<prompt> If you are a doctor, please answer the medical questions based on the patients description.As my wife is scary abt ivf after repeated failure , is there any ways medically withou taking harmone , or taking scan , we can do with medically . My motility is also constraint of 20 , count is reduced form 35 to 15 millions . Can u pl guide me . ALso i want to freeze my blood relatative sample for min 05 IUI .  <response>: HI, Thanks for asking. I have read understood your concern. a Provided your wife is ovulating regular monthly period her tubes are patent which must have been tested before posting her for IVF. and your sperm count shows normal liquefaction time normal intercourse with good erection ejaculation, because 15- 35 millions sperms with 20 grade 4 motility is able to impregnate you can try to have a natural pregnancy for 3 months. Both of you start taking folic acid pills cap. Vitamin E till conceived. Know her ovulation time by LH surge test done at home. Have unprotected sex for 5 days from the ve test. Confirm pregnancy by Home pregnancy test of urine after 8 days delay in periods. B if no success with natural way. Both of you can go for GUI intrauterine insemination . At the ovulation time by LH surge test by USG scan . Using selective healthy sperms of yourself or donor. c IVF is a tedious process. But can give ve results with donor sperms. In case of problem with your wives ovum uterus. Surrogacy is the answer using couples own donors gametes sperm ovum. Wishing you luck. Thanks. 