What are the next steps?

TTC for almost 3 years. I know it’s him because his ex he also came in for 3 years and she never got pregnant then they broke up she got pregnant immediately with someone else right after. Also, we did a sperm analysts last year and everything was great. His morphology was off by not even .5. We tried fertilaid for him, gallons of water, bc he hardly use to drink any. I’ve had testing done as well and all is okay with me. We want to get him another sperm analysis (we don’t have insurance for fertility) and what would be the next step from there before any surgical sperm being placed in. After sperm analysts what else can they do for the guy? Can they give me something even though we know it’s him? Getting extremely frustrated every time I go out I see someone else pregnant or another friend is announcing their pregnancy. I feel like i’m running out of time but I am only 22 at the same time. What do doctors do next for guys? Do they get prescription meds? Advice because I think i’m going crazy and overly depressed. He doesn’t see why I almost cry every time another friend becomes pregnant and says I can’t be like that because it’s destroying me. What next?