I've been on that road and it's bumpy for sure. Did you consider having some of your sperm prozen for use with invitro?
My doc suggested it for me, but I haven't did it yet. Still going with old school, although now I convinced her to take 1 25 mg clomid tab a day for 5 days prior to ovulation. Will let you know if it works.
Good luck, thanks for your candor.