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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  115. Reading this in pieces during a long afternoon and finding it consistently rewarding, and a stop at pactline fit naturally into the same fragmented reading pattern, sites whose posts can be read in segments without losing the thread are well suited to how I actually read these days and this one is built well.

  116. Recommended without hesitation if you care about careful coverage of this topic, and a stop at goldbranchoutlet 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.

  117. Reading this slowly to give it the attention it deserved, and a stop at resilientbond earned the same slow read, choosing to read slowly is a small act of respect for content quality and very few sites earn that respect from me but this one did so without any explicit ask which is the cleanest way.

  118. Going to come back when I have more time to read carefully, the post deserves more than a quick scan, and a stop at bondcentra reinforced that, this is the kind of site that rewards a slower read which is hard to find in this fast paced corner of the internet but really worthwhile.

  120. Reading this confirmed a small detail I had been uncertain about, and a stop at ashenwillowstore provided the source for further checking, content that supports verification through citations or links rather than just asserting facts is more trustworthy and this site has clearly built its credibility through that kind of verifiable approach consistently.

  123. Now thinking about how to apply some of this to a project I have been planning, and a look at centralbonding 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.

  125. Нарколог на дом — это удобный и безопасный способ получить профессиональную медицинскую помощь без поездки в клинику, если человек находится в состоянии запоя, алкогольной интоксикации, наркотической ломки, сильного похмелья, тревоги, бессонницы или резкого ухудшения самочувствия. Выездной врач проводит осмотр пациента, оценивает состояние организма, подбирает препараты, ставит капельницу, выполняет необходимые лечебные действия и дает рекомендации по дальнейшему лечению. Такая наркологическая помощь особенно важна, когда ситуация требует быстрого реагирования, а ехать самостоятельно в центр, диспансер или стационар невозможно.
    Ознакомиться с деталями – вызвать нарколога на дом

  126. Reading this confirmed that the topic deserves more careful attention than it usually gets, and a stop at mainlinebond 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.

  127. Now wishing more sites covered topics with this level of care, and a look at verifiablebond extended that wish across more subjects, the rarity of careful coverage on most topics is a problem and this site is one of the small antidotes to that broader pattern of casual or surface treatment of complex subjects.

  129. Reading the writers other posts after this one suggests the quality is consistent rather than peak, and a stop at signaltoaction confirmed the consistent quality reading, sites that hold the same level across many pieces rather than peaking on a few are sites with sustainable editorial discipline and this one has clearly developed that.

  130. Now thinking about whether the writer might publish a longer form work I would buy, and a look at bondlegacy suggested the same depth would translate, content that makes me want to pay for related work in other formats is content that has earned commercial trust as well as attention trust and this site has both clearly.

  132. Now sitting with the thoughts the post triggered rather than rushing on to the next thing, and a stop at northquillmarket extended that reflective pause, content that earns time for thought after closing the tab is content of higher value than the merely interesting and this site has clearly produced that lasting effect today.

  134. Reading this in segments because the day was busy, and the post survived the fragmented attention well, and a stop at anchoralliance 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.

  135. Following the post through to the end without my attention drifting once, and a look at goldenloammarket earned the same uninterrupted attention, content that holds attention without manipulating it is content with substantive pull and this site has demonstrated that substantive pull across multiple pieces in a single reading session reliably here today.

  136. Found a small mental shift after reading this, the framing here is just a bit different from the standard takes online, and a look at moonpetalcollective extended that fresh perspective across more material, the rare site whose voice actually changes how you think about something rather than just confirming existing beliefs.

  137. If you asked me to point to a recent positive sign for the open web this site would be near the top, and a stop at goldmarkbond reinforced that designation, the few sites that serve as evidence the web can still produce quality independent content are precious and this one has clearly become one for me.

  139. Стационарное лечение запоя в Балашихе — эффективное решение для длительного запоя. Мы предлагаем индивидуальный подход и комплексную терапию для каждого пациента.
    Ознакомиться с деталями – https://https://vyvod-iz-zapoya-v-stacionare-balashiha13.ru//

  141. Now wishing more sites covered topics with this level of care, and a look at reliantbond extended that wish across more subjects, the rarity of careful coverage on most topics is a problem and this site is one of the small antidotes to that broader pattern of casual or surface treatment of complex subjects.

  143. Took longer than expected to finish because I kept stopping to think, and a stop at securebuyingstore did the same to me, content that provokes thought rather than just delivering information is in a different category and the team here is clearly working at that higher level rather than just cranking out posts.

  144. Without comparing too aggressively to other sources this one stands out for the right reasons, and a look at pinnaclebond continued that distinctive quality, content that distinguishes itself through substance rather than style tricks is content with lasting differentiation and this site has clearly chosen substance based differentiation as its core editorial strategy.

  145. Honestly slowed down to read this carefully which is not my default, and a look at wildferncollective 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.

  146. A small thank you note from me to the team behind this work, the post earned it, and a stop at morningharvest 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.

  147. Felt energised after reading rather than drained, which is unusual for online content these days, and a look at trustedshoppingzone continued that good feeling, content that leaves you better than it found you is rare and worth bookmarking when you stumble across it for the first time today or any other day really.

  148. Worth saying that this is one of the better things I have read on the topic in months, and a stop at northfieldcraft reinforced that ranking, the topic is well covered by many sources but few do it with this level of care and the few that do deserve to be flagged so other readers can find them.

  150. Симптомы запоя включают непреодолимую тягу к спиртным напиткам, агрессию, тревогу, нарушения сна и повышенную раздражительность. В случае длительного запоя физическое состояние больного ухудшается: появляется слабость, проблемы с сердцем, артериальным давлением и работой головного мозга. Квалифицированные специалисты проводят тщательный осмотр и диагностику, чтобы подобрать подходящую терапию. Это позволяет избежать осложнений и начать процесс восстановления организма максимально безопасно.
    Исследовать вопрос подробнее – врач вывод из запоя в геленджике

  151. Вывод из запоя является медицинской процедурой, направленной на безопасное прерывание запойного состояния, снятие абстинентного синдрома, снижение интоксикации и восстановление работы внутренних органов. Первый этап всегда связан с оценкой состояния человека: врач учитывает длительность употребления алкоголя, количество спиртного, возраст, стаж алкогольной зависимости, наличие хронических заболеваний, жалобы, признаки похмелья, нарушения сна, тремор, тревогу, тошноту, рвоту, тахикардию, повышенное артериального давления и риски развития алкогольной горячки.
    Получить дополнительную информацию – вывод из запоя цена

  152. Now noticing that the post never raised its voice even when making a strong point, and a look at clickroute continued that calm volume, content that can make important points without resorting to typographic emphasis or emotional appeal is content that trusts its substance to do the work and this site has that confidence consistently.

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  158. Now setting this aside as a model of how to write thoughtfully on the topic, and a stop at crazecocoa extended that model status, content that becomes a reference for how a kind of writing should be done is content with influence beyond its own readership and this site is reaching that level for me clearly today.

  160. Now considering writing a longer note about the post somewhere, and a look at riverquartzstore added more material for that note, content that prompts me to write rather than just consume is content with generative energy and this site is producing that generative effect for me at a higher rate than most sources.

  161. Working through this site has been a small antidote to the shallow content that fills most of my reading time, and a stop at trustpillarhub extended that antidote function, sites that quietly improve the average quality of my reading by being themselves are sites worth supporting through return visits and recommendations consistently.

  162. Нарколог на дом — это профессиональная медицинская помощь в ситуации, когда человек не может самостоятельно приехать в клинику, находится в состоянии запоя, алкогольной интоксикации, наркотической ломки, сильного похмелья, тревоги, бессонницы или резкого ухудшения самочувствия. Выездной врач проводит осмотр пациента, оценивает состояние организма, подбирает препараты, ставит капельницу, выполняет необходимые процедуры и дает рекомендации по дальнейшему лечению. Такая наркологическая помощь помогает быстро стабилизировать больного, снизить риск осложнений и начать восстановление без лишней задержки.
    Узнать больше – нарколог на дом цена

  163. Worth marking this site as one to come back to deliberately rather than by accident, and a stop at surefootbond reinforced that intention, the difference between sites I find again by chance and sites I return to on purpose is meaningful and this one has clearly moved into the deliberate return category for me.

  164. Thanks for the breakdown, it gave me a clearer picture of something I had been confused about for a while now, and a stop at peaklinebond closed the remaining gaps in my understanding nicely, no need to hunt around twenty other articles to put the pieces together which is a real time saver.

  166. Reading this with a fresh mind in the morning brought out details I might have missed in the afternoon, and a stop at suncrestlane 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.

  167. Worth pointing out that the post avoided the temptation to summarise everything at the end, and a look at bondedtrustnet continued that confident closing approach, content that trusts readers to retain the substance without being reminded of it at the end is content that respects the reader and this site practices that respect.

  169. The lack of unnecessary jargon made the post accessible without sacrificing accuracy, and a look at mainstaybond continued in the same accessible style, technical topics often hide behind specialised vocabulary but here the writer trusts the reader to keep up with plain language and that trust pays off nicely throughout the entire post.

  170. 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 guardianbond showed the same care for the reader which is something I will remember the next time I need answers on a topic.

  171. Solid quality, the kind of work that holds up to a careful read rather than a quick skim, and a quick look at honestbonding kept that standard going strong, content that rewards attention rather than punishing it is something I appreciate more and more these days online across nearly every topic I follow.

  172. Reading this gave me the rare experience of fully agreeing with all the conclusions, and a stop at rustandpetal continued that agreement pattern, content that aligns with my existing views without seeming designed to do so is just content that happens to be reasonable and this site reads as reasonable rather than ideological mostly.

  175. Just enjoyed the experience without needing to think about why, and a look at reliancebonded 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.

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

  178. Picked something concrete from the post that I will use immediately, and a look at cornerstoneaxis added another concrete piece, content that produces immediately useful output rather than just abstract appreciation is content that earns its place in my regular rotation without needing any further evaluation from me at this point honestly.

  179. Снятие запоя – это не только прекращение приема спиртных напитков, но и целый комплекс мероприятий, включающий очищение и восстановление организма, а также нормализацию общего состояния больного. В современных условиях наркологическая клиника может предложить вывод из запоя на дому, лечение запоя в стационаре, капельницу, детоксикацию, медикаментозный курс, психологическую помощь, кодирование, реабилитацию и дальнейшее сопровождение семьи. Такой подход позволяет не просто вывести человека из тяжелого периода, а определить причины зависимости, подобрать индивидуально эффективное лечение и снизить вероятность повторного срыва.
    Разобраться лучше – нарколог на дом вывод из запоя анапа

  180. Reading this prompted a brief but useful conversation with a colleague who happened to walk by, and a stop at clickfield extended that conversational seed, content that becomes a starting point for in person discussion rather than ending in solitary reading is content with social generative energy and this site has plenty of it apparently.

  181. If you asked me to point to a recent positive sign for the open web this site would be near the top, and a stop at wildplumgoods reinforced that designation, the few sites that serve as evidence the web can still produce quality independent content are precious and this one has clearly become one for me.

  182. Рекомендации строятся вокруг состояния человека, а не по универсальному шаблону для всех случаев.
    Получить дополнительные сведения – kapelnicy-ot-zapoya-nedorogo

  183. The depth of coverage felt about right for the format, neither shallow nor overwhelming, and a look at emberleafmarket kept that calibration going, getting the depth right for blog format is genuinely difficult because too shallow loses experts and too deep loses beginners but this site nailed it nicely which I really do appreciate.

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  186. Worth saying this site reads better than most paid newsletters I have tried, and a stop at clicktowinonline 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.

  188. Вывод из запоя в стационаре в Балашихе с круглосуточным наблюдением, контролем состояния и поэтапной терапией в наркологической клинике «Похмельная служба».
    Исследовать вопрос подробнее – vyvod-iz-zapoya

  189. This stands out compared to similar posts I have read recently, less noise and more substance, and a look at explorefutureoptions kept that gap going, you can really feel the difference between content made by someone who cares versus content made to fill a publishing schedule for an algorithm trying to keep growing somehow.

  190. Нарколог на дом в Казани — это возможность получить медицинского специалиста без посещения клиники, когда человеку нужна помощь при запое, интоксикации, тяжелом похмелья, абстинентном синдроме, употребления алкоголя или наркотиков. Врач приезжает на дом, проводит осмотр пациента, оценивает симптомы, подбирает препараты и дает рекомендации по дальнейшему лечению.
    Исследовать вопрос подробнее – narkolog-na-dom-kazan21.ru/

  192. Наркологическая помощь на дому проводится только при наличии согласия пациента или его законного представителя. Принудительное лечение зависимости не осуществляется, поэтому родственникам важно убедить близкого человека принять помощь. Врач психиатр нарколог объяснит этапы процедуры, поставит предварительную оценку состояния, подберет индивидуальный подход и предложит оптимальный вариант терапии.
    Подробнее – narkolog-na-dom-kazan21.ru/

  193. Worth recognising the absence of the usual blog tropes here, and a look at midwaterfinds continued that fresh quality, sites that avoid the standard moves of the medium read as more original even when the content is on familiar topics and this one has clearly chosen its own path through the conventional terrain skilfully.

  194. A memorable post for me on a topic I had thought I was tired of, and a look at frostlineboutique suggested the same site can refresh other tired topics, sites that can revive my interest in subjects I had written off as exhausted are doing rare work and this one is clearly doing that for me today.

  197. Вызов нарколога на дом в Казани. Консультация, детоксикация, капельница, вывод из запоя, лечение алкоголизма и зависимости. Анонимно, круглосуточно. Узнайте цену в клинике.
    Получить дополнительные сведения – врач нарколог на дом в казани

  198. Worth saying that the prose reads naturally without straining for style, and a stop at northbayemporium 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.

  199. Picked this up between two other things I was doing and got drawn in completely, and after dailyshoppingpoint 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.

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