your semen report suggests some short of infection by presence of pus cells .
Absence of sperms demand a clinical examination by a surgeon .
Please get a check up and get tests done as suggested .
persistence presence of pus cells require to be investigated by semen culture and treatment accordingly .
please discuss with doctor the course of investigations and treatment available .Testicular biopsy
will indicate further line of management .
A PRELIMINARY CLINICAL EXAMINATION IS ESSENTIAL FOR FURTHER ADVICE .
Please get a check up and be guided .
With best wishes