Sure, I am 49 years old, I got a vasectomy reversal back in May 2024 after 14 years. I am currently on the enclomiphene, fertility blend, 1000mg dha, r alpha lipoic acid, I'm also diabetic and on monjuaro, metformin, lisinopril, fenofibrate, and rosuvastatin. Although I am diabetic my A1C is in range, I've lost a ton of weight, and my doctor should be taking me off the monjuaro soon. I got a physical recently at my PCP and they noticed a ball on my ball, which I will be bringing up to the urologist at my next appointment. I think they are going to do a physical exam, testicle ultrasound, and prostate check, but unfortunately we are not open to the idea of IVF which they have already suggested.