<s>[INST] My husban is 36 he is 5"4 and stopped smokin 3 yeasrs ago when I had a tubal reversal and been trying to concieve we got checked out and I am ok but he had a cyst that had to be taking out he has 0percent rapid progression and we still r in high hope for our child no matter what the tests shows or where the numbers are [/INST] Hi, Thanks for asking.  I understand your concern.  If you & your husband are normal after treatment, you should give a fair trial for normal conception(take It E & folic acid . Both of you/ know your ovulation time by using LH surge test & have unprotected sex around the estimated ovulation day.  - If you do not conceive in 3-6 months, / if the counts are low-go for GUI/ test tube baby.  - In case the sperm count is non-promising. You can take advantage of sperm donation & GUI/ test tube baby.  Wish you all the best.  Thanks. </s>