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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The use of plain language without dumbing down the topic was really well done, and a look at discovernewgrowthpaths continued in that same accessible style, this is something many technical writers fail at because they either confuse their readers or condescend to them but here neither problem appears at all which is impressive really.
Better signal to noise ratio than most places I check on this kind of topic, and a look at futurefocusedcommerce 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.
Picked a single sentence from this post to remember, and a look at clickforbetterdecisions gave me another to keep, content that produces memorable lines is doing more than just transferring information and the small selection of sentences I keep from each reading session is one of the actual returns I get from reading carefully.
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Now feeling confident enough in this site to use it as a reference point for evaluating others on the same topic, and a look at strategicbusinessalliances continued the comparison friendly quality, sites that serve as quality benchmarks for their topic are precious and this one has clearly become a benchmark for me on this particular subject area.
Yesterday I was complaining about the state of online writing and today this site has temporarily fixed that complaint, and a look at trustedenterprisealliances extended that mood reversal, the short term mood improvement that comes from finding good content is real and this site has produced that improvement for me at a useful moment.
Came in for one specific question and got answers to three I had not even thought to ask, and a look at discovernewbusinesspaths extended that bonus value pattern, the kind of resource that anticipates reader needs rather than just answering the literal question asked is the gold standard and this site reaches it.
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Came in for one specific question and got answers to three I had not even thought to ask, and a look at easydigitalretail extended that bonus value pattern, the kind of resource that anticipates reader needs rather than just answering the literal question asked is the gold standard and this site reaches it.
Now feeling that this site is the kind I want to make sure does not disappear, and a look at clicktofindstrategicoptions 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.
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Solid little post, the kind that does not need to be flashy because the substance is doing the work, and a look at balancedtrust kept that quiet confidence going across the site, this is what writing looks like when the writer trusts the content to land on its own without theatrics or unnecessary attention seeking behaviour.
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Just dropping by to say thanks for the effort, it does not go unnoticed when a writer cares this much about the reader, and after I went through createbetteroutcomes I was certain this is one of the better corners of the internet for this particular kind of content which is genuinely refreshing.
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Reading this on a slow Sunday and finding it perfectly suited to a slow Sunday read, and a quick stop at enterprisevaluealliances kept the same gentle pace, content that fits the mood of the moment is something I notice and remember and this site has the kind of pace that suits relaxed reading sessions especially well.
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Worth recognising that the post handled a familiar topic without reaching for any of the obvious hot takes, and a stop at securemarketbuyingplace continued that fresh treatment, sites that find new angles on subjects others have exhausted are sites worth following carefully and this one has clearly developed that exploratory instinct through patient practice.
Reading this with my morning coffee turned into reading the related posts with my morning coffee, and a stop at sustainablebusinesspartnerships stretched the morning further, content that pulls breakfast into a reading session rather than just accompanying it is content that has earned a higher claim on my attention than the average article does.
A piece that built up gradually rather than front loading its main points, and a look at trustedcorporateconnections maintained the same gradual structure, content that trusts the reader to reach conclusions through accumulating reasoning is more persuasive than content that announces conclusions and then defends them and this site uses the persuasive approach.
Reading this on a long flight and finding it the best thing I read across hours of trying, and a stop at clicktoexploreideas kept the streak going, when content beats long flight reading you know it has substance because flight reading is a hard test of a piece given the alternatives available everywhere.
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Reading this in the gap between work projects was a small but meaningful break, and a stop at businessrelationshipnetwork 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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Great work on keeping things readable, the post never drags or repeats itself which I really appreciate, and a stop at securecommercialalliances 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.
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Decided to write a short note to the author if there is contact info anywhere, and a stop at professionaltrustalliances extended that intention, the urge to thank the writer directly is a strong signal of content quality and this site has triggered that urge in me today which is a fairly rare event for my reading.
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