Hi thanks for contacting HCM... You have not mentioned sperm count in per ml which usually expressed in that way... Here your count is low according to your history and your semen report showing pus cells.... The pus cell could be from infection of epudydymis or accessary organs like seminal vesicles or prostate ... Antibiotic full course given for it ... If needed investigation for TB also done. Gonorrhea, and chlamydia serological testing done if suspected.... Here also search for diabetis by doing random sugar estimation... Avoid smoking and alcohol.... Healthy diet taken ... I would suggest you to consult psychiatrist or physician for examination and repeat semen analysis . Hope your concern solved