SA results recieved late Friday night... input requested

Hey Ladies -

I haven't posted much in here b/c I've been trying to avoid focusing on our inability to conceive since 2012. I won't get into all the details but will give a few pertinent ones. We learned I have PCOS about 1.5 years ago. Since then I have let my 'diagnosis' define me and have lost any progress I had made on losing weight. I feel I have become depressed and now need to lose 24 lbs before I can be seen for infertility treatment. According to the physician, my BMI must be 30 or less. My symptoms of PCOS are that I do not ovulate. Not once in the 3 years have I experienced a natural period. It's always been with the help of Provera.

My husband wanted to try a few 'natural' things and try to 'leave it up to God' for a year or so, so I indulged him. Now, he has FINALLY gotten his SA. I don't know about anyone else - but I've found this whole thing to be challenging and we aren't even to the challenging part. Even determining who would refer my husband for a SA was difficult. The clinic that performed and read the SA wouldn't provide the results to my husband - but did send them to his GP. Is GP shared the results but said he wasn't trained in reading them and wants to refer him to a urologist. Of course - this all happened Friday night and now all I can think is... if I don't ovulate, and his SA isn't stellar - we're heading to IVF, right? Then I start to wonder if his SA isn't that great if IVF is even an option. I think it is - but I've read with low motility and overall count that the chances for mutated or defective Semen to be used increase leading to increased risk of birth defects. GAH.

Here are his results - I'll give the name, the ideal result and his result. Please share your personal experiences if you have had success with a urologist helping to increase these counts, if your DH has had a subpar SA and IVF was still an option... really, any information you can share could be helpful!:

Motility:

• Desired: Greater than or equal to 40%
• DH - 24%

Concentration

• Desired: 15%
• DH - 5%

Viability/Vitality:

• Desired: Greater than or Equal to 58%
• DH 26% (since his motility is 24% does this mean that since only 26% are alive, only 2% of the alive sperm aren't motile?)

Oval/Morphology:

• Desired: Greater than or equal to 15
• DH: 0

Thanks! - SG