This retrospective analysis evaluates IVF outcomes in cycles with ≤3 retrieved oocytes, focusing on fertilization and blastocyst formation rates stratified by age. Despite the limited number of oocytes, fertilization and blastulation outcomes were promising in selected patients, supporting continued treatment attempts in poor ovarian responders, particularly women under 41 years of age. These findings suggest that oocyte quality may remain preserved despite a low yield, and that individualized counseling can help guide clinical decision-making.