<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi dr. I m 33 n my husband is 39. 5 years of married. 4 year befor i had an miscarage. Now We r ttc for last 2 year. I have an irregular period currently I check my thyroid n my tsh is 8.75.my husband have low sperm count its 8 ml only what can we do for baby. Can we try natural way or other artifical treatment what is the success rate of ivf in this case. I have also done iui 1 time its unsuccessful  <response>: Hi, How many times semen test was done? If only one time, he can repeat the test once more with 2-3 days sexual abstinence, as one semen analysis is not sufficient to Chat Doctor. If its already done more than once, IVFCSI is the best option for you for conception. IVF will give you decent chance of pregnancy between 30 50 per cycle, depending on your ovarian reserve the centers success rate where you are attempting it. Wish you good health. 