“…It does not appear, however, that low levels of estradiol are, in fact, detrimental to pregnancy rates in these IVF cycles. 164 When LH levels are too high, premature ovarian luteinization may occur. It is unclear whether LH is required for optimal ovarian stimulation as studies do not uniformly indicate that the addition of LH to ovarian stimulation improves pregnancy rates, though estradiol levels are higher.…”