Looks like it's time to visit the fertility specialist.

Talk of IUI isn’t so bad. Far less intensive than IVF. It’s what I was hoping we’d get away with, but the ex’s count was below 200k and IUI requires (required? It might have changed in six years) a washed count of at least 5 million, IIRC. I hope this is the magic treatment for you if it’s the path you end up on.

Sorry about the nurse, hon. Good luck going forward. I’d say that, being an RE office, IUI and IVF are what they do so if you’ve been through your “due diligence” phase of trying home remedies, then yeah, they’re directing you straight to those things.