Finally got (a small amount of) good news!
First Semen Analysis last year was pretty poor... volume 4.2mL, concentration 2.9 M/mL, motility 41% (all slow progressive), normal morphology 3%.
Also at the same time got some blood work done. (M30)
Total testosterone 2.3nmol/L. Among other things... Repeated tests have the same results.
Got referred to an endocrinologist. Who says testes were "below average" in volume. But didn't think it was Klinefelters at least. Which was my biggest worry.
Anyway, long story short we are at least now on the waiting list of ICSI/IVF. Fingers crossed by the new the year. But in the meantime Doc has put me on hCG to boost testosterone.
And it works! Testosterone now 27 nmol/L! The biweekly injections aren't very fun but it was a relief that my body is at least responding to something about 1 year on from the first Semen Analysis. But I am just happy that something about me is "normal" for once.
Not booked in another Semen Analysis yet, doc says to give it time for the testes to react. But she's not particularly confident it'll make a huge difference, but it's worth a try in the meantime. At least now my ED problems are gone, and who knows we will continue to try naturally until the time comes. I'd rather not have to put my wife through egg retrieval etc but at least it's good to know that option is there.