Can a Woman Be Infertile Despite Having a Regular Menstrual Cycle؟
This is a very important question that many women ask:
“Is it possible that I can’t get pregnant, even though my period is regular and always comes on time?”
Dr. Riham Elshal explains: Yes, it’s possible. But let’s clarify everything calmly.
First of all, I never like to use the word “infertile”, because God Almighty is capable of all things, and there’s no such thing as the end of hope.
But there are cases where pregnancy is delayed, even if everything seems perfectly normal on the outside.
What does that mean?
It means your period could be regular, arriving every month at the same time, without any disruptions — and yet, pregnancy still doesn’t happen.
Why?
Because getting pregnant doesn’t depend only on having a regular period.
There are many hidden reasons that don’t show up unless thorough medical testing is done.
Watch the video here:
A True Story from the Clinic
There was a woman who tried to get pregnant for 6 years.
All tests came back excellent — both hers and her husband’s.
Her cycle was regular, her eggs were healthy, and every time she took ovulation medications and monitored her cycle — still, no pregnancy.
When she came to the clinic asking for stimulation meds again, we suggested she do a dye test (HSG – hysterosalpingography).
And then came the surprise:
The fallopian tubes — through which the egg is supposed to pass — were completely blocked!
That means the path to the uterus was closed, and there was no chance for natural pregnancy.
Of course, once the cause was identified, she went ahead with IVF, and God blessed her with pregnancy.
Is One Open Tube Enough?
Yes, many women have conceived with just one fallopian tube.
But if both tubes are blocked, then natural pregnancy becomes nearly impossible.
In that case, the options are intrauterine insemination (IUI) or IVF.
Does the Menstrual Cycle Reveal Everything?
No. A regular cycle doesn’t always reveal everything.
There are women with completely regular periods and excellent hormone tests — but they still have hidden issues preventing pregnancy.
For example: blocked fallopian tubes, uterine abnormalities, or subtle ovarian problems that don’t show in standard tests.
When Should You Start Worrying?
If you’ve been married for a full year, having regular unprotected intercourse, and pregnancy hasn’t occurred — it’s time to start investigating.
However, if you fall into any of the following categories, it’s better to act sooner, even before the full year passes:
• You’re over 35 years old
• You had irregular cycles before marriage
• There’s a family history of low ovarian reserve
• You notice swelling or an unusual lump in the abdomen
Example:
There was a woman from Canada who had a swollen abdomen despite being slim.
When examined, it turned out she had a large fibroid in the uterus.
After it was removed, her abdomen returned to normal, and she began her treatment journey for delayed pregnancy.
Summary
Don’t waste your time.
If you’re asking yourself, “Why am I still not pregnant?” — know that time is a crucial factor.
The sooner you identify the cause, the better your chances of conceiving, and the simpler and faster the treatment will be.
May God bless everyone hoping to become a parent with righteous offspring, and may every step you take on this path lead you to joy.