IVF advice for optimal cycles

Hi Dr. Sher,

Iโ€™m 34 with history of 2 early losses last year and DOR (last AMH 1.49). I have around 16 antral follicles based on ultrasound. Just finished my first round of stims and only yielded 6 eggs. Only 1 was mature at retrieval and 4 matured overnight. The mature egg fertilized and is frozen and one of the late to mature eggs fertilized and is frozen (poorer qualityโ€”vacuoles present). I did luteal phase stimulation w/ 5 mg letrozole and Follistim 250 for about 11 days before a Lupron and pregnl trigger.

My doctor said we will tweak some things going into my next cycle but based on this information Iโ€™m wondering what you think the tweaks should be? Your opinion on what could yield more high quality/mature eggs at time of retrieval? I really appreciate your input! I heard your podcast with Dr. Aimee and have learned a lot! ๐Ÿ™‚

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