L’eiaculazione retrograda è una condizione in cui durante l’orgasmo maschile manca la fuoriuscita di sperma o è in quantità minime. Il liquido spermatico è presente, ma invece di risalire lungo il pene, dalla prostata fa un percorso inverso e va a depositarsi nella vescica (diverso da aneiaculazione in cui non vi è questa azione). Non eiaculare non è pericoloso per la salute, ma può avere complicanze sulla sfera sessuale ed emotiva oltre che sulla ferilità. Che fare? Quali cure in questo caso? E come si fa la diagnosi?

Complicazioni
L’eiaculazione retrograda può comportare infertilità maschile ed un disagio sessuale dovuto alla mancanza di eiaculato. Può altresì provocare qualche deficit funzionale e nel piacere laddove la preoccupazione per l’assenza di eiaculato sia particolarmente importante, sia cioè vissuta con forte imbarazzo.
Come si fa la diagnosi?
Altre condizioni di salute possono provocare un orgasmo senza fuoriuscita di liquido spermatico (si parla anche di “orgasmo a secco” o “asciutto”), come anche l’aneiaculazione. Per questo è importante una diagnosi precisa, anche nell’ottica di stabilire una cura efficace, specie se si vogliono avere dei figli. Cosa fare? Il primo step è sicuramente il consulto di uno specialista in andrologia/urologia che possa prescrivere i giusti esami. Sarà utile indicare quando il problema si è posto la prima volta (o se c’è sempre stato), se vi sono altri sintomi correlati, se si soffre di altre patologie, se si assumono farmaci i si sono subiti interventi chirurgici ivi localizzati per tumore o meno. probabilmente sarà necessario anche un esame fisico del pene, dei testicoli, della prostata e del retto.
La raccolta delle urine post -orgasmo servirà poi a stabilire se vi è presenza di sperma. In genere questo test si esegue in un ambulatorio medico dove, è necessaria la masturbazione. Se il risultato sarà positivo si potrà parlare di eiaculazione retrograda, se negativo, ci si indirizzerà verso altro e più precisamente verso una diagnosi di aneiaculazione e dunque un problema con la produzione di sperma. Tale condizione può essere provocata da un danno o anomalia alla prostata o alle ghiandole seminali, dovuto ad un problema fisiologico presente sin dalla nascita, ad un cancro nella zona pelvica o a chirurgia o radioterapia nella stessa area. In tutti i casi sarà necessario stabilire bene le cause determinanti di un orgasmo a secco.
Quali cure?
L’eiaculazione retrograda in genere non richiede alcuna cura specifica a meno che non interferisca con la fertilità e si desiderino dei figli. Il tali casi la cura ovviamente non può prescindere dalla causa scatenante, sottostante al problema. Alcuni farmaci ad esempio sono efficaci in caso di eiaculazione retrograda dovuta ad un danno ai nervi del muscolo della vescica provocati da diabete, sclerosi multipla o alcuni interventi chirurgici: non funzioneranno invece in caso di operazioni che alterano l’anatomia di alcune parti importanti come nel caso della chirurgia del collo vescicale e la resezione transuretrale della prostata.
Se a stimolare l’eiaculazione retrograda sono invece alcuni farmaci che si stanno assumendo (ad esempio quelli per i disturbi dell’umore, gli alfa-bloccanti – che servono per la pressiona alta o altri per la prostata ingrossata) a seconda dei casi potrà essere avviata una modifica terapeutica per questa condizione, con altri medicinali, aggiustamenti nei dosaggi o sospensione laddove possibile. E’ sempre opportuno evitare il fai da te: sospendere di proprio arbitrio un medicinale per l’ipertensione ad esempio, può essere molto pericoloso.
Va detto inoltre che non esistono farmaci specifici per il trattamento dell’eiaculazione retrograda: si utilizzano medicinali che hanno altre indicazioni principali, come i seguenti:
- Imipramina (Tofranil)
- Clorfeniramina e brompheniramine
- L’efedrina, pseudoefedrina e fenilefrina
Questi medicinali sostanzialmente aiutano a mantenere il muscolo del collo vescicale chiuso durante l’eiaculazione (quando è aperto favorisce il reflusso del liquido spermatico all’interno della vescica, dando luogo alla condizione). Chiaramente, pur essendo efficaci allo scopo hanno effetti collaterali, alcuni lievi altri pericolosi, da soli o in combinazione con altri prncipi attivi, come i seguenti:
- Effetti negativi con interazione di altri farmaci
- Aumentano la pressione sanguigna e la frequenza cardiaca (il che non è positivo per chi soffre di ipertensione o malattie cardiovascolari di altro genere)
Per il resto, in caso di profondo disagio nell’atto sessuale a causa dell’orgasmo asciutto può essere utile un trattamento psicoterapico che aiuti ad accettare e a superare il problema.
Infertilità
Un discorso a se stante va fatto in caso di infertilità: se si vuole un figlio e le terapie sopra elencate non producono risultati ottimali in tal senso può essere necessario ricorrere a tecniche di fecondazione assistita.
Il più delle volte gli spermatozoi necessari allo scopo possono essere raccolti nella vescica, mentre in pochi altri casi possono essere necessarie metodiche leggermente più complesse, ma poiché il problema non è nella qualità dello sperma e dunque degli spermatozoi, in genere la fecondazione assitita ha esito positivo molto facilmente.
Leggi anche:
-
Mancata eiaculazione nonostante orgasmo, quali cause ? L’andrologo risponde
-
Eiaculazione precoce rimedi, cure, consigli
-
Aneiaculazione, cause e rimedi
Fonte: Mayo Clinic
Foto: Thinkstock
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Strong recommendation, anyone interested in this topic owes themselves a visit, and a stop at professionalalliancebond extends that recommendation across more of the site, this is the kind of resource that makes me more optimistic about the state of the open web than I usually am these days actually for once which is genuinely refreshing.
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Вывод из запоя на дому в Казани удобен, когда близкий человек не готов ехать в клинику, плохо переносит дорогу или находится в состоянии сильной слабости. Врач приезжает на дому, сохраняет анонимность, спокойно объясняет процесс и начинает лечение только после осмотра и согласия пациента. Вызов врача на дому особенно важен, если муж, отец, брат, мама или другой близкий уже не может перестать пить и нуждается в срочной помощи.
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Started reading expecting to disagree and ended mostly nodding along, and a look at progressdriver continued the pattern, content that wins agreement through evidence and reasoning rather than rhetorical force is the kind that actually shifts minds and this site clearly knows how to do that across what I have read so far.
Worth saying this site reads better than most paid newsletters I have tried, and a stop at clarityactivator confirmed that comparison, the bar for free content is often lower than for paid but this site clears the paid bar consistently and that says something about the editorial approach behind the work being published here regularly.
Reading this on a phone at a coffee shop and finding it perfectly suited to that context, and a stop at qarnexo continued the comfortable mobile experience, content that works across reading conditions without compromising on substance is increasingly important and this site has clearly thought about the whole reader experience here.
A piece that brought a sense of order to a topic I had been finding chaotic, and a look at nexmuzo continued that organising effect, content that imposes useful structure on messy subjects is doing genuine intellectual work and this site is providing that organisational function across multiple posts I have read recently here.
В Москве помощь при запое может проводиться на дому, в клинике, в наркологическом центре или в стационаре. Домашний формат подходит, если пациент находится в сознании, контактирует с врачом и нет признаков тяжелого психоза, судорог, опасного поведения или выраженного нарушения дыхания. Если состояние тяжелое, нарколог может рекомендовать стационарное лечение, потому что в клинике доступно круглосуточно организованное наблюдение, диагностика, ЭКГ, анализ крови, коррекция терапии и контроль осложнений.
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Reading this in a quiet hour and finding it suited the quiet, and a stop at bowbotany extended the quiet reading mood, content that matches its own optimal reading conditions rather than fighting them is content that has been thoughtfully calibrated and this site reads as having a particular reading mood in mind throughout.
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High quality writing, no marketing speak and no buzzwords that mean nothing, and a stop at bauxcircle kept that going, simple direct content that actually communicates something is harder to find than it should be and this is one of the rare places that gets it right consistently across many different posts.
Вывод из запоя на дому в Сочи подходит пациентам, у которых нет признаков острого психоза, тяжелого отравления, судорог, потери сознания и других состояний, требующих немедленной госпитализации. Врач нарколог приезжает по адресу, проводит обследование, уточняет, сколько дней длится запой, какие препараты человек принимал, есть ли хронические болезни, аллергии, ограничения по здоровью и документы, подтверждающие прошлое лечение.
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Now appreciating that the post did not try to imitate any other style I might recognise, and a stop at nuartplate continued that distinct voice, content with its own register rather than borrowed from elsewhere is content with real authorial presence and this site has clearly developed that presence through what feels like patient editorial work.
Left me wanting to read more rather than feeling burned out, that is a good sign, and a look at myrrhlens confirmed there is plenty more here to explore, the kind of writing that builds appetite rather than killing it which is a rare quality on the modern open internet today across most categories of content.