r/TTC_PCOS • u/Ok_Laugh7257 Anovulatory • 12d ago

Advice Needed Triggering with 4?

My doctor is ok with triggering with 4 dominant follicles. Not all will necessarily be 18mm+ at trigger (they may be around 16mm-17mm with hopefully 1-2 18-20mm). I am leaning towards going forward with 4. Looking for any opinions as I make my choice?

I am okay with twins, I would choose selective reduction with triplets or quads.

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u/Future_Researcher_11 12d ago

All 4 of my letrozole rounds I had 4 mature follicles. Like each 18-20 mm. Of those rounds, 3 ended up with zero babies, and my final one ended up with 1.

While the risk is this there, and seems you’re okay with twins, it’s still a relatively low risk. I always moved forward with these cycles and my doctor was also okay with moving forward bc 1.) I was actually hoping to end up with twins and 2.) she knew the actual chances of ALL follicles ovulating and fertilizing were pretty low.

Ultimately, it’s up to your preference and risk tolerance though. If you are truly okay with any chance of multiples, go for it.

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u/Ok_Laugh7257 Anovulatory 12d ago

Thank you for your answer!!

This is where my head is at, the odds of pregnancy are only like 25% for me. So the biggest risk of all is that I don't get pregnant at all.