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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  110. Honestly this hits the sweet spot between detail and brevity, no rambling and no shortcuts, and a quick visit to linenwild kept that going across the related pages, the kind of place that respects your attention without trying to grab it through cheap tactics or attention seeking design choices that get tired fast.

  111. Glad the writer kept this short rather than padding it out, the points stand on their own without needing extra context, and a look at bloomcraftmarket kept the same approach going, brevity is a sign of confidence in the substance and the team here clearly trusts their content to land without filler.

  112. Really nice to see things explained without overcomplicating the topic, the words flow naturally and stay easy to follow, and a short visit to ironhollowboutique only added to that experience because the same simple approach is used across the rest of the page too without any change in tone.

  113. Thanks for the clean writing, no broken sentences and no awkward translations like some other sites have, and a quick stop at coretrustlink kept that polish going nicely, it really does make a difference when a reader can move through a page without tripping on every line or going back to reread.

  114. Glad I clicked through from where I did because this turned out to be worth the time spent, and after principlebond I had a fuller picture, the kind of content that earns its visitors through delivering value rather than chasing them through aggressive advertising or constant pop ups appearing everywhere on the screen lately.

  115. Thanks for the practical examples scattered through the post rather than abstract theory only, and a look at legacyalloy continued that grounded style, abstract points are easier to remember when paired with concrete situations and the writers here clearly understand how readers actually retain information from blog content reading sessions.

  116. Top notch writing, every paragraph carries weight and nothing feels like filler, and a stop at progressmoveswithclarity reflected that same care, a rare thing on the open web these days where most pages exist for clicks rather than actual reader value or anything close to that which is honestly a real shame.

  117. Most blog writing on this subject reaches for the same handful of arguments and this post avoided them, and a look at ironwavecollective continued the original treatment, content that finds its own path through territory other writers have flattened is content with real authorial energy and this site has plenty of that distinctive energy.

  118. Glad to have another reliable bookmark for this topic, and a look at keystonevector suggested several more pages I will be marking too, building a personal library of trustworthy resources is one of the actual rewards of careful browsing and this site is earning a place on my permanent shortlist for the topic.

  119. Now thinking about how to apply some of this to a project I have been planning, and a look at eveningtideboutique added more material for the planning, content that connects to my actual creative work rather than just being interesting in the abstract is the kind that earns priority placement in my reading rotation consistently going forward.

  120. A clear cut above the usual noise on the subject, and a look at surepathbond only made that gap wider in my view, the kind of place that earns its visitors through quality rather than through aggressive marketing or sponsored placements which is increasingly the only way most sites stay afloat across the modern web.

  121. A small thank you note from me to the team behind this work, the post earned it, and a stop at unitybondnetwork suggested more thanks would be in order over time, recognising the people who do good writing online is something I try to remember to do because the alternative is silence and silence rewards mediocrity unfortunately.

  124. Did not expect much when I clicked through but ended up reading the whole thing carefully, and a stop at ideasflowintoaction kept that engagement going, sometimes the unassuming sites turn out to deliver more than the flashy ones which is something I have learned to look out for over time online lately and across topics.

  125. Comfortable read, finished it without realising how much time had passed, and a look at signalbuildsdirection pulled me into more pages the same way, the absence of friction in good content lets time disappear and that is one of the highest compliments I can pay any piece of writing I find online during a regular search session.

  126. Now realising this site has been quietly doing good work for longer than I knew, and a look at enduringlink suggested an archive worth exploring, sites with deep archives of consistent quality represent a different kind of resource than sites with viral hits and this one looks like the durable kind based on what I see.

  127. Now planning to recommend this site in a context where my recommendations are taken seriously, and a stop at directionbuildsflow confirmed I should make that recommendation soon, the small but real act of recommending content into spaces where my taste matters is something I take seriously and this site is worth the recommendation.

  128. Кодирование от алкоголизма на дому в стационаре Балашихи. Наши специалисты приедут к вам домой и проведут процедуру кодирования.
    Получить дополнительную информацию – вывод из запоя вызов на дом

  129. Recommend this to anyone who values clear thinking over flashy presentation, and a stop at dependablebond continued in the same understated way, this site has its priorities in the right place which makes it worth supporting through repeat visits and recommendations rather than just one passing read today before moving on quickly elsewhere.

  130. More substantial than most of what I find searching for this topic online, and a stop at bondedvisiongroup kept that quality consistent, this is one of those sites where the writing actually rewards careful reading rather than punishing the patient reader with empty filler stretched out across long paragraphs that say very little.

  131. Thank you for not assuming the reader already knows everything, the explanations meet me where I am, and a look at urbanwave did the same, that consideration is what makes a site feel welcoming rather than gatekeepy which is sadly the default mood across the modern web today for most subjects covered.

  132. A thoughtful read in a week that has been mostly noisy, and a look at covecanal 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.

  133. Glad the writer did not feel the need to argue with imaginary critics in the post itself, and a stop at northernpetalstore kept the same focused approach going, defensive writing wastes the reader time and confidence on positions that did not need defending and this post has clearly avoided that common failure.

  134. Will share this on a forum I am part of where it will be appreciated by others working in the same area, and a look at inkedmeadow suggests there is more here worth passing along too, definitely a generous resource that deserves a wider audience than it probably has today across the open internet.

  139. Once you start reading carefully here it is hard to go back to lower quality alternatives, and a stop at crossroadbond reinforced that ratchet effect, the way good content raises standards is real over time and this site has clearly contributed to raising my expectations for what is possible in writing on the topic generally.

  140. Closed the laptop and walked away thinking about the post for a good twenty minutes, and a stop at midnightquarry produced similar lingering thoughts, content that survives the closing of the browser tab is content that has actually entered the mind rather than just decorating the screen for the duration of the reading.

  141. If I were grading sites on this topic this one would receive high marks, and a stop at wildgrainemporium 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.

  142. Just want to record that this site is entering my regular reading list, and a look at covenantbond confirmed it deserves the spot, my regular reading list is short and well curated and adding to it requires meeting a fairly high quality bar that this site has clearly cleared without much effort apparently.

  143. Will be back, that is the simplest way to say it, and a quick visit to wildirisgoods reinforced the decision, this site has earned a spot in my regular rotation alongside a few other reliable places I check when I want something genuinely informative without all the usual modern web noise getting in the way.

  144. Decided not to comment because the post said what needed saying, and a stop at bluepeaklane 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.

  146. Reading this with a fresh mind in the morning brought out details I might have missed in the afternoon, and a stop at growthforward earned the same fresh attention, content that rewards being read at full attention rather than at energy lows is content with real density and this site has that density consistently.

  148. Closed and reopened the tab three times before finally finishing, and a stop at moonfallmarket held my attention straight through, sometimes content fights for time against my own distraction and the times it wins say something positive about its quality and this post clearly won that fight today afternoon for me.

  150. Слушайте, кто сейчас в теме? Задолбался я уже искать нормальную контору для ставок, Денег слил на всяком говне и нечестных букмекерах до тех пор, не наткнулся на сервис, который работает стабильно и честно, начиная от удобного интерфейса и заканчивая официальной лицензией. Техподдержка в лайв-чате отвечает сразу по делу,

    Кому тоже актуально найти проверенное место для игры, жмите на источник, чтобы случайно не потерять контакты букмекерские конторы бишкек букмекерские конторы бишкек Лучше обходить стороной забаненные платформы и выбирать надежные зоны. обязательно перешлите этот пост тому, кто тоже сейчас ищет нормальную контору!

  151. Appreciate the thoughtful approach, the writer clearly took time to make this readable for someone who is not already an expert, and a look at horizonstone kept that going nicely, easy on the eyes and easy on the brain which is always a winning combination when reading on a busy day.

  153. Solid value packed into a relatively short post, that takes skill, and a look at silkroadfinds 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.

  154. Reading this prompted me to clean up some old notes related to the topic, and a stop at legacyvector extended that organising urge, content that triggers personal organisation rather than just consuming attention is content with motivating energy and this site has the kind of clarity that prompts active follow up rather than passive consumption.

  155. Anyone curious about this topic would do well to start here, the foundation laid is solid, and a stop at summittrustline would round out their understanding nicely, this is the kind of resource I would point a friend toward without hesitation if they asked me where to begin learning about anything in this area.

  157. В Новороссийске наркологическая служба работает круглосуточно: вы можете вызвать специалиста на дом в любое время суток, ночью, в праздники и без выходных. Наркологическая служба работает по принципу круглосуточного дежурства, что позволяет оказать быструю помощь в экстренных случаях. При обращении по телефону оператор уточняет адрес, состояние больного, длительность приема алкоголя или наркотиков, наличие хронических заболеваний, противопоказания, жалобы, симптомы и необходимость срочного выезда.
    Подробнее – врач нарколог на дом новороссийск

  159. My reading list is short and selective and this site is now on it, and a stop at dependablecapital confirmed the placement, the short list of sites I read deliberately rather than encounter accidentally is something I curate carefully and adding to it is a real act of trust which this site has earned today.

  161. Reading this prompted a small note in my reference file, and a stop at actionfuelsmomentum prompted another, the rare site that contributes useful nuggets to my own working knowledge rather than just consuming my attention is worth the time investment many times over compared to the usual pile of forgettable scroll content.

  162. Bookmark earned and shared the link with one specific person who would care, and a look at forwardtractionbuilt got the same targeted share, sharing carefully rather than broadcasting is a discipline I try to maintain and this site is generating shares from me at a sustainable rate rather than the spam rate of viral content.

  163. Over the course of reading several posts here a pattern of quality has emerged, and a stop at veritascapital confirmed the pattern, the difference between sites that hit quality occasionally and sites that hit it consistently is huge and this site has clearly demonstrated the consistent kind through what I have read this morning.

  164. Skipped the social share buttons but might come back to actually use one later, and a stop at bondedwaypoint extended that share urge, content that triggers genuine sharing impulses rather than performative ones is content that has actually moved me and not many posts in a typical week do that for me actually.

  165. Nice to see a post that does not try to overcomplicate the basics for the sake of looking smart, and once I looked at bondedpartners the same direct tone was there too, which honestly makes a difference when you are short on time and want answers without long pointless intros.

  166. Worth observing that the post landed without needing a flashy headline to hook attention, and a stop at actiondrivesvelocity did the same, content that earns engagement through substance rather than packaging is the kind I trust more deeply and this site has clearly chosen substance as the primary lever for reader engagement throughout.

  167. Most of my reading time goes to a small number of trusted sources and this one is now joining that group, and a stop at craterbase reinforced the group membership, the few sites that earn a place in my regular rotation are sites I expect ongoing returns from and this one has earned that elevated position consistently.

  168. Worth a slow read rather than the fast scan I usually default to, and a look at signalcreatesprogress earned the same slower pace from me, content that resets my reading speed downward is content with substance worth absorbing and this site has produced that effect on me multiple times now over the last week here.

  170. Worth recognising that the post did not pretend to be the final word on the topic, and a stop at driftpineemporium 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.

  173. Recommended without hesitation if you care about careful coverage of this topic, and a stop at trustwaypoint reinforced the recommendation, the bar I set for unhesitating recommendations is fairly high and this site has cleared it through the cumulative weight of multiple consistently good pieces rather than through any single standout post which is meaningful.

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  182. Came in skeptical and left mostly convinced, that is the highest praise I can offer, and a look at oakstonebond pushed me further in the same direction, content that survives a critical first read is rare and worth recognising because most blog posts crumble under any real scrutiny these days when you actually pay attention closely.

  183. During a quiet evening reading session this provided just the right depth without being heavy, and a stop at mossandmaple maintained the same evening appropriate weight, content with depth that does not exhaust the reader is content with editorial calibration and this site has clearly figured out how to be substantial without being demanding all the time.

  184. Now thinking about how this post will age over the coming years, and a stop at copperpetalshop suggested the same durability, content built to age well rather than to capture the attention of the moment is content with a different kind of value and this site has clearly chosen the long horizon over the short one.

  185. Appreciate the practical examples, they made the abstract points easier to grasp, and a stop at steadfastalliance added more of the same, this site clearly understands that real examples beat empty theory every single time which is the mark of a writer who knows their audience well and respects their time.

  186. Strong recommendation, anyone interested in this topic owes themselves a visit, and a stop at durablecapital 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.

  188. С пациентом работают профильные специалисты, которые оценивают состояние и подбирают безопасный план помощи.
    Получить дополнительную информацию – https://narkolog-na-dom-v-novorossijske2.ru

  191. Generally I do not leave comments but this post merits a small note, and a stop at everbloomemporium extended that comment worthy quality, the urge to actively contribute to a sites community rather than passively consume from it is something specific content provokes and this site has provoked that engagement urge from me today.

  192. Came across this and immediately thought of a friend who would enjoy it, and a stop at thistleandstone also reminded me of someone, content that triggers the urge to share is content that has earned my recommendation and this site has earned multiple from me already across different conversations during the week.

  193. Worth recommending broadly to anyone who reads on the topic, and a look at petalandember only confirms that, the rare combination of accessibility and depth in this site makes it suitable for both newcomers and people who already know the area which is hard to pull off in any blog format today and rarely managed.

  194. Easy to recommend, the content speaks for itself without needing additional praise from me, and a stop at durablelink only adds more reasons to send people this way, the kind of generous resource that benefits its readers without demanding anything in return is increasingly rare and worth recognising clearly today across the broader open internet.

  197. Arkadaşlar merhaba Bazıları güvenli değil Hepsi zaman kaybıydı Çok güvenli ve hızlı çalışıyor — 1xbet yükle tek tıkla Bonuslar ve promolar her gün var Neyse, kaydedin kenarda dursun — 1xbet download android 1xbet download android Sakın sahte apk dosyalarına kanma Bahis yapan herkese gönder

  198. Picked this up while looking for something else and ended up reading every paragraph because it was actually informative, and after wildharborcollective I was sure I would come back, that does not happen often when most sites bury the useful parts under endless ads and pop ups today and across most categories online.

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