DH and I are pretty confused over what to do and any help, advice or experiences you can share would be appreciated...

We've been ttc since April 2008 and recently got a referral to a gyno/fs. He's done some preliminary testing and the results have shown that I don't seem to have any issues (have had endo in the past, but things look good atm and aren't likely to interfere with my ability to conceive). However, DH semen analysis came back pretty poor. His count was 8mmol and TMU 21. The dr didn't tell us any other info, but said that means we're unlikely to conceive naturally.

He said if DH's results were higher he'd suggest trying 4 cycles of IUI first but the poor results mean that's unlikely to work, so he recommends going straight to IVF. He said we should start right away as the changes to Medicare next year mean that it's probably going to cost around $7000 extra per cycle (out of pocket expenses), while currently it's around $2500. That would make it around $10 000 per cycle!

He didn't seem to think there was much point in repeating the semen analysis as he didn't think there'd be much change. He said DH could try Menevit for 3 months and see if that helped, but said then we'd be cutting it fine to start IVF before it gets very expensive.

Is it likely we can improve DH's sperm naturally, and if so how? Or are we flogging a dead horse? Do we start IVF straight away? If we wait and see, we may only be able to afford one or two cycles but if we go now, we could get 2 or 3 cycles in this year while it's cheaper... See our dilemma?!