Hello Karen
I too was diagnoses with state IV Endometriosis in December 2006. I have since had 2 laops and have been on the 6 month treatment of Lupron.
My husband ALSO had a 7 million count and a 4% motility rate. - We found that out half way through TTC-
We tried for a baby for 14 months/cycles starting Jan '09-The first 8 months we tried on our own, then we added Clomid to our routine in Aug and then had 3 failed IUIs after that. In Jan '10 we started trying on our own again...with clomid...and got pregnant finally ON OUR OWN in March 09.
Besides Endo...which you can't do much for besides more surgery...The RE told us to have my hubby quit alchol and introduce zinc and multivitamins into his system. We started seeing the RE in Jan and like I said, 3 months after taking his word- we got pregnant.
At the top of this board- we have a page that shows various ladies' vitamins stash that they have their hubbys on. I would recommend starting with the vitamins. Its the easiest start.
Ask your 'potential' RE what he think would be best for you two. Does he preform IUIs and IVF? Does he prescribed clomid to either you or hubby? How long do you have to be on Clomid before possibly moving on to IUI? How often will he check your hubbys sperm count? Does he do folie checks on you (check the count of your eggs)? Of course, ask your insurance about the coverage when it comes to a specialist.
One more thing- I am the host of this board AND the trying to conceive with Endometriosis board- I would love for you to come over there and talk with the ladies. They are also very supportive and helps you get through tough and frustrating 'endo' flares.
Good Luck to you!