Idk where to turn next

Hubby and I have been trying to conceive for about 7 years now... I have been diagnosed with pcos since 16 yrs old so I honestly didn't think anything of it.... hubby (41) and I (30) decided it was time to go see what was wrong we went to my gyno who specializes in infertility.... I got my work up bloodwork and ultrasound ... everything came back normal for me except my progesterone levels... he ordered a semanalyss for my hubby it came back abnormal he has enough swimmers but they don't like to move only like 7% move. My gyno said he should see a urologist we went to the Va since my hubby is a veteran and the urologist looked over his semanalyss and recommended an ultrasound for him to make sure he didn't have something called a verecosele (sp?) Anyway they didnt see one but it says his blood flow in his left testicle is poor... the urologist called and literally said sorry about your bad luck IVF or adoption is your only chance... didnt explain anything ir anything and I feel like they didnt really look into what could be causing the poor blood flow... we can't afford IVF so I'm waiting for the Va to send the urologist notes to my doctor to see if IUI would be an option.... just feel kinda lost right now.