Hi, a guy here. We went through a similar experience. Long story short, we went the urologist route. I had varicocele surgery, which was much more painful than the doctor said it would be. More to the point, it had no benefit on getting pregnant. Ultimately, it just delayed things by a year, during which time my wife became less fertile. We were ultimately lucky in having a beautiful boy but she had to go through a lot of IVF cycles. In hindsight, my belief is that we both would have been spared a lot of trauma if we had skipped the urologist and gone directly to IVF.