The couvade syndrome can be considered to be the psychosomatic equival
ent of primitive rituals of initiation into paternity. Various symptom
s have been described in the husbands of pregnant women with an incide
nce from 11% to 65%. The most common of these are: variations in appet
ite, nausea, insomnia and weight gain. Seventy-three couples with the
women in the last month of pregnancy were given a questionnaire; as a
reference group, 73 men without pregnant wives or children under 1 yea
r of age were taken. An emotional involvement connected with pregnancy
was reported in 91.78% of the men. This involvement was expressed as
changes in sexual habits in 87.67% of cases, fear and anxiety in 36.98
% and curiosity in 47.94%. With the exception of nausea, physical symp
toms were less frequent in the men with pregnant wives than in those w
ithout pregnant wives. These data cannot confirm the existence of the
couvade syndrome with its own physical symptoms but we think that some
male experiences, which constitute a peculiar imaginary and behaviora
l reality of the father-to-be, do exist.