Hi, Wife is 28 has had an ovarian cyst removed at 23. Has a small fibroid currently, otherwise all normal. Slightly low (borderline Testosterone ). She also had mild cervicitis which seems to have subsided. Her Menstrual cycle is between 23-26 days, heavy bleeding (but has stabilised at 27 after starting an egg inclusive diet. She was vegetarian.) I am 32 I have a small varicocele . Had hepatitis last year and sperm count was 1.8 mill/ml with 10% motility at first SA. That improved and was 34 million/ml with 50% motility within 2 months, with normal morphology percentages.(June). However did a SA 3 days ago and it was only 13.7 mill/ml with poor motility/morphology. Volume is usually 3-6 ml. She has had two occasions of periods at 29 days with very heavy clumps.(possible chemical pregnancy) However I do not know what the problem might be. My libido/sex drive are normal but less than before. (between 20-27) I had sex/masturbation almost 5 times a week. I was wondering what my options are as we are now very keen to get on with it. Should we even think of IUI? I understand the probabilities are not superior to natural conception in any meaningful way. Can I try clomid? Should I get a T test(Secondary sex characteristics are aok) Is IVF the only option? Any chance of varicocele surgery helping? Need some help!