In two male patients the author found that the boys' envy of the mothers' reproductive ability produced identifications with the active, omnipotent, babyproducing preoedipal mother. In addition, these cases indicate that male pregnancy fantasies may serve as defenses against death wishes and separation anxiety. In a third case, that of a female writer, the pregenital aspects of pregnancy fantasies were related to problems of creativity. While psychoanalytic literature on pregnancy fantasies in the male is largely concerned with phallic aspects, this paper emphasizes the pregenital aspects of such fantasies.