### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi Doctor,     My age is 27 yrs , marital status 2nd half years . we hve been trying to have kids since last 1 yr .But im unable to get through it. Few months back we had our fertility check up. I am having bilateral PCOD. My husband went through semen analysis volume 2.9ml, colour- greyish white, PH- alkaline, viscosity- normal, liquefaction time- 10 mins, abstenence period- 2 days, fructose - present, motility- occassionally one, severe oligo asthenio terato spermia. He was given antioxidants for 3 month and adviced repeated analysis , the result was same as above.Then he went through scrotal ultra sound scaning right testis vol - 5.1 cc, left testis vol -3.0 cc. small speck of clacification is seen in right testis. Grade 1 varicocoele is seen on right side and no sine  hydrocele. His FSH- 9.7, TESTOSTERONE 197, LH-6.0.He was adviced to take T.ANASTRAZOLE  - 1 mg for 90 days every night .Doctor said we have a less chace to get normal conception its better to go through IVF process. W e dont understand what the actual problem is , cant his testis size can be increased so that the count be increased. Then preffered to go through chromosomal test after 90 days , it might be inheritance problem. Can u please tell what the complete problem my husband is suffering with so that we can go through other medication soon. He was quite disturbed by all this reports im unable to control him .If IVF is the only way , can we wait for another one year or i hve go through the immediate process , taking my age factor. please suggest us.  THANK YOU

### output:

HI, thanks for using Chat Doctor I am sorry it has been difficult to conceive. Bilateral POD is cause of infertility. It is treated with lifestyle changes to reduce any excess weight (weight loss can improve the chance of conception), metformin and medication that can be used to cause the release of an egg from the ovary. In terms of your husbands results, LIGO Antonio Erato permit means that the semen analysis showed (1) decrease in the number of sperm (2) decrease in the movement of the sperm (3) abnormal appearance of the sperm It is unlikely that the testes would increase in size at his age, this occurs in adolescence. Based on these findings, it may be best to consider the IVF option presented by your doctor. I hope this helps