Just hoping anyone can share their experiences or thoughts really on our situation! I'm completely overthinking this and getting myself a bit worked up trying to figure things out.
This is our 3rd round of IVF. I have an AMH of 11.something. Age 39.
First round in 2024. 150 Ovaleap and ovitrelle trigger. Stimmed for 9 days, egg collection brought forward by a day. 16 eggs collected, 13 mature and 11 fertilised with ICSI. 2 day 5 blastocysts graded 4AA and 3AB. 4AA fresh transfer which was successful.
2nd round in June 2026. 175 gonal-f and buserelin trigger. Stimmed for 10 days. 16 eggs collected, 12 mature and 8 fertilised with ICSI. 1 day 5 blastocyst graded 4BB and 2 day 6 blastocysts 4CC and 3BC. They reluctantly agreed to freeze the 4CC despite them discarding this grade of embryo on our first round.
Going for our third round now. 175 Gonal-f again and really keen for a fresh transfer. At day 6 we already have 19 follicles growing, 16 between 9mm and 13mm and 3 smaller ones. The clinic have already advised it would be a freeze all if we have 20 follicles over 10mm which is also why we had to use buserelin for our second round.
We don't have another scan until day 9 of stims - probably because of the weekend timings. On our last 2 rounds we had our second scan at day 8. So it's likely by day 9 a lot of follicles will have reached at least the 16mm point.
Would it be reasonable for egg collection to be brought forward by a day or 2 in the hopes of avoiding too many follicles hitting the 10mm mark and avoiding a freeze all? Or is this likely to affect maturity and would we be better off just trying to get as many eggs as possible, even if it means delaying things by going for a FET instead? We seem to have a very big drop off after day 3 but I'm not sure we can really do much about that as we're using donor sperm. Just concerned that egg quality might also be lower with a higher amount of eggs.
Thanks to anyone who's read this far! Please put my mind at ease 😬🙏