Is Delayed Pregnancy Always a Concern? Dr. Sahar El-Morshedy Explains

Dr. Sahar El-Morshedy, Specialist in Obstetrics, Gynecology, and Infertility, explains that delayed pregnancy is not always a sign of a medical problem—especially in the early months of marriage. In some cases, the delay is temporary and resolves naturally. However, there are situations where a medical evaluation is necessary to avoid future complications.

In this article, Dr. Sahar El-Morshedy helps couples understand when delayed pregnancy is considered normal and when to seek medical advice.

What Is Delayed Pregnancy Medically?

Medically, delayed pregnancy is defined as not conceiving after one full year of regular, unprotected intercourse. However, this timeframe may vary depending on the woman’s age or any existing health conditions.

Dr. Sahar El-Morshedy notes that for women over 35, it’s recommended to start evaluations after just 6 months of trying.

When Is Delayed Pregnancy Considered Normal?

• Within the first year of marriage, especially if the woman is under 30.

• If menstrual cycles are regular and there are no visible health issues.

• If stress or anxiety is affecting ovulation temporarily.

• If the couple doesn’t have regular intercourse due to travel or work.

Dr. Sahar El-Morshedy reassures couples that over 80% of healthy couples conceive naturally within the first year without intervention.

When Should You Worry and Seek Medical Help?

• If no pregnancy occurs after a full year of trying.

• If the woman has irregular or absent periods.

• If there’s a history of conditions like PCOS or pelvic infections.

• If the man has known fertility problems or varicocele.

• In cases of recurrent miscarriage or known ovulation issues.

In these situations, Dr. Sahar El-Morshedy recommends starting with simple tests such as hormone panels, transvaginal ultrasound, and a semen analysis for the husband.

What Happens After the Diagnosis?

In some cases, no clear reason is found—this is called "unexplained infertility." Even then, many options are available:

• Ovulation induction medications

• Intrauterine insemination (IUI)

• IVF or ICSI in more complex cases

Dr. Sahar El-Morshedy highlights that early intervention improves chances of success and can reduce the need for more complex treatments later.

Conclusion

Delayed pregnancy isn’t always a serious issue, but it’s worth monitoring. Dr. Sahar El-Morshedy encourages couples to remain calm and consult a specialist at the right time to assess the situation and create a tailored plan—without panic or unnecessary delay.