Help needed please

[1940s]

My partner and I have been trying for over a year for baby two. I've checked temps, use pre seed and use OPK sticks every month.

We are timing sex well, using Smep method so I have no doubts about this.

I've had bloods done with GP and all came back normal. These were the blood tests taken on day two.

Husband paid for £150 at home sperm analysis kit which came back 'overall optimum' however this was based on a very good score for sperm quantity and quite low on motility, so evened itself out to 'optimum'

My question is - what is next for us? We're early thirties, straightforward easy conception for healthy baby 1. Both 'healthy' no issues with weight or anything else.

What is next? Is IVF (privately of course) our only option? I keep looking at private fertility clinics and they tend just to sell IVF.

How can I find out all options available? Has anyone else followed this path?

Things I'm thinking or have heard of -

Bloods on day 21
Full sperm analysis for DH
Scans for me
IUI?

Hi @1940s you could book an initial consultation with an IVF clinic - there are things they can check before advising IVF such as scan for you to check your uterus and follicle count and also an AMH test which gives an idea of egg reserve. I'm not sure how home test kits work for men but they might suggest an analysis with them as they look at the sample immediately. Did your GP do day 21 bloods to check you are ovulating?

Sorry cross post - your GP will be able to arrange day 21 bloods

Thanks so much for the advice. I'm mentally and financially prepared for IVF but if I can physically and financially avoid it then that's best!

GP didn't offer day 21 bloods, only day two. She also sent me for ultrasound to rule out anything ovarian cyst related but that's a good few months out yet (due to be busy understandably)

I will chase GP for day 21 bloods. Thanks for advice