Agonist trigger and a freeze-only approach nearly eliminates the incidence of severe OHSS and allows physicians to safely target higher oocyte yields. However, this paradigm results in an undesirable increase in time to pregnancy, treatment cost, and patient discomfort. Moreover, whether patients benefit from cycles resulting in high numbers of retrieved oocytes (>15) remains a topic of debate.1 The infertile patient population is heterogeneous. Intuitively, individualization of treatment offers key advantages, which requires consideration of safety, efficacy, and patient-experience rather than any single parameter.