I am 36 years old and only freezing eggs. My AMH was just over 1 ng about a year ago, AFC usually 6-8. I have a long history of stage 4 endometriosis.
1. Could a disproportionately high estrogen to follicle ratio have a negative impact on egg quality? Estrogen is usually 800-1000 pg by 4 of stimulation (450 gonal f) and almost 3,000 pg by trigger, despite only having 3-6 follicles at 16+mm and only 3-6 mature eggs retrieved.
2. I have read with great interest your findings on LH having a negative impact on egg quality. May I ask your opinion on whether this is still a concern if I always have low-ish testosterone levels? (approx 0.8 nmol total testosterone, 5.3 pmol free testosterone).
Thank you for any insight.