Looking for advice/experiences with poor embryo development, egg quality, etc.

Hi everyone, just posting again because well- what else do you do when your in the trenches lol

I’m 32 and have been TTC for 4 years, and I’m trying to figure out what could be going on with my egg maturity/quality and embryo development.

1st cycle 2025: Antagonist: 9 eggs, 6 mature, 3 fertilized, and we ended up with 2 day-3 embryos (1 unsuccessful fresh transfer and 1 still frozen).
2nd cycle: Antagonist&Omnitrope: Started at a new clinic was ultimately cancelled/converted to IUI due to 1 mature follicle.
3rd cycle: MDLF & omnitrope: 4 eggs, 3 mature , ended up with 2 embryos that unfortunately both arrested around day 3 and discarded.

My AMH has also dropped significantly despite making diet/lifestyle and supplement changes(last September 0.84-this summer 0.27).
I have a follow-up with my RE next month and want to go into it asking what else we can investigate or change before trying again at the end of next month. I’m also having a pre-op appointment for planned endometriosis surgery for the fall with a different provider, so I’d especially love to hear from anyone who has had endometriosis surgery and whether it made any difference in egg quality, maturity, fertilization, or embryo development (rather than just implantation/pain), there is also the fear that my AMH tanks again post surgery.

Did anything help you get better embryos after having similar results? Protocol changes, trigger changes, sperm testing/treatment, supplements, surgery (doing it before or after retrievals) etc.? I’m honestly at the “kitchen sink” point and would love to hear experiences—even if you ultimately didn’t find a clear answer. And if you had multiple failed/poor retrievals before finally getting a good outcome, I could really use some hope too. Thanks 🥹