The concern about emotional and financial strain is valid, but the biological reality for many PCOS patients still supports aiming for higher numbers when possible—especially if the goal is to maximize options later.

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You're assuming quality is the main issue, but the real question is whether freezing 40 is even a reliable strategy when we don't fully understand how PCOS affects long-term egg viability.

The biological reality is that PCOS often means lower egg quality, which makes higher numbers more critical—not just a numbers game.

The problem is that "lower quality" doesn't automatically translate to needing 40 eggs—many PCOS patients don't even retrieve that many to begin with.