Hello, Welcome to HCM, I am Dr. Das
Look, you have near about no sperm in your semen.
Now, this situation may arise from many conditions like abnormality in gene, abnormality in hormonal
balance, any defect in sperm maturity, and many more.
What you have to do is to take a broad spectrum antibiotic to control infection first.
Secondly, the hormonal profiles shoud be examined.
Thirdly, a testicular biopsy
suggested to rule out any production defect.
Lastly, consult with an infertility
specialist for further management.