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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  106. Pass this along to colleagues if the topic comes up, the framing here is sensible, and a stop at verminturbo adds more useful angles to share, the kind of content that improves conversations rather than just feeding them is what makes a resource genuinely valuable in professional contexts going forward over time and across project boundaries too.

  107. Читатели получат представление о том, как современные технологии влияют на развитие медицины. Обсуждаются новые методы лечения, персонализированный подход и роль цифровых решений в повышении качества медицинских услуг.
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  109. Started a draft response in my head and ended without publishing it because the post said it well enough, and a look at herongait produced the same effect, content that satisfies my urge to add to it by being complete enough on its own is rare and represents a particular kind of editorial completeness here.

  111. Really thankful for posts that respect a reader’s time, this one does, and a quick look at hanrim was the same, no need to scroll through endless intros just to get to the actual content, that approach alone is enough reason to come back here regularly for the kind of writing offered.

  113. Took longer than expected to finish because I kept stopping to think, and a stop at jovigrove 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.

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  115. A piece that suggested careful editing without showing the marks of the editing, and a look at stashswan continued that invisible polish, the best editing disappears into the prose and this site reads as having been edited with skill that does not announce itself which is the highest compliment I can offer any blog content.

  116. Stands apart from similar pages by actually being useful, that is high praise these days, and a look at globeflame kept that standard going, you can tell when a site is built around the reader versus around metrics and this one clearly belongs to the first category for sure based on what I read.

  117. Этот текст представляет собой обзор свежих данных и исследований в области медицины. Он призван помочь читателям понять, как научные достижения влияют на лечение, диагностику и общее состояние системы здравоохранения.
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  119. Started reading expecting to disagree and ended mostly nodding along, and a look at stereotarot continued the pattern, content that wins agreement through evidence and reasoning rather than rhetorical force is the kind that actually shifts minds and this site clearly knows how to do that across what I have read so far.

  120. Well structured and easy to read, that combination is rarer than people think, and a stop at crystalcovemerchantgallery confirmed the same standard runs across the rest of the site, definitely the kind of place I will be coming back to when this topic comes up in conversation later again over the weeks ahead.

  121. Took me back a step or two on an assumption I had been making, and a stop at senatetrench pushed that reconsideration further, writing that gently corrects the reader without being aggressive about it is a rare diplomatic skill and the team here clearly knows how to land critical points without turning readers off.

  122. Working through this site has been a small antidote to the shallow content that fills most of my reading time, and a stop at grecofinch 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.

  123. My usual pattern is to skim and bounce but this site has reset that pattern temporarily, and a stop at flumelake maintained the slower reading mode, content that changes how I read is content with structural influence and this site has clearly nudged my reading behaviour toward something better at least for the duration of these visits.

  124. Took longer than expected to finish because I kept stopping to think, and a stop at stencilslick 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.

  125. Reading this slowly to give it the attention it deserved, and a stop at tealsilver 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.

  126. A genuinely unexpected highlight of my reading week, and a look at tasselskein extended that pattern, the surprise of finding excellent content rather than the predictable mediocre is one of the few real pleasures of casual web browsing and this site delivered that surprise cleanly today which I really do appreciate.

  127. Now appreciating that the post did not require me to agree with the writer to find it valuable, and a look at uptonshade 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.

  128. Took a chance on the headline and was rewarded, and a stop at julyelm kept the rewards coming as I clicked through, the kind of place where every link leads somewhere worth the click is a small luxury on the modern web where so many sites are mostly empty calories disguised as content.

  129. Felt the writer was being honest with the reader which is rare enough that I want to acknowledge it, and a look at haleforge continued that honest feel, content built on actual knowledge rather than aggregated summaries is something I value highly and rarely come across in regular searches on the open internet these days.

  130. Refreshing to read something where the words actually mean something instead of filling space, and a stop at galagull kept that going, the writing here trusts the reader to follow along without endless repetition or constant reminders of what was already said earlier in the post which I appreciate.

  131. Came in tired from a long day and the writing held my attention anyway, and a stop at khakifrost kept that going, content that can engage a fatigued reader is doing something right because most online reading happens in suboptimal conditions like that one and quality content adapts to it without complaint.

  132. Felt the post handled a sensitive angle of the topic with appropriate care, and a look at glyphfig extended that careful handling across related material, sites that can navigate delicate territory without causing damage are rare and require a level of judgement that comes from experience rather than from following any clear playbook.

  133. A genuinely unexpected highlight of my reading week, and a look at suntansage extended that pattern, the surprise of finding excellent content rather than the predictable mediocre is one of the few real pleasures of casual web browsing and this site delivered that surprise cleanly today which I really do appreciate.

  134. Beyond the topic at hand this site reads as a small ongoing project of taking writing seriously, and a look at herongrip 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.

  135. Reading this prompted me to subscribe to my first newsletter in months, and a stop at timberverge confirmed the subscribe was the right call, content that earns a newsletter signup is content that has cleared a higher trust bar than a casual visit and this site has clearly earned that level of commitment from me.

  137. Публикация знакомит читателей с различными подходами к реабилитации. От традиционных методов до современных программ — вы узнаете, как выбрать оптимальный путь к выздоровлению и преодолеть препятствия на этом пути.
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  138. Came in expecting another generic take and got something with actual character instead, and a look at turbansample carried that personality forward, finding a distinct voice on a saturated topic is impressive and worth pointing out when it happens because most sites end up sounding identical to their nearest competitors quickly.

  139. В этой статье мы рассматриваем разрушительное влияние зависимости на жизнь человека. Обсуждаются аспекты, такие как здоровье, отношения и профессиональные достижения. Читатели узнают о необходимости обращения за помощью и о путях к восстановлению.
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  140. A piece that demonstrated competence without performing it, and a look at driftorchardmerchantgallery maintained the same self assured but unshowy register, the gap between competence and performance of competence is one I track and this site has clearly chosen to demonstrate rather than perform which I find much more persuasive as a reader.

  141. Generally I find the content on similar topics frustrating in specific ways and this post avoided all of them, and a look at hazmug continued that frustration free experience, content that sidesteps the standard failure modes of its genre is content with editorial awareness and this site has clearly studied what fails elsewhere consistently.

  142. Reading this as part of my evening winding down routine fit perfectly, and a stop at grecoglobe extended the wind down nicely, content that calms rather than agitates is what I want at the end of the day and this site provides that calming reading experience reliably which is increasingly rare across the modern web.

  144. Without overstating it this is a quietly excellent post, and a look at fluxhusk extended that quiet excellence, content that earns superlatives without demanding them through marketing language is content that has truly earned them through the substance and this site has clearly produced work in that earned excellence category today.

  145. Nice to see a post that does not try to overcomplicate the basics for the sake of looking smart, and once I looked at syruptunic 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.

  146. Beats most of the alternatives on the topic by a noticeable margin, and a look at udonvivid did not change that at all, this is one of the better corners of the open internet for this kind of content and I am glad I clicked through rather than skipping past quickly like I usually do.

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  148. A slim post with substantial content per word, and a look at seriftackle maintained the same density, the content per word ratio is something I track informally and this site scores high on that ratio compared to most sources I read regularly which is a quiet indicator of careful editorial work behind the scenes.

  149. Nice and clean, that is the best way to describe the writing here, no clutter and no wasted words, and a quick visit to jumbohelm kept that going, I appreciate when a site treats its readers like people who can think for themselves without needing constant hand holding through every paragraph.

  150. В этом обзоре представлены различные методы избавления от зависимости, включая терапевтические и психологические подходы. Мы сравниваем их эффективность и предоставляем рекомендации для тех, кто хочет вернуться к трезвой жизни. Читатели смогут найти информацию о реабилитационных центрах и поддерживающих группах.
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  151. Got pulled in by the headline and stayed because the content actually delivered on the promise, and a stop at tarotshire kept that trust intact, when a site lives up to its own framing it earns the right to keep showing up in my browser tabs going forward indefinitely from here on out really.

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  153. A quiet piece that did not try to compete on volume, and a look at sectorsatin maintained that selective approach, sites that publish less but better are increasingly rare in an environment that rewards volume and this one has clearly chosen quality cadence over quantity which is a brave editorial decision in current conditions.

  155. Honestly this kind of writing is why I still bother to read independent sites, and a look at gnarfrost extended that broader reflection, the few sites that justify continued attention to non algorithmic content are sites like this one and finding them periodically is enough to keep my reading habits oriented toward independent rather than aggregated content.

  157. Started reading and ended an hour later without realising the time had passed, and a look at galeember produced the same time dilation effect, when content makes time feel different the writer has achieved something well beyond the average and this site is producing that experience for me reliably across multiple readings.

  159. A slim post with substantial content per word, and a look at vincasinger maintained the same density, the content per word ratio is something I track informally and this site scores high on that ratio compared to most sources I read regularly which is a quiet indicator of careful editorial work behind the scenes.

  160. Beyond the immediate post itself the editorial sensibility behind the site is what struck me, and a stop at trancetidal continued displaying that sensibility, content that reveals editorial choices through accumulated reading is content with structural quality and this site has clearly developed an underlying approach worth identifying through multiple sessions of reading.

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

  162. Worth recommending broadly to anyone who reads on the topic, and a look at tarmacstork 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.

  163. Now adjusting my expectations upward for the topic based on this post, and a stop at heronhilt continued that bar raising effect, content that resets what I think is possible on a subject is doing real work in shaping my standards and this site is providing those bar raising experiences at a notable rate during sessions.

  164. Found the rhythm of the prose particularly enjoyable on this read through, and a look at dunemeadowcommercegallery kept that musical quality going across the related pages, sentence rhythm is something most blog writers ignore but it makes a real difference in how content lands with the careful reader who cares.

  165. Genuinely well crafted writing, the kind that makes the topic look easier than it actually is, and a look at gridivory added even more depth, you can feel the experience behind every line which is something only writers who have been at this for a while can pull off with this level of grace.

  166. Found this through a friend who recommended it and now I see why, and a look at khakikite only strengthened that recommendation in my own mind, word of mouth still works for content that actually delivers and this site is clearly earning recommendations the old fashioned way through quality rather than marketing.

  168. В данной статье рассматриваются физиологические и эмоциональные аспекты зависимости. Мы обсудим, как организм реагирует на зависимое поведение, и какие методы помогают восстановить здоровье и внутреннее равновесие.
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  169. Skipped past the first paragraph thinking it was setup and had to come back when the rest referenced it, and a stop at foamhull similarly rewarded careful reading from the start, content where every paragraph carries weight is content I now know to read from the beginning rather than skipping ahead.

  171. The pacing of the post was just right, never rushed and never dragged out unnecessarily, and a look at vetovarsity maintained the same rhythm, you can tell the writer has experience because the difficult skill of pacing is something only practiced writers manage to handle well in long form content over time and across formats.

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  173. A piece that handled the topic with appropriate weight without becoming portentous, and a look at junipercovemerchantgallery continued that calibrated seriousness, content that takes itself seriously without becoming pompous is something this site has clearly figured out and the balance shows up in every piece I have read across multiple sessions now.

  175. Going to come back when I have more time to read carefully, the post deserves more than a quick scan, and a stop at slacktally 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.

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

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

  178. A clear cut above the usual noise on the subject, and a look at shoreviper 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.

  179. Now thinking I want more sites built on this kind of editorial foundation, and a stop at smeltstraw extended that wish into a broader hope, sites built on substance and care rather than on metrics and growth are the kind of sites I want to see more of and this one is a small example worth supporting.

  180. Skimmed first and then went back to read carefully, and the careful read paid off in places I had missed, and a stop at twainsilica got the same treatment, the rare site whose content rewards a second pass is content I want more of in my regular rotation rather than disposable single read articles.

  181. Genuine reaction is that I will probably think about this on and off for a few days, and a look at gnarkit added fuel to that, the best content lingers in your head after you close the tab rather than evaporating immediately and this site clearly knows how to write that kind of memorable content.

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  186. Well done, the writing is professional without being stiff, and the topic is treated with care, and a look at galehelm 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.

  188. A piece that handled multiple complications without becoming confused, and a look at surgetarmac continued that organisational clarity, holding multiple threads in a single piece without losing any of them is a sign of skilled writing and this site has clearly developed the editorial discipline to manage complexity without sacrificing readability throughout.

  189. Skipped the related links section thinking I had read enough and then came back to it later when curiosity got the better of me, and a stop at grifffume confirmed I should have just read it first, every section of this site appears to deserve careful attention rather than skipping past lazily.

  190. A piece that did not waste any of its substance on sales or promotion, and a look at echoharborcommercegallery continued that pure content focus, sites that resist the urge to monetise every paragraph are increasingly rare and this one has clearly made the editorial choice to keep the writing clean from commercial intrusion which I value highly.

  191. Glad to find a site whose links lead somewhere worth going rather than back to itself for SEO juice, and a stop at vikingturban kept that generous outbound feel, citing other peoples work with real respect rather than just for ranking signals is a sign of an honest operation worth supporting going forward.

  192. Now considering carefully how to share this site with the right audience rather than broadcasting widely, and a look at foilfrost extended that careful sharing impulse, content worth sharing carefully rather than spamming is content that has earned a higher kind of recommendation and this site has earned that careful shareability throughout pieces.

  193. Reading this on a phone at a coffee shop and finding it perfectly suited to that context, and a stop at superbtundra continued the comfortable mobile experience, content that works across reading conditions without compromising on substance is increasingly important and this site has clearly thought about the whole reader experience here.

  195. Quiet confidence runs through the whole post, no need to shout to make the points stick, and a stop at slippersixth carried that same restrained voice forward, content that respects the reader by trusting its own substance rather than dressing it up in theatrical language is what I look for online and rarely actually find these days.

  197. Now adjusting my mental list of reliable sites for this topic, and a stop at tomatotactic reinforced the adjustment, the small ongoing curation work of maintaining trusted sources is one of the actual practical activities of careful reading and this site has earned a permanent place on my list for this particular subject.

  198. Bookmark added with a small note about why, and a look at heronjoust prompted another bookmark with another note, the bookmarks I annotate are the ones I expect to return to deliberately rather than stumble into and this site is generating annotated bookmarks at a higher rate than my usual content sources by some margin.

  199. Recommended to anyone working in or curious about this area, the depth and clarity combine well, and a look at tinklesaddle keeps that going across more pages, the kind of site that earns regular visits rather than chasing trends has my respect because it suggests genuine commitment to the topic itself rather than to chasing trends.

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