Advice on increasing fertility if possible

[gabythemechanic]

Original post in conception...

Hi, long time lurker here who finally needs to ask a direct question. I actually joined years ago but have no idea what my login details are!

My question is about conception and what things mean or things that will help us both. We have been ttc for nearly 2yrs and currently with the hospital for tests and the like. Our first baby was conceived super easy (by mistake) and so when we decided to try again we naively thought it would be fine. Turns out we have secondary infertility they've said. I received a letter from the hospital to my gp and I don't understand what he's saying. I also don't know what it means for our ability to conceive. If it's something fixable I'll stick with it but if it's saying we won't have another child I'd rather know now because it's breaking my heart 

At my appointment last week he said that I have pelvic inflammatory disease and my husband has only 2% sperm that aren't malformed. So my questions are:

1: is any of this fixable?
2: how were we able to conceive three years ago but not now?
3: how can we fix my husbands swimmers?
4: will the surgery definitely help us conceive? I read somewhere it can actually cause more damage.
5: the dr mentioned that because I've never had chlamydia it might have been from when I gave birth and that's why I've not known.

Honestly, haven't got a scooby doo.
Pelvic inflammatory disease can be treated in the early stages with anti biotics. However it can cause scarring and inflammation to your cervix and fallopian tubes. They would have to do a laparoscopy to have a look at everything and then maybe a hycosy test to test your tubes.

As for your husband's sperm, I'm not 100% sure but I have heard similar cases where people conceive through ICSI.

If you do have scarred tubes etc and your husband's sperm is low then IVF with ICSI would be your best shot.

@cherryontopp they're doing a laparoscopy and adhesiolysis which I looked up and that's cutting away scar tissue. He thinks it'll have started two years ago when my son was born so I'm not sure how early that is. I have another appointment on Monday to do my pre-op tests but I don't know how long it will be after that as to when they actually do the surgery.

We can't afford ivf. I sort of hoped that there would be natural ways to improve morphology but if ivf is our only option I think I might ring up and cancel the appointments as I don't want surgery anyway and for it to be a waste of money that's even more reason to cancel.

Thank you x