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What is recommended when only three eggs are obtained in the ovarian puncture of an IVF cycle?

By Sergio Rogel Cayetano M.D. (gynecologist).
Last Update: 02/16/2022

The number of oocytes that will be obtained in an In Vitro Fertilization cycle is predictable, through the antral follicle count and the determination of the AMH hormone prior to the ovarian puncture.

Thus, usually, the fact of obtaining only three follicles (or less) should have been previously discussed with the woman or couple who will undergo the treatment. It is at this point, prior to any treatment, that a joint strategy must be developed between the physician and the patient to manage this low ovarian response.

Once the cycle has been completed, there are two options. The first would be to freeze the oocytes, carry out a new cycle (or several) and accumulate oocytes. Subsequently, an In Vitro Fertilization would be carried out as usual. For example, three cycles with 3 oocytes would mean a treatment in which theoretically 9 oocytes would be used. This means a cost saving, since the laboratory work will only be carried out on one occasion, although it may mean the loss of those oocytes that do not withstand the freezing and thawing process.

The second would consist of concluding the IVF. The probability of gestation may be sufficient, depending on the case (age of the woman, ovarian quality, seminal quality, etc.). Each case must be evaluated individually and by the medical team.

 Sergio Rogel Cayetano
Sergio Rogel Cayetano
M.D.
Gynecologist
Bachelor's Degree in Medicine from the Miguel Hernández University of Elche. Specialist in Obstetrics & Gynecology via M. I. R. at Hospital General de Alicante. He become an expert in Reproductive Medicine by working at different clinics of Alicante and Murcia, in Spain, until he joined the medical team of IVF Spain back in 2011.
License: 03-0309100
Gynecologist. Bachelor's Degree in Medicine from the Miguel Hernández University of Elche. Specialist in Obstetrics & Gynecology via M. I. R. at Hospital General de Alicante. He become an expert in Reproductive Medicine by working at different clinics of Alicante and Murcia, in Spain, until he joined the medical team of IVF Spain back in 2011. License: 03-0309100.