The Doctor Who Created Pregnancies That Never Existed
The idea that a single hormone injection and a grainy ultrasound could manufacture months of real hope and real grief is chilling: patients received hCG that made pregnancy tests positive and felt pregnancy symptoms, while ultrasounds Jacobson pointed to showed organs or fecal matter, not fetuses. How did one physician turn diagnostic signals into fabricated pregnancies and secretly father children in the same clinic?
In this episode, we outline the two schemes that unfolded in a Fairfax County reproductive practice, laying out the hormone-based false pregnancies and the donor insemination program that produced unexpected paternity. What did the clinical record, expert testimony, and DNA results reveal about trust, authority, and the boundaries of medical practice?
Person: Cecil Byran Jacobson
Date of birth: October 2, 1936
Location: Fairfax County, Virginia
Education: Brown University; George Washington University Medical School (Chief of the Reproductive Genetics Unit)
Hormone used: hCG (human chorionic gonadotropin)
- Jacobson opened his Fairfax County practice in the 1980s and held the title Chief of the Reproductive Genetics Unit at George Washington University Medical School.
- He injected patients with hCG, which caused home pregnancy tests to turn positive and produced pregnancy-like symptoms without an actual fetus.
- Expert testimony in federal court identified ultrasound images Jacobson presented as consistent with organs or fecal matter, not fetuses.
- Near the end of the third month, patients were often told their "fetus had died" after months of believing they were pregnant.
- DNA testing revealed at least one child conceived via the clinic's donor program was biologically fathered by Cecil Jacobson.
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