experience of pregnancy makes their body go through changes that can be nearly identical to pregnancy itself.

Treatment for pseudocyesis is psychological counseling, and in a woman, treating your PCOS so you begin to menstruate again will relieve some of the pregnancy-like symptoms. Hormonal treatment can help you resume menstruation and once you start getting your period again, it will help you lose weight and get back to your normal self.

The first step, however, is accepting that you are not pregnant and letting your GYN or medical doctor treat your period. Then I strongly suggest you seek psychological counseling to figure out why you are so fixated on pregnancy despite all the medical evidence that you are not pregnant.

I hope that my answer, though it may not be what you want to hear, helps you come to terms with whatever reason you may have to need to deal with this issue. If I can be of any further assistance, please do not hesitate to contact me.

Best wishes,

Dr. Brown

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Brief Answer:
Your symptoms are not consistent with a ruptured cyst

Detailed Answer:
Hello again,

You are correct that your symptoms are not consistent with a ruptured cyst. Ruptured cysts cause sharp abdominal and pelvic pain, which will double you over, and the symptoms last from a few days to a week.

Regarding your intestinal movement, it is normal for your intestines to move constantly, however most people do not feel or pay attention to the movements. Again, pseudocyesis is a psychological condition, and you may be more sensitive with the perception of your body's own normal movements. If you have any irregularities in your bowel movements (constipation, diarrhea, or alternating between the two) you may have irritable bowel syndrome or something similar, which can be diagnosed and managed by a GI doctor.

However, the most likely cause of all of this is psychological. If you are looking for something new to try to help yourself, I would sincerely consider counseling to help sort out what issues you may have regarding pregnancy, as most women with this condition are set off by something like infertility, relationship issues, loss of a child, or something similar.

I hope this information helps you and that you are able to find relief of your symptoms.

Regards,

Dr. Brown

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