With a total sperm viability rate of 19%, you can do IVF right away and can opt for 2nd generation IVF. If a man’s total sperm viability is 19%, he can choose 2nd generation IVF. This method of IVF first selects the sperms with better vitality under the microscope, and then injects the sperms directly into the plasma of the egg cell to help fertilize the egg, which is also called the intracytoplasmic monosperm injection technique. Sperm with total sperm motility of 19% should be abstained from sex for up to 5~7 days before IVF, and you need to maintain a healthy lifestyle, don’t smoke and drink alcohol, don’t stay up late, eat more food containing zinc, try to improve sperm motility, so that the chance of IVF success will be greater. You can choose a regular hospital for IVF to improve your chances of getting pregnant. If you have special physical conditions, you should communicate with your doctor in time.