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I don't remember what my husband's true counts were (they were lower, but not horrendously low), but in working with an RE he had trouble producing samples which in turn meant even smaller counts. The RE never acted like count was a huge deal and we got pregnant with our first IUI. So I say this in hopes that it gives you some hope that this isn't a huge hurdle to overcome. The referral to a urologist is a good one, and from there you may or may not need to see an RE to get pregnant.

Fairhaven Health makes a number of vitamin supplements which are supposed to increase count, amongst other things. My husband took FertilAid for Men and Motility Boost and I swear it did wonders for him. You might check them out.

My husband's issue was abnormal morphology but his numbers have improved since then. Well, they've gone up and done over our TTC journey.

In our IF world, we always say it only take one sperm to make a baby.

I would ask about morphology or motility numbers.

Also, I hate to tell you this but I thought I was healthy with regular cycles and didn't think I was the cause of our infertility, but after failed IUIs (with good sperm numbers) and switching to a new clinic, I was finally diagnosed. I think it was me or both of us that caused our IF over the past 3 years. Anyway, we are in the middle of IVF with fertilized embryos in the freezer. Farthest step we've gotten so far.

My husband has moderately bad morphology (19% good) and I've just gotten pregnant - so it does happen.