Suggest treatment for infertility
Patient: I have married for 1 year and 4 mounths. On the 3 rd mounth my wife was pregnant.But after this she miscarriage.İt was tube pregnancy.And i was gived sprem test.My results was very bad sperm is very low and i am oligozoospermia. After this i was started take some drug but it doesnt effected.Also i knowed that i have very low varicose on my left testis.Then i operated on varicose.After operation i wait 3 mounths and again gived test but result was same.I went Turkey.İn Turkey doctor gived me proxeed for take 2 mounths and make again test.İ taked Proxeed for 2 mounth and made again test but result again same.I decited make IVF. So we went to Turkey Ankara to make İVF.My vifes E2 hormon was very high but we decited to make IVF.I gived sperm for IVF and they finded sperms.So we made IVF .But it was also miscarriage.This mounth i was gived sperm test also there is very low rise.On 1 ml the number of sperm is 0.3 mln,ejaculated is 1.2 mln.So i dont know what to do.What is my dianosis?And main question is can i have children in natural way? Doctor: HelloThanks for query .Based on the facts that you have posted Your sperm count is very low (Oligospermia) and have taken  various medicines to increase the sperm count but did not get any gratifying results,At the outset I would like to post that there are no medicines scientifically  proved to be effective in increasing the sperm count .You have tried IF but it also was unsuccessful .In a given situation I would suggest you to consult qualified Infertility specialist and try Intra Cytoplasmic Sperm Injection (ICSI) with  selecting the sperms by sperm concentration technique .With ICSI there are 30% chances of natural conception .Dr.Patil