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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A piece that respected the reader by not over explaining the obvious, and a look at forwardpathenergized continued that calibrated approach, finding the right level of explanation is one of the harder editorial calls and this site has clearly thought carefully about what readers will already know versus what they need help with consistently.
Glad to have another data point on a question I am still thinking through, and a look at progresswithintentionnow added two more, content that acknowledges its place in a wider conversation rather than pretending to settle the question alone is intellectually honest in a way that I wish was more common across the open web.
Speaking from the perspective of having read widely on the topic this site offers something distinct, and a look at actiondirection reinforced that distinctness, the rare site that contributes something genuinely original to a saturated topic is the rare site worth following carefully and this one has demonstrated that original contribution capability today.
Запой — это опасное состояние, при котором человек не может самостоятельно отказаться от спиртного. Длительное употребление алкоголя приводит к тяжелой интоксикации, нарушению работы внутренних органов, сердечно-сосудистой системы, головного мозга. Если ваш близкий находится в запое несколько дней, у него наблюдаются тошнота, рвота, высокое давление, тремор, бессонница, панические атаки, агрессия или глубокая апатия — необходима экстренная помощь нарколога. Прерывание запоя – экстренная процедура, поэтому бригада выезжает в течение двух минут с момента оформления заявки по телефону. Оперативный вызов нарколога в любое время и день недели, врач выезжает по указанному адресу сразу после оформления заявки; уже через 30–60 минут специалист прибудет в любой район Балашихи или Москвы, чтобы провести осмотр и начать лечение. Следует помнить: любое промедление увеличивает риск алкогольного психоза, инсульта и других серьезных последствий для здоровья. Часто запой сопровождается психическими расстройствами, поэтому важно не упустить момент. Лечение запоя на дому позволяет избежать огласки и транспортировки, а квалифицированный врач приедет с необходимыми медикаментами и оборудованием.
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Reading this confirmed that the topic deserves more careful attention than it usually gets, and a stop at growthmoveswithclarity extended that elevated framing, content that raises the appropriate weight of a subject without being preachy about it is serving a quiet but important editorial function for the broader cultural conversation about it.
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Reading this site over the past week has changed how I evaluate content in this space, and a look at visionexecution extended that recalibration, the standards I bring to reading on the topic have shifted upward as a direct result of regular exposure to this kind of work and that shift will outlast any single reading session.
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Now adding this to a short list of sites I would defend in a conversation about the modern web, and a look at actiondriven 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.
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If I were grading sites on this topic this one would receive high marks, and a stop at directionpath continued earning those high marks, the informal grading I do mentally for content sources is something I take seriously even though it is informal and this site has been receiving consistent high marks across multiple sessions today.
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Reading this in segments because the day was busy, and the post survived the fragmented attention well, and a stop at greenfieldbond 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.
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Now organising my browser bookmarks to give this site easier access, and a look at loungeneon earned the same organisational priority, the small acts of digital housekeeping I do for sites I expect to use often are themselves a measure of trust and this site has triggered the trust based housekeeping behaviour from me clearly.
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