Eiaculazione retrograda fertilità, diagnosi e cure

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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?

eiaculazione retrograda fertilità diagnosi cure

 

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:

 

 

 

Fonte: Mayo Clinic

Foto: Thinkstock

 

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  133. Probably going to mention this site in a write up I am working on later this month, and a stop at focusbuildspathways provided more material for that potential mention, content worth referencing in my own published work rather than just personal reading is content with the highest endorsement level and this site has earned that endorsement.

  135. Beyond the immediate post itself the editorial sensibility behind the site is what struck me, and a stop at ideascreatevelocity continued displaying that sensibility, content that reveals editorial choices through accumulated reading is content with structural quality and this site has clearly developed an underlying approach worth identifying through multiple sessions of reading.

  139. Реабилитация 12 шагов в Москве — это программа лечения зависимости, которая помогает человеку после наркотической, алкогольной или смешанной аддикции перейти от хаотичных попыток бросить к последовательной работе над собой. Программа 12 шагов применяется при наркомании, алкоголизме, лудомании, игромании, созависимости и других формах химической зависимости. Ее цель — помочь человеку признать болезнь, прекратить употреблять психоактивные вещества, получить опору, научиться жить трезво и постепенно вернуть способность управлять своими решениями.
    Детальнее – terapiya-12-shagov

  140. Quietly enthusiastic about this site after the past few hours of reading, and a stop at actionpathway extended that enthusiasm, the calibration of enthusiasm to evidence is something I try to maintain and this site has earned a calibrated quiet enthusiasm rather than the loud excitement that usually fades within a day or two of finding something.

  141. The tone stayed consistent across the whole post which is harder than it looks for longer pieces, and a look at motionguidance continued the same voice, this kind of editorial consistency is a sign of either a single careful writer or a tightly run team and either is impressive today across the broader media environment.

  143. Now adding this to a short list of sites I would defend in a conversation about the modern web, and a look at focussetsdirection reinforced that defence list, the few sites that serve as evidence the web can still produce good things are precious and this one has clearly joined that small list of exemplary sites.

  144. Solid value for anyone willing to read carefully, and a look at unifiedtrusthub extends that value across the rest of the site, this is the kind of place that rewards return visits rather than offering everything in a single splashy post and then leaving readers nothing to come back for later which is unfortunately common.

  146. Found this really helpful, the explanations are simple but they actually answer the questions a normal reader would have, and after I followed foundationlynx I had a clearer sense of the topic, no extra fluff just useful points laid out in a sensible order that made the time worth it.

  147. If I am being honest this is the kind of site I quietly hope my own work will someday resemble, and a stop at directionamplifiesgrowth extended that aspirational feeling, finding work that models what I want to produce is part of why I read carefully and this site has been performing that modelling function for me lately consistently.

  148. If you scroll past this site without looking carefully you will miss something, and a stop at focusamplifiesmotion extended that mild warning, the surface of the site does not advertise its quality loudly which means careful attention is required to recognise what is being offered here which is itself a kind of editorial signal.

  149. A genuinely unexpected highlight of my reading week, and a look at capitalbridge extended that pattern, the surprise of finding excellent content rather than the predictable mediocre is one of the few real pleasures of casual web browsing and this site delivered that surprise cleanly today which I really do appreciate.

  150. Better signal to noise ratio than most places I check on this kind of topic, and a look at directionengine 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.

  151. Found this useful, the points line up well with what I have been thinking about lately, and a stop at actionlogic added some angles I had not considered yet, definitely walking away with more than I came for which is the best outcome from time spent reading online for any kind of topic.

  154. A thoughtful read in a week that has been mostly noisy, and a look at trendvilo carried that thoughtful quality across more pages, finding pockets of considered writing in a week of distractions is one of the small wins of careful curation and this site is providing those pockets at a sustainable rate.

  155. A satisfying piece in the way that good meals are satisfying rather than just filling, and a look at focusunlocksmotion extended that satisfaction, the metaphor between content and meals is one I find useful and this site reads as a satisfying meal rather than the empty calories that most content provides for casual readers.

  157. выездная наркологическая служба оперативно приедет по указанному адресу, имея при себе все необходимое оборудование и медикаменты, в том числе для оказания неотложной помощи.
    Получить дополнительные сведения – вывод из запоя вызов на дом сочи

  159. Запоя вывод в клинике Сочи: лечение алкогольной зависимости, капельница, детоксикация, помощь нарколога на дому, кодирование и реабилитация анонимно
    Получить больше информации – вывод из запоя в сочи

  160. Now feeling that this site is the kind I want to make sure does not disappear, and a look at securebondnetwork reinforced that quiet protective feeling, the rare sites whose disappearance would actually matter to me are the sites I want to support through return visits and recommendations and this one has joined that small protected list.

  161. Solid value packed into a relatively short post, that takes skill, and a look at motionclarity continues the dense useful content across more pages, this site clearly understands that respecting reader time is itself a form of generosity which is something most blog operations seem to have forgotten lately across the wider open web.

  164. Reading this in segments because the day was busy, and the post survived the fragmented attention well, and a stop at measuredtrust held up similarly under interrupted reading, content that can withstand modern distracted reading patterns rather than requiring a perfect block of focused time is increasingly the kind I prefer.

  166. Reading this back to back with a similar piece elsewhere made the quality difference obvious, and a stop at strategyvector only widened the gap, comparing content side by side is a useful exercise and the gap between this site and average competitors in the space is large enough to be noticeable from the first paragraph.

  167. Reading this between meetings turned out to be the most useful thing I did all afternoon, and a stop at globalconnect kept that productivity feeling going, content can sometimes outperform actual work in terms of what gets accomplished mentally and this site managed that today which is genuinely a high bar to clear consistently.

  169. Reading this in the time it took to drink half a cup of coffee, and a stop at bondedcontinuum fit naturally into the second half, content that respects the rhythms of a typical morning is content with practical fit and this site has the kind of length and pacing that works for the way I actually read.

  170. united statesn online casino free spins sign up, united statesn how safe are online gambling sites – Dino – pokies paysafe and new united
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  171. Honestly slowed down to read this carefully which is not my default, and a look at progressmoveswithsignal kept me in that careful reading mode, the kind of writing that demands attention by being worth attention is rare in a media environment full of content engineered to be skimmed not read with any real focus today.

  172. Worth recognising that the post did not pretend to be the final word on the topic, and a stop at forwardmotionstabilized continued that humility, content that admits its own scope and limits is more trustworthy than content that overreaches and this site has clearly developed the editorial maturity to know what it can and cannot claim well.

  179. Нарколог на дом в Балашихе нужен, когда человек после алкоголя, запоя, отравления, абстинентного синдрома или употребления наркотиков не может самостоятельно восстановиться и нуждается в медицинской помощи. Вызов врача на дом позволяет быстро оценить состояние пациента, провести осмотр, подобрать препараты, назначить лекарства, поставить капельницу и определить, возможно ли лечение в домашних условиях или требуется госпитализация в стационаре.
    Получить дополнительные сведения – vyzvat-narkologa-na-dom

  182. Picked this up between two other things I was doing and got drawn in completely, and after unitystrengthbond my original tasks were completely forgotten for a while, content that derails a workflow in a positive way by being more interesting than what you were already doing is rare and worth recognising clearly.

  185. Glad to find a site whose links lead somewhere worth going rather than back to itself for SEO juice, and a stop at unityframework kept that generous outbound feel, citing other peoples work with real respect rather than just for ranking signals is a sign of an honest operation worth supporting going forward.

  187. Came here from a search and stayed for the side links because they were that interesting, and a stop at bondednetwork took me even further into the site, the kind of organic exploration that good content invites is something most sites kill through aggressive interlinking and pushy navigation choices rather than relying on quality.

  189. A small editorial detail caught my attention, the way headings related to body text, and a look at actionsetsdirection maintained that careful relationship, structural details like that show up to readers who notice them and the writers here have clearly thought about every level of the piece rather than just the words.

  190. Now I want to find more sites like this but I suspect they are rare, and a look at anchorcapitalbond extended that thought, the few sites that meet this quality bar are precious specifically because they are rare and finding others like them is one of the ongoing projects of careful internet curation across the years.

  191. A piece that took its time without dragging, and a look at ideasbuildmomentum kept the same patient pace, the difference between unhurried and slow is a fine editorial distinction and this site has clearly found the unhurried side without slipping into the slow side which would have lost me as a reader quickly otherwise.

  192. Reading this on the train into work was a better use of the commute than my usual choices, and a stop at claritydrivesaction extended that commute reading well, content that improves transit time rather than just filling it is content with practical benefit and this site has earned its place in my morning commute reading rotation.

  196. Now recognising the specific pleasure of reading writing that shows real care for sentence shapes, and a look at capitalunity extended that craft pleasure, sentence level writing quality is something most blog content ignores entirely and this site has clearly invested in the prose layer alongside the substance which is rare today.

  197. Now appreciating that I did not feel exhausted after reading, and a stop at eliteharbor extended that energising quality, content that leaves me with more attention than it consumed is rare and the gap between draining and energising content is real over the course of a typical day spent reading widely online.

  198. I learned more from this short post than from longer articles I read earlier today, and a stop at bondedcoregroup added even more useful detail without going off topic, this site clearly knows how to keep things focused without sacrificing depth which is a hard balance to strike for any writer.

  199. Now planning a longer reading session for the archives, and a stop at enduringalliances confirmed the archives are worth that longer commitment, sites with archives I want to read deliberately rather than just sample are rare and this one has clearly earned that level of interest based on the consistency of what I have already read.

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