Hello sir/madam Me and my wife are trying to conceive for the last 4-5 months without any success so far. On the prescription of my wife's gynecologist We did a full body checkup of my wife and my sperm test, while all her blood, thyroid, and other checkups came normal, my sperm test was below average. She was a gynecologist so she only gave me basic advice and asked me to see a urologist but I'm afraid of the ongoing fraudulent behaviour of some of the doctors these days who want to admit you and give you expensive treatments whether you need them or not. My sperm test results were as follows Sperm qty: 1.5 Ml Appearance : milky white Transparency : translucent Viscosity : increased Liquefaction time : 30 min Abstinence : 6 days Sperm count : 80 million/ml Viability : 75% or more Motility at 37* C A. Rapid Linear progressive : 20% Grade IV & III B. Sluggish Linear Progressive : 10% Grade II C. Non Progressive : 40% Grade I D. Non Motile : Dead 30% Abnormal sperm 6% Pin heads 1% Bent neck 02% Double heads 03% Rest all abnormalities were 0% Cellular elements: Epithelial cells 1-2 PHF All other cells were nil Other finding Granular debris : Nil Agglutination of sperm : Nil Crystals : Nil I do not drink or smoke I used to take hukka once in a while which also I have stopped 5-6 months ago. I have asthma and I'm insomniac I usually get 4-5 hours of sleep a night. I was taking finpecia (finasteride 1%) to treat my male pattern hair loss for last 8 years but I have quit it 6 months ago as I read on web that it can reduce male fertility. Am I biologically fit to be a father ? If not then what are the treatment options to increase my semen quality. And otherwise is IVF or other medical pregnancy options are applicable for me. Can they guarantee a pregnancy. What is approx cost of these treatments. help me please