1) There are several options to trigger final oocyte maturation in IVF, including hCG, GnRH agonists, and recombinant hormones, each with pros and cons. 2) GnRH agonists more closely mimic the natural cycle surge but are associated with luteal phase insufficiency, requiring additional hormone support. 3) The optimal trigger method depends on factors like patient history and risk of ovarian hyperstimulation syndrome (OHSS), with GnRH agonists preferred for egg donors and those at high risk of OHSS. Dual triggers combining GnRH agonists and a small dose of hCG may optimize outcomes in some cases like poor responders.