A narrative review of Couvade syndrome: The surprising Symptoms of Sympathetic Pregnancy

Authors : Shreya Vaz, Suma L

DOI : 10.71097/ijsat.v16.i4.8724

Volume : 16

Issue : 4

Year : 2025

Page No : 3

Abstract Couvade syndrome occurs when expectant fathers experience psychological and somatic symptoms typical of pregnancy. Common somatic symptoms include gastrointestinal problems, toothache, heartburn, fatigue and back pain, while anxiety is the most commonly reported psychological symptom. Symptoms typically manifest during the first trimester of the partner’s pregnancy, decrease or disappear during the second trimester, increase during the third trimester, and usually resolve after delivery. The aetiology of Couvade’s syndrome remains unclear, with psychoanalytic theories suggesting paternal anxiety and feelings of marginalisation. Hormonal changes, including increased cortisol, estradiol, prolactin and decreased testosterone levels during the third trimester, are also thought to be contributing factors. The findings highlight the need for better understand this phenomenon and its impact on family dynamics during pregnancy.


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