I’ve seen how the pressure to "maximize numbers" can overshadow individual needs. Freezing 40 eggs isn’t a one-size-fits-all fix. For some, it’s about emotional and financial strain, not just biology. PCOS is complex—quality isn’t the only factor, and more isn’t always better. It’s about balance, not a quota.

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The idea that more eggs always mean better outcomes ignores the reality that PCOS patients often have fewer eggs to begin with, making the focus on quantity misleading.

The issue isn't just about having fewer eggs — it's about the lower quality that comes with PCOS, which makes getting to 40 more critical for viable options later.

The lower quality in PCOS doesn't automatically mean 40 is the solution—some patients might not even retrieve that many, and pushing for a number can ignore the body's limits.

The claim that lower quality in PCOS automatically demands 40 eggs ignores the fact that many PCOS patients don’t even retrieve that many eggs in the first place.

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.

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.

The problem isn't just about quantity—it's about the reality that PCOS often means fewer eggs to begin with, and freezing 40 isn't always feasible or practical.

I’ve been through the process, and while the numbers matter, the reality is that for many with PCOS, the quality issues make 40 feel like the only realistic shot.