Tokophobia: The Irrational Fear of Pregnancy and Childbirth

Tokophobia: The Irrational Fear of Pregnancy and Childbirth

Pregnancy and childbirth are natural and beautiful experiences, but for some women, the thought of childbirth causes extreme anxiety and fear. This phobia is known as tokophobia, and it affects an estimated 14% of women. In this article, we will explore the causes, symptoms, and treatment options for tokophobia.

What is Tokophobia?

Tokophobia is an irrational fear of pregnancy and childbirth. The fear can be so intense that it prevents women from becoming pregnant or causes them to seek out elective cesarean sections or even avoid childbirth altogether. Tokophobia can be categorized as primary or secondary. Primary tokophobia is a fear of childbirth that precedes any pregnancy, while secondary tokophobia develops after a traumatic childbirth experience.

Causes of Tokophobia

The exact causes of tokophobia are unknown, but several factors may contribute to its development. Trauma associated with childbirth, such as witnessing a traumatic birth, a history of sexual abuse, or a previous difficult childbirth experience, can lead to the development of tokophobia. Negative media portrayals of childbirth and fear of pain can also contribute to the fear.

Symptoms of Tokophobia

Symptoms of tokophobia can include intense anxietypanic attacks, nausea, and avoidance behaviors. Women with tokophobia may avoid any situation that could lead to pregnancy, such as avoiding sexual intercourse or using contraception obsessively. These symptoms can interfere with daily life and cause significant distress.

Treatment for Tokophobia

Treatment for tokophobia may include counseling, cognitive-behavioral therapy (CBT), and exposure therapy. These therapies help women understand their fears and learn coping mechanisms to manage them. In exposure therapy, women are gradually exposed to childbirth-related stimuli, such as videos of childbirth or medical equipment, in a controlled environment. This helps them desensitize to these triggers and reduce their anxiety.

In some cases, medication may be prescribed to help manage anxiety and other symptoms of tokophobia. However, medication should be used in combination with therapy, not as a standalone treatment.


Tokophobia is a real and debilitating condition that affects many women. Understanding the causes and symptoms of tokophobia is the first step in seeking treatment. With the right support and therapy, women with tokophobia can overcome their fears and have a positive childbirth experience. If you are experiencing symptoms of tokophobia, it is important to seek help from a mental health professional who specializes in perinatal mental health. Remember, you are not alone, and there is help available.


Leave a Reply

Your email address will not be published. Required fields are marked *

error: Content is protected !!