Question: Hi Doctor, I got married 4 years back and no kids yet. I did my first semen analysis on 2010 and the results are as follow. Count-22 million Motility-50% Morphology-70% After that i had gone through the Fistula surgery(in year-2011) which i was suffering for last 5 years. After fistula surgery of 1 year i did Seman analysis again .Results are as follows. Count-18 million Motility-15% Morphology-60% Then i met the XXXXXXX in a good hospital in Bangalore.He suggested for Harmonal Test and ultrasound. Harmone level are good.But I was diagnosed with Mild varicocle and gone through surgery on 2013 may.From that time i was doing monthy seman analysis .In the recent reports (Did on january26) Count is 32 million motility-30%,Morphology-3% and DNA fragmentation index-56%(Fluctuating 5 to 8 % every month) again i did the Harmonal Tests but those are normal. I can see the improvement in count but not on the motility side and DFI. After surgery doctor was continuously prescribing Tamoxifen,Maxoza and Mixozen powder.Before surgey he told the issue will be cleared after varicocle correction, but now he is saying and shouting that problem might be in testis and might be from the childhood and he is saying that there is no possibilty of Natural pregnancy and go for IUI. I dont understand If the problem exist in testis by birth how can be the inital Semen analysis(done in 2010 as mentioned in the first) results are normal in the First test. And i seen the clear difference of sexual arousal before 5 years and now. Before 5 years i was very very strong and now i dont feel that much.seems something happend during last 5 years but dont know the reason what is that. Please let me know your advice on how to handle this issue of infertility.Whether to see any other good doctor or go for IUI.