<s>[INST] hi me    and my wife was try to ivf .because my sperm is less. and my wife eggs  was workin slow.we had one baby was 2008..now we want one more babby .but stiil my sperm is lees and my wife eggs small.pleas help for as what we need ...ivf or medication... [/INST] Hi, I think you should go for IVF because both you and your wife have problems.  But if you want to try 1 or 2 cycles of GUI, you can go for that. Your wife will take some medicines like camphene for the growth of the follicles and track the follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, injection will be given to rupture the follicles.  GUI will be done the next day.  Progesterone will be given for 2 weeks.  Do a urine pregnancy test at home after that.  If it doesn't work, then you can go for IVF. Your wife can take DHEA for increasing the number of follicles.  Discuss with your doctor.  Hope I have answered your question. Regards Chat Doctor.  </s>