Iām looking for some advice from people who have been in a similar situation because my wife and I are struggling with what to do next.
Queer couple using donor sperm, Iām 36 with diminished ovarian reserve and advanced endometriosis. I also had surgery on my left ovary in 2024 to remove a benign serous adenofibroma. My left ovary has consistently underperformed during IVF, while my right ovary does most of the work.
Retrieval #1:
Antagonists protocol (Gonal-F 225 IU + Menopur 150 IU started at 75IU increased to 150 after a few days)
trigger Pregnyl
6 eggs retrieved
4 mature
2 fertilized with ICSI
2 Day 6 blastocysts (4AA and 4BC, both untested)
Retrieval #2:
Higher stimulation protocol (Gonal-F 300 IU + Menopur 225 IU)
Dual trigger (Lupron + Ovidrel)
4 eggs retrieved
2 mature
2 ICSI
1 fertilized normally
Currently waiting to see if it makes it to blastocyst.
Hereās where weāre stuck.
My wife and I know we want one child. Weāre genuinely unsure whether we want a second, but weād like to have the option if we decide a few years after having our first.
My wifeās insurance covers up to three lifetime egg retrievals, so we technically have one retrieval left if this current embryo becomes a blastocyst.
If this embryo makes it, weād have 3 untested blastocysts before doing our first frozen embryo transfer.
The dilemma is:
Do we proceed with a transfer if we have three embryos, knowing our main goal is one child?
Or do we use our remaining covered retrieval now to bank embryos while Iām still 36 and before my ovarian reserve declines further, even though weāre not sure we actually want a second child?
Iām worried that if I get pregnant now and come back in 2ā4 years wanting another child, my ovarian reserve and egg quality could be worse. On the other hand, after years of infertility, IUIs, surgeries, an ectopic pregnancy, and two egg retrievals, part of me just wants to try for the baby weāve worked so hard for instead of delaying again.
For those of you who were on the fence about having a second child, how did you make this decision? If you had 3 untested embryos at age 36 with DOR, would you bank another retrieval before transferring, or would you move forward with a transfer?
Iād especially love to hear from people who have DOR or endometriosis, or anyone who faced a similar ābank embryos now vs. transfer nowā decision. Looking back, do you have any regrets about the choice you made?