<s>[INST] dear mam i got married in 2008 but still yoday we dont have kids we anoxym to concive we gone to hospital their they told to go for IVF but i didnt no why they told like that bcoz technology improved alot without IVF they can treat us but they didnt tell . my husbands sperm count is very low how can we approach and with whom can be approach please guide us and suggest a good doctor please help in this mam plz [/INST] Hi welcome to Chat Doctor. I have gone through your question. As you had done ultrasound color Doppler scan of scrotum of your husband, if not then do this first to rule out varicocele and see vascularity of testes. Then consult urologist for him. Do ovulation profile, thyroid profile, histosalpingography HSG of you to rule out any abnormality. Then I would suggest that if anything found abnormal with you then consult gynecologist and can be treated with medicines. No need to jump on IVF intro fertilization directly. Hope I answered your question. Would be happy to help you further. Take care. </s>