Why weren't we offered clomid??? Been ttc for 4 years

Partners s/a urologist sed he has sperm but it's a very low count not intillied to

IVF

treatment because I have a child of nearly 9 from another relationship and to keep trying naturally all other tests genetic tests came bk normal and scan showed on testicals smaller than other but no blockages didn't even offer him medication!! To possibly bring count up he was born with undesened testicals operation was done when he was three