<s>[INST] Hello, My husband and I have been trying to get pregnant for two years, but without success. Two months ago I had hysteroscopy and laparascopy which ended successfully. But the other problem is that my husband is diagnosed with olygoasthenoteratozoospermia. My question is whether to try few more months to get pregnant spontaneously or we should not waste time with this diagnose and start immediately with insemination or even ICSI? Thank you, Katerina [/INST] HelloWelcome here. I can understand your concerns. Oligoasthenozoospermia means sperm count, morphology and motility, all are low. As you have tried for natural conception since last two years, I would suggest you to go for CSI or GUI. The problem in your husbands' semen analysis won't allow for a natural conception. Consult an infertility specialist nearest to you for further management. Hope this helps. Thanks. </s>