Post-Menopausal Women with Pseudocyesis in Rural Areas: A Socio-Cultural Perspective

Abstract

Introduction: Pseudocyesis originates from the Greek language, consisting of 2 syllables, namely: Pseudo (false) and Kyesis (pregnancy). Pseudocyesis is a mental health condition where the affected individual believes they are pregnant, accompanied by signs and symptoms of pregnancy. The Kei society adheres to a patrilineal kinship system and has preserved customary laws handed down through generations known as “Larvul Ngabal”. These customary laws regulate several aspects of life including marriage and descent.
Case Report: A 60-year-old woman came to the outpatient clinic to checked her pregnancy. The patient stated that for the past 2 months, her abdomen had been growing larger and she felt fetal movements inside. Obstetric examination and supporting tests did not reveal the presence of a fetus. The patient was educated that she was not pregnant, but she remained convinced that she was pregnant.
Case Discussion: This patient has already entered post-menopausal age and has been married for the second time. The patient and her husband desire to have a male child. The Kei society adheres to a patrilineal system, where a male child is hoped to continue or strengthen the paternal lineage. However, the patient currently does not have any offspring. Therefore, this situation may have an impact on her condition.
Conclusion: Pseudocyesis reflects somatization disorder in the patient due to the unfulfilled desire to have offspring. This condition can be influenced by several factors including socio-cultural ones.