Slow Growth on Letrozole

Hi Dr.Sher,
I am almost 40 and just did an egg retrieval on may. I have 5 euploids and 1 LLM. I also have pcos. I was hoping to do a modified natural cycle this month using 5mgs of letrozole. I have always responded well to letrozole on the past when I was doing timed intercourse. Iโ€™ve done 7 cycles in total using letrozole and ovidrel.

On day 10 all my follicles were between 7-9 mms and my lining was 6. Today, day 13 my biggest follicle is 10 mm and my lining is 6.7. Iโ€™m so discouraged. I have to go back in 3 days for a recheck. My cycles are fairly regular, between 30-32 days.

Do you think this mean Iโ€™m out this month? Could I try letrozole at 7.5 mgs next month? Iโ€™m trying to stay away from taking estrace. I also donโ€™t want to take clomid due to ovarian cancer risks.

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