@Sarah yes to both x
My husband also had issues with his sperm and the nhs/ fertility department did nothing about it apart from saying ivf was our only option. We tried two rounds of ivf. One on the nhs and one privately and they both did not work. We then went to a private urologist/androlgist Dr Ramsey it was a but expensive but it was worth every penny and I cannot recommend him enough. After treatment from Dr Ramsey my all of my husband's seman analysis results went up and his results were very low to begin with they were lower than your husband's. Xx
We went back after treatment to check my husband's results and they were all average
Take proxeed men it’s amazing
Is that on the nhs? Are you in the UK?