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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Thanks for the simple approach, too many sites bury the actual point under layers of unnecessary words, but here every line earns its place, and a look at cargocomet showed the same care for the reader which is something I will remember the next time I need answers on a topic.
Walked away with a clearer head than I had before reading this, and a quick visit to modelmetro only sharpened that, the writing has a way of cutting through the noise that surrounds most topics online which is something I will definitely remember the next time I am searching for an answer to anything.
Honestly impressed by how much useful content sits in such a small post, and a stop at nexdeck confirmed the rest of the site packs a similar punch, density without confusion is a hard balance to strike and this site has clearly cracked the code on it across many different topic areas covered.
Запой — опасное состояние, которое часто сопровождается тяжелой интоксикацией, рвотой, бессонницей, скачками артериального давления, депрессией. Симптомы абстинентного синдрома при отмене алкоголя похожи на ломку у наркозависимых, но имеют свои особенности. Лечение алкогольного запоя необходимо начинать немедленно, так как длительное употребление разрушает внутренние органы, нервную систему, вызывает психические расстройства. Женский организм страдает от запоя сильнее, но и мужской требует срочного лечения. Если вы заметили у близкого человека такие симптомы, как слабость, спутанность сознания, галлюцинации, судороги, — нужно вызывать врача. Вывод из запоя в таких случаях лучше проводить в стационаре под круглосуточным наблюдением. Лечение на дому возможно только при удовлетворительном самочувствии и отсутствии риска психоза. Наш врач приедет и объективно оценит, какое лечение оптимально. При необходимости предложит госпитализацию в комфортную палату и транспортировку в стационар. Важно не откладывать лечение, потому что каждый день запоя увеличивает риск тяжёлых осложнений и угрозу жизни. Пациенту может потребоваться срочная помощь, и мы готовы оказать её круглосуточно.
Исследовать вопрос подробнее – врач вывод из запоя
Bookmark folder created specifically for this site, and a look at plumbplanet confirmed the dedicated folder was the right call, dedicated folders for individual sites are a level of organisation I rarely deploy and this site has earned that level of dedicated tracking based on the consistency I have seen so far across sessions.
Наркологическая помощь на дому особенно важна при алкогольной интоксикации, длительном запое, сильной слабости, тревоге, рвоте, нарушении сна, высоком давлении, треморе, спутанности поведения и риске осложнений. Врач нарколог приезжает по адресу, проводит диагностику, уточняет длительность употребления алкоголя, наличие хронического алкоголизма, опыт лечения, противопоказаний, заболеваний сердца, печени, нервной системы и других органов. После этого специалист выбирает безопасную схему терапии.
Углубиться в тему – вызов нарколога на дом круглосуточно недорого
Приветствую Близкий человек уже неделю в запое Соседи стучат Таблетки не помогают Короче, единственный кто реально помог — вызов нарколога на дом недорого Через пару часов человек пришёл в себя В общем, вся инфа по ссылке — наркологическая помощь на дому наркологическая помощь на дому Нарколог на дом — это быстро и эффективно Перешлите тем кто в такой же ситуации
Better signal to noise ratio than most places I check on this kind of topic, and a look at rivqiro kept that going, every paragraph here carries something worth reading rather than padding out the page to hit some arbitrary length target that search engines reward but readers ignore as soon as they notice it.
Great work on keeping things readable, the post never drags or repeats itself which I really appreciate, and a stop at urbanvani added a bit more context that fit naturally with what was already said here, no need to read everything twice to get the point being made today.
Felt the writer respected the topic without being precious about it, and a look at clipchoice continued that respectful but unfussy treatment, finding the right register for serious topics is hard and this site has clearly figured out how to take the topic seriously while still being readable for casual visitors regularly.
Better than the average post on this subject by some distance, and a look at purplemarsh reinforced that, you can tell within the first paragraph that the writer here actually cares about the topic rather than just covering it for the sake of having something to publish that week or that day.
A piece that handled a controversial angle without becoming heated, and a look at growthmovement continued that calm engagement, content that can address contested topics without inflaming them is doing rare diplomatic work and this site has clearly developed the editorial maturity to handle sensitive material with the appropriate temperature of writing throughout.
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Great work on keeping things readable, the post never drags or repeats itself which I really appreciate, and a stop at modloop added a bit more context that fit naturally with what was already said here, no need to read everything twice to get the point being made today.
If I had encountered this site five years ago I would have been telling everyone about it, and a look at balticarrow extended that retrospective enthusiasm, the version of me who used to recommend favourite blogs frequently would have made sure friends knew about this one and that earlier enthusiasm is partially returning to me here.
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Reading this confirmed something I had been suspecting about the topic, and a look at lilacneon pushed that confirmation toward greater confidence, content that lines up with independently held intuitions earns a special kind of trust and I will return to writers who consistently land that way for me without overselling positions.
Современная реабилитация 12 шагов может сочетаться с медицинской помощью, если пациент находится в тяжелом состоянии. При интоксикации, запое, похмелье, ломке, тревоге, бессоннице, психозе, депрессии, употреблении наркотиков или алкоголя сначала может потребоваться нарколог, врач, психиатр, стационар, капельница, детоксикация, УБОД по показаниям или медикаментозное лечение. После стабилизации начинается реабилитационный процесс, где главный акцент делается на понимании зависимости, честности, ответственности, группе и новой системе жизни.
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Just enjoyed the experience without needing to think about why, and a look at plantmedal kept that effortless feeling going, sometimes the best content is invisible in the sense that you forget you are reading until you reach the end and realise time has passed without you noticing it pass naturally.
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The whole experience of reading this was pleasant from start to finish, no pop ups and no annoying interruptions, and a look at muscatlarch continued that clean experience, technical choices about page design matter for the reader and this site clearly cares about the small details that add up to comfort across multiple visits.
Decided not to comment because the post said what needed saying, and a stop at lotusnorth continued that complete feel, content that does not invite obvious additions or corrections from readers is content that has been carefully considered and this site appears to consistently produce pieces that satisfy rather than provoke unnecessary follow ups.
Worth pointing out the careful word choice in this post, no buzzwords and no jargon, and a look at mavqino continued that disciplined vocabulary, sites that resist the pull of trendy language are sites that will read well in five years and this one is clearly built for that kind of long durability.
A clear case of writing that does not try to do too much in one post, and a look at padreledge maintained the same scoped discipline, posts that try to cover too much end up covering nothing well and this site has clearly chosen scope discipline as a core editorial principle which shows up clearly in what I read.
Generally I find the content on similar topics frustrating in specific ways and this post avoided all of them, and a look at nexmixo continued that frustration free experience, content that sidesteps the standard failure modes of its genre is content with editorial awareness and this site has clearly studied what fails elsewhere consistently.
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A quiet kind of confidence runs through the writing, and a look at dealluma carried that same understated assurance, confidence without bragging is the most attractive register for online writing and the writers here have clearly developed it through practice rather than affecting it through stylistic tricks that would feel hollow eventually.
Приветствую Брат снова сорвался Родные не знают что делать В больницу тащить страшно Короче, помог только этот врач — наркологическая помощь на дому быстро Приехал через 40 минут В общем, не потеряйте контакты — лечение алкоголизма на дому анонимно https://narkolog-na-dom-moskva-rty.ru Звоните прямо сейчас Перешлите тем кто в такой же ситуации
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Considered against the flood of similar content this one stands apart in important ways, and a stop at holzix extended that distinctive feel, sites that find their own corner of a crowded topic and stay there are sites worth following and this one has clearly carved out its own space and committed to defending it carefully.
Reading this slowly to absorb the structure, and the structure is doing real work alongside the words, and a look at steamsurge maintained the same architectural quality, when sentence shapes and paragraph rhythms reinforce the meaning rather than just transporting words you know you are reading skilled work today.
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Honestly this kind of writing is why I still bother to read independent sites, and a look at rivzavo extended that broader reflection, the few sites that justify continued attention to non algorithmic content are sites like this one and finding them periodically is enough to keep my reading habits oriented toward independent rather than aggregated content.
Appreciate that you did not pad this with fluff to hit a word count, the post says what it needs to say and stops, and a look at clockbrace did the same, brevity here feels intentional not lazy which is a distinction many writers miss completely sometimes when they are working under deadlines.
Recommended to anyone working in or curious about this area, the depth and clarity combine well, and a look at plumbplasma keeps that going across more pages, the kind of site that earns regular visits rather than chasing trends has my respect because it suggests genuine commitment to the topic itself rather than to chasing trends.
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I appreciate the natural flow of ideas in this post because it helps keep the discussion engaging from start to finish.
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Вывод из запоя на дому — это комплексная процедура, которая начинается с первичного осмотра и диагностики состояния пациента. Врач-нарколог оценивает уровень интоксикации, измеряет артериальное давление, проверяет пульс, собирает анамнез. Только после этого принимается решение о схеме лечения. Основной метод — инфузионная терапия (капельница). Капельница содержит солевые растворы, витамины (группы B и C), гепатопротекторы, ноотропы, успокоительные средства, а при необходимости — кардиопротекторы и препараты для нормализации давления. Очищение организма после установки капельницы позволит в короткое время привести пациента в осознанное состояние и существенно облегчит последствия абстинентного синдрома. Медикаментозное лечение алкоголизма включает ускоренный вывод продуктов распада этанола из крови, восстановление самочувствие и устранение симптомов похмелья.
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Closed three other tabs to focus on this one and never opened them again, and a stop at clarityroutehub similarly held attention exclusively, content that crowds out other reading from working memory is content with real density and this site has demonstrated that density across multiple pages I have visited so far this morning.
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Нарколог на дом в Балашихе с быстрым выездом специалиста, осмотром пациента и оказанием медицинской помощи в наркологической клинике «Частный Медик 24».
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Worth saying that the prose reads naturally without straining for style, and a stop at lionpilot maintained the same unforced quality, writing that achieves elegance without effort is the highest tier and this site has clearly worked out how to land that effortless quality consistently rather than only on the writers best days.
Ниже перечислены основные плюсы, которые получает каждый пациент при выборе стационарного лечения алкоголизма в нашей наркологической клинике. Все процедуры проводятся с использованием современного оборудования и сертифицированных лекарств, что абсолютно исключено при попытках лечиться на дому:
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Reading this in the gap between work projects was a small but meaningful break, and a stop at balticbull extended that gentle reset, content that provides genuine refreshment rather than just distraction during work breaks is content with a particular kind of utility and this site fits that role for me reliably during work days.
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Now considering the post as evidence that careful blog writing is still possible, and a look at xomvani extended that evidence, the broader question of whether the modern web can sustain quality writing has obvious empirical answers in sites like this one and seeing them is reassuring even when they remain a minority overall today.
Found the use of subheadings really helpful for scanning back through the post later, and a stop at muscatneedle kept that reader friendly approach going, navigation is something many blog writers ignore but small structural choices make a noticeable difference for someone returning to find a specific point again days or weeks later.
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Speaking from the perspective of a fairly demanding reader the writing here clears the bar consistently, and a look at nexzaro continued clearing that bar, the calibration of demanding reader is something I apply to all sources and this site has been one of the few that handles the demanding reading well across pieces sampled.
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