My husband is going to get a second opinion from the best urologist in the Midwest. This guys resume is super impressive and so if we get the same answer then we know that IVF is our only option due to his low count. If the first urologist missed a varicocele then his sperm count could go up but it would take 3-6 months to see a difference. Time is not our friend right now so we have a lot to discuss.
Thanks for all the prayers and good thoughts!