Your sperm count
is definitely very poor, and I suggest you get an ultrasound
scrotum to see if you have an entity called varicocoele apart from any testicular conditions.
Also I suggest you have a few baseline blood tests done. These include Serum FSH, LH, Prolactin and Testosterone
(total) at 8am in the morning. This will help guide us in your treatment. Semen analysis
also should ideally be repeated, preferably after one month after a period of abstinence of 3-4 days.
Hope I have been able to help you.