Thank you for this interesting question. In order to provide an accurate answer, a physician would need to have the full details of your medical history and perform a detailed physical exam, including a genital exam. They would also need to be able to review these lab results in person and know more about the context of the test. Since not enough information is provided in your question to provide an answer, I encourage you to schedule an appointment with a urologist
specializing in male fertility. Only after collecting this information will it be possible to proceed.
Although you mention a low semen count, you likely mean a low sperm count, as semen refers to ejaculate which contains sperm and multiple other substances to facilitate egg fertilization. A low sperm count has many potential causes. Abnormal hormonal signals from the brain can lead to abnormal sperm production. It is also possible there is a primary testicular problem leading to the absence of sperm production or absence of healthy sperm production. Your test indicates no sperm was present. It is possible that the number of sperm present was too low to be detected or that there were simply no sperm present in this particular sample. You will need to discuss this possibility and the clinical significance of it with a urologist.