咨詢下我是什么病因

健康咨詢描述： 27歲男 4月做了個精液分析 10月剛做了個沒好轉(zhuǎn) 吃了左歸丸和 維生素E和十一酸睪同  我想問下我是若精子怔 還是無精子證  謝謝
精液分析化驗單
精液量ML:2.00
稀釋比例:1:1
完全液化
酸堿度PH:7.2
     被檢精子數(shù)         精子密度*10  6/ML     精子總數(shù)*10  6        白分率       合計    123                 17.80                   35.59                 100.00
A精子     0                  0.00                  0.00                     0.00            
B精子    5                   0.72                  1.45                      4.07 
C精子    2                    0.29                 0.58                      1.63                                                                   
D精子    116                   16.78              33.57                     94.31
A+B       5                    0.72                 1.45                      4.07
A+B+C     7                     1.01                2.03                  5.69活率                                  
曲線速度13.77     平均移動角度32.99     直線性  52.44     直線速度 6.85    側(cè)擺幅度0.85     擺動性78.65      平均路徑速度 10.08              鞭打頻率9.05          前向性65.29       排精子量2.00ML      酸堿度7.2       精子活率5.69%                 不正常       》60%     精子活動不正常       精子密度17.80 * 10  6/ML  不正常  》20*10 6/ML.
銅  0.6    鋅 2124.2   鐵2.84    鈣12.94   鎂 5.71  鉛 42.0   隔0.90    
簇卵泡激素FSH   3.86   促黃體激素LH  2.37         催乳素PRL 7.08    雄二醇E2 108      孕酮P 0.70    睪酮T 4.95  
10月的
精液分析化驗單
精液量ML:4.00
稀釋比例:1:1
完全液化
酸堿度PH:7.4
     被檢精子數(shù)         精子密度*10  6/ML     精子總數(shù)*10  6        白分率       合計     104                16.93                    67.71             100.00
A精子     0                  0.00                  0.00                     0.00            
B精子    3                   0.49                 1.95                      42.88
C精子    4                    0.65                2.60                      3.85                                                                   
D精子    97                  15.79                 63.16                    93.27
A+B     3                   0.49                1.95                    2.88  A+B+C     7                  1.14                  1.14                   6.73活率                                  
曲線速度34.86     平均移動角度72.60    直線性  34.81    直線速度 10.69   側(cè)擺幅度2.94    擺動性59.23     平均路徑速度 18.78        鞭打頻率5.86       前向性56.96     排精子量4.00ML      酸堿度7.4       精子活率6.73%       不正常       》60%     精子活動不正常       精子密度16.93 * 10  6/ML  不正常  》20*10 6/ML.
簇卵泡激素FSH 2.90  促黃體激素LH  1.56       催乳素PRL 7.12    雄二醇E2 108      孕酮P 0.26    睪酮T 4.08