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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  108. Reading this in my last reading slot of the day was a good way to end, and a stop at enterprisegrowthpartnerships provided a satisfying close to the reading session, content that ends a day well rather than agitating it before sleep is the kind I value increasingly and this site fits that role for me consistently now.

  109. Appreciate that you did not pad this with fluff to hit a word count, the post says what it needs to say and stops, and a look at zexaroline did the same, brevity here feels intentional not lazy which is a distinction many writers miss completely sometimes when they are working under deadlines.

  114. Took my time with this rather than rushing because the writing rewards attention, and after nolarotrustco I had even more to absorb, the kind of content that pays back the patient reader rather than punishing them with empty filler is something I look for and rarely find in regular searches lately.

  115. Really like the way the post resists reaching for cliches that would have made it feel generic, and a quick visit to simpleecommercesolutions kept that fresh feel going, original phrasing and unexpected metaphors are signs that the writer is actually thinking rather than just stitching together familiar phrases into the appearance of content.

  116. Picked this up while looking for something else and ended up reading every paragraph because it was actually informative, and after qulavoline 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.

  117. Reading this gave me a small framework I expect to use going forward, and a stop at navirotrustco extended that framework, content that produces transferable mental models rather than just specific facts is content with multiplicative value and this site is providing those models at a rate that justifies extra attention from me regularly.

  119. Looking at the surface design and the substance together this site has both right, and a look at eleanakonstantellos reinforced that integrated quality, sites where presentation and content reinforce each other rather than fighting are sites with full editorial coherence and this one has clearly invested in both layers in a balanced way.

  120. My friends would appreciate a few of these posts and I will be sending links accordingly, and a look at qorivoline added more pages to my share queue, content that earns shares to specific people in specific contexts is content with social utility and this site is generating those targeted shares from me consistently lately.

  124. A piece that read as if the writer was thinking carefully rather than just typing fluently, and a look at centensports continued that considered quality, the difference between fluent typing and careful thinking shows up in writing and this site reads as the product of thought rather than just the product of language fluency apparently.

  125. Honestly the simplicity of the explanation made the topic click for me in a way other writeups had not, and a look at plavexline continued that clarity into related areas, when a writer gets the level of explanation right the reader does the heavy lifting themselves and the post just enables it.

  130. Now adding this to a list of sites I want to see flourish, and a stop at kazhanmaster reinforced that wish, the few sites I actively root for are sites that produce the kind of work I want more of in the world and this one has joined that small list based on what I have read so far.

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  136. Appreciated how the writer anticipated the questions a reader might have along the way, and a stop at zorivohub continued that thoughtful approach, you can tell when content has been edited with the reader in mind versus just published as a first draft and this is clearly the former approach across what I read.

  137. Now sitting with the thoughts the post triggered rather than rushing on to the next thing, and a stop at rixarocapital 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.

  138. Thank you for keeping the writing honest and the points easy to verify against your own experience, and a stop at zylor reflected the same approach, no exaggeration just steady useful content that I can take with me into my own work without second guessing every sentence I happen to read here.

  141. Worth observing that the post landed without needing a flashy headline to hook attention, and a stop at christmasatthewindmill 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.

  147. 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 simpleonlineshoppingzone 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.

  149. Speaking from the perspective of a fairly demanding reader the writing here clears the bar consistently, and a look at xelarioline continued clearing that bar, the calibration of demanding reader is something I apply to all sources and this site has been one of the few that handles the demanding reading well across pieces sampled.

  151. Glad the writer did not feel compelled to cover every possible angle of the topic, focus is a virtue, and a stop at dinahshorewexler reflected the same disciplined scope, knowing what to leave out is half of what makes good writing good and this post has clearly been edited with that principle in mind.

  152. Worth flagging this site to a few specific friends who would appreciate the editorial sensibility, and a look at korivoholdings added more pages I will mention to them, recommending sites to specific people requires understanding both the site and the person and this site is making those personalised recommendations easy and natural for me.

  153. Reading this between two meetings turned out to be the highlight of the morning, and a stop at manilatakeout continued that highlight quality, content that outshines the structured parts of a working day is doing something well beyond ordinary and this site has produced multiple such highlights for me already this week alone.

  154. Honestly this was the highlight of my reading queue today, and a look at trivoxbond extended that across more pages I will return to, ranking what I read against what else I read each day is something I do informally and this site keeps moving up in those rankings the more I explore it.

  155. Over the course of reading several posts here a pattern of quality has emerged, and a stop at raviontrust 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.

  156. Now appreciating that the post did not require me to agree with the writer to find it valuable, and a look at plivoxbonding maintained the same useful regardless of agreement quality, content that informs even when it does not convince is content with broader utility and this site reads as useful even when I disagree.

  157. Well done, the writing is professional without being stiff, and the topic is treated with care, and a look at vixarotrustco reflected that approach, the kind of site I would point a colleague to if they asked for a reliable starting point on this topic in the future without any hesitation at all.

  161. Reading this gave me the rare experience of fully agreeing with all the conclusions, and a stop at brixeltrustco 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.

  162. Really appreciate the absence of stock photos that have nothing to do with the content, and a quick visit to trustedcommercialbonds maintained the same restraint, visual filler is a tell that the writing cannot stand on its own and the lack of it here suggests the team has confidence in their content quality alone.

  163. Genuine reaction is that this site clicked with how I like to read, and a look at crownking88 kept that comfortable fit going, sometimes you find a place online whose editorial decisions just align with your preferences and when that happens it is worth recognising and supporting through repeat engagement consistently going forward.

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  179. Reading this with my morning coffee turned into reading the related posts with my morning coffee, and a stop at quvexatrustco 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.

  180. Felt like the post had been edited rather than just drafted and published, and a stop at vixaropoint suggested the same care across the site, the difference between edited and unedited content is enormous for the reader and this site has clearly invested in the editing pass that most blogs skip entirely which really does show up.

  181. Bookmark earned and shared the link with one specific person who would care, and a look at collaborativegrowthnetwork 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.

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

  183. Felt the writer respected me as a reader without making a show of doing so, and a look at nohonabe continued that quiet respect, this is the kind of small but meaningful detail that separates the sites I bookmark from the ones I close after a single skim and never return to again no matter how interesting the headline.

  185. Now considering the post as evidence that careful blog writing is still possible, and a look at mivarobase extended that evidence, the broader question of whether the modern web can sustain quality writing has obvious empirical answers in sites like this one and seeing them is reassuring even when they remain a minority overall today.

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  187. Abnormal this put up is totaly unrelated to what I was searching google for, but it surely used to be listed at the first page. I suppose your doing one thing proper if Google likes you adequate to place you at the first page of a non similar search.

  188. Liked the way the post handled the final paragraph, no neat bow but no abrupt cutoff either, and a stop at vipelitejerseys continued that thoughtful ending pattern, endings are hard and most blog writers either over engineer them or skip them entirely and this site has clearly figured out a sustainable middle approach.

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  192. Just wanted to drop a quick note saying this was a useful read on a topic I have been circling, no fluff, and a stop at theblackcrowesmobile added a few extra points that fit the same simple style which makes the whole site feel coherent rather than thrown together by many different writers with different goals.

  193. Beyond the topic at hand this site reads as a small ongoing project of taking writing seriously, and a look at mivaroline reinforced that project quality, sites that treat publishing as an ongoing serious practice rather than as content production for traffic are sites worth supporting and this one has clearly chosen the serious approach.

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