I guess it would depend on how low things are, and what they think are your options for treatment. Dh's SA #'s have been low across the board, but not to the point that we would require ivf or other more invasive measures. He has a varicocele, but his dr thinks that it is not big enough to be a major source of his problems (so no surgery for dh). He also has retrograde ejaculation, which is helped somewhat by taking pseudophedrine. Our best option right now is iui, to help weed out all the deformed/dead sperm from the few good ones. Since I also have fertility issues, it's been a struggle getting our iui attempts to line up with a decent ovulatory cycle! Some people have seen improvements with things like tri-amino supplements, etc. It all depends on what the specific nature of your dh's issues are, I guess. I'm sorry I'm not much help! I hope you are able to find a dr who is helpful for both of you.