Abstract
This case describes an instance of delusion of pregnancy in an older male. This patient has a past history of schizophrenia and reported the delusion soon after engaging in a consensual sexual act with another male for the first time. Delusion of pregnancy is a rare disorder, especially among males and older adults. Along with the use of antipsychotic medications, we discuss the approach of using a pregnancy test in a male to aid in reality orientation and dispel the delusion of pregnancy.