Controlled ovarian stimulation by antagonist protocol sometimes presents
unpleasant surprises in the form of unexpected premature rupture of follicles
despite well-timed daily administration of the antagonist. In such cases ovum
pick up cannot be done, dual stimulation of the next crop of follicles may be
pursued to salvage the cycle. A ‘freeze all’ strategy is usually implemented in
all cases of dual stimulation because of embryo-endometrial asynchrony. Here we
present a case where dual stimulation was followed by fresh embryo transfer with
a successful pregnancy outcome.