Borderline is a broad description . If he still has viable sperm , IVFICSI is an option in order to have biological children . Borderline normal is no big deal , probably still a good possibility that pregnancy can happen the natural way . My recommendation is to wait three months and get another SA done to see what ' s going on . Maybe he was in a hot tub three months ago and everything will be fine the next go around . The initial diagnosis is a hard pill to swallow , especially when male infertility isn ' t talked about much in our society , and is typically associated with weakness . I ' d recommend therapy for him and for both of you together . My diagnosis ended my marriage , and it was a huge struggle for me even while I talked to my therapist . A year and a half later , I ' ve openly presented it to my friends and family as something I ' m going through . Nothing rash needs to be done now , get a second to confirm or refute the last SA . If he wants to play an active role , there are lifestyle changes he can do to help improve counts . They include certain vitamins , avoiding hot tubs , stopping pot or cigarette use , exercise and weight loss . Also , he may have low Testosterone , and this should be tested . there are medications that can fix that . Reassure him that it ' s not the end of the world , and he needs to talk to someone who is educated to deal with what he ' s going through right now .