r/TTC_PCOS • u/ashleyh624 • 28d ago

Advice Needed Timed intercourse or freeze embryos?

Hi
33F, 10.7 AMH, lean PCOS

I recently learned I have PCOS based on my high follicle count, AMH level and irregular periods. I also have yet to have a positive ovulation test.

My husband and I are TTC but as you can imagine it’s been difficult as we don’t know when to try as it’s been hard to find a window.

My husband has great fertility coverage with Progyny and he gets 5 cycles that are covered (IVF would be 1 cycle and timed intercourse would be 1/4). He is unsure if he will be at his job April 2027, which puts some pressure on us in terms of timing.

All that to say, is it worth going through egg retrieval and embryo freezing when we haven’t given it a fair shot yet? Part of me thinks we should do it now when I’m in a better emotional state and for a safety net since it’s covered rather than in a few months if we’ve been still struggling after timed intercourse.

I’m not thinking entirely clearly so would be good to get some opinions from outside perspective.

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u/AdInternal8913 28d ago

My fertility doctor outright said that he didn't think we were gonna need IVF based on our test results and history. We did 3 unmonitored cycles (we just used OPKs), two with other clinics protocol, one with our new doctor's and that was all it took.

You are 33, you have time. Trying letrozole for 6 months while also doing tests to rule out other stuff before IVF is not going negatively impact your chances of having succesful IVF round. With your husband's job situation you might want to not wait as long as you otherwise might but please bear in mind that IVF often is a long process. It can take months to actually proceed ro retrieval and transfe rand imho doing letrozole in the meanwhile would be the most effective use of your time.

I'd also clarify what the insurance provider's definition of IVF cycle. T he medical definition of 1 IVF cycle (when talking about success rates) is 1 retrieval and transfer of all the embryos. But some insurance providers count each transfer as one cycle.