We have to decide what we want to do, but I think we will do as he suggests. We need to see if our local clinic will do the sperm dna test and arrange it there or at the new clinic. He told us to have a chat over our 7-14 units (!) and email him when we've decided. I will ask if we can get the thyroid test done with our GP as it might be free that way, he might need to write to them, I'll see.
Theoretically we could start this cycle, DH could get the sperm test in the next few weeks, I could start on the ivf drugs and then have the biopsy at the same time as the scratch. Or next cycle might be less of a rush! But I imagined next month as the earliest so that would be fine! He said I could have the nasal spray down regulation drugs instead of the injectable Buserelin which is good news, and would do only one injection for the stims drug, that would be very welcome! And he said the intralipids are probably unnecessary for me, steroids would be fine. Phew! He also recommended IMSI where they select the sperm under a more powerful microscope to ensure they are the best ones. Apparently if you have a high sperm count they can contain a lot of oxygen which can damage the eggs when left overnight to fertilize!