Hi Dr.
I am 39 and have PCOS. I went for my day 3 AFC and I was informed by the nurse that I have 20 follicles on my left ovary and another 20 on my right. The strange thing is 7 years ago when I conceived my daughter, my numbers were less at 15 and 13 per ovary.

My doctor is starting me on letrozole with ovidrel and timed intercourse this month. With such high numbers for my AFC, is it likely that if I do conceive it will be a miscarriage’s due to poor egg quality? I had two miscarriages from natural pregnancies in the past 9 months. And I ovulate like clockwork between day 14 -16 unmedicated.