Eiaculazione retrograda fertilità, diagnosi e cure

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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  78. Honestly thank you to whoever wrote this because it scratched an itch I had not quite been able to articulate, and a stop at sweatertorso kept that satisfying feeling going, the kind of writing that meets unspoken needs is special and this site clearly has writers who understand their readers more than most do today.

  79. Skipped the related products section because there was none, and a stop at nightfallcommercegallery also lacked any aggressive monetisation, content that is not constantly trying to convert me into a customer or subscriber is content that has confidence in its own value and that confidence shows up as a different reading experience.

  80. Now noticing the careful balance the post struck between confidence and humility, and a stop at kraftgroove maintained the same balance, finding the line between asserting and admitting is hard and this site has clearly developed the calibration to walk that line consistently which produces a more persuasive reading experience for me.

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  82. Reading this back to back with a similar piece elsewhere made the quality difference obvious, and a stop at vinylvessel only widened the gap, comparing content side by side is a useful exercise and the gap between this site and average competitors in the space is large enough to be noticeable from the first paragraph.

  83. The overall feel of the post was professional without being stuffy, and a look at violetharbormerchantgallery kept that approachable expertise going, finding the right register for technical content is hard but this site has clearly figured out how to sound knowledgeable without slipping into that distant lecturing tone that loses readers in droves every time.

  84. Genuinely good work, the kind that holds up over multiple readings without losing its appeal, and a stop at vesseltame kept that going, definitely a site I will be returning to and probably mentioning to others who work in or care about this particular area of interest today and in coming weeks.

  85. Skipped to a specific section because I knew that was the question I had, and the answer was clean, and a stop at garnetharborcommercegallery similarly delivered targeted answers without burying them, content engineered for readers who arrive with specific needs rather than open ended browsing is increasingly valuable in a search heavy reading environment.

  86. 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 hubbeat 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.

  87. Will be back, that is the simplest way to say it, and a quick visit to skifftornado 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.

  88. Reading this slowly and letting each paragraph land before moving on, and a stop at siskastencil earned the same patient approach, content that rewards slow reading rather than speed is content with real density and the writers here are clearly producing work that benefits from the careful eye rather than the rushed scan.

  89. The way the post stayed on topic throughout without going on tangents was really refreshing, and a look at heathfoam kept that focused approach going, discipline like this in writing is rare and worth recognising because most writers cannot resist wandering off into related subjects that dilute their main point and confuse readers along the way.

  90. Closed my email tab so I could read this without interruption, and a stop at hilthive earned the same protected attention, when content is good enough to defend against the usual digital distractions you know it deserves better than the half attention most online reading gets in a typical busy day.

  91. 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 dawnridgemerchantgallery confirmed I should have just read it first, every section of this site appears to deserve careful attention rather than skipping past lazily.

  92. Reading this prompted me to dig into a related topic later, and a stop at violetharborcommercegallery provided some of the starting points for that follow up reading, content that triggers further exploration rather than satisfying curiosity completely is content with real generative energy and this site has plenty of that energy throughout it.

  93. Solid information that lines up with what I have been hearing from other reliable sources, and after my visit to goaxio I was even more certain of that, this site checks out which is something I value highly when so many places online play loose with the facts to chase a quick click.

  94. If I am being honest this is the kind of site I quietly hope my own work will someday resemble, and a stop at arobell extended that aspirational feeling, finding work that models what I want to produce is part of why I read carefully and this site has been performing that modelling function for me lately consistently.

  95. Now planning a longer reading session for the archives, and a stop at woodcovemerchantgallery confirmed the archives are worth that longer commitment, sites with archives I want to read deliberately rather than just sample are rare and this one has clearly earned that level of interest based on the consistency of what I have already read.

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

  97. Glad the writer did not feel compelled to cover every possible angle of the topic, focus is a virtue, and a stop at tallysmoke 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.

  98. Now planning to come back when I have the right kind of attention to read carefully, and a stop at studiotrader reinforced that plan, choosing the right moment to read certain content is a quiet form of respect for the work and this site is generating those careful planning behaviours from me consistently as a reader.

  99. Honest reaction is that this is the kind of writing I would defend in a conversation about good blog content, and a look at garnetharbormerchantgallery reinforced that, the rare site whose work I would actively recommend rather than just tolerate is the kind I want to support through return visits regularly.

  100. The pacing of the post was just right, never rushed and never dragged out unnecessarily, and a look at wheatcovemerchantgallery 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.

  101. Saving the link for sure, this one is a keeper, and a look at singersorbet confirmed I should bookmark the entire site rather than just this page, the consistency across what I have seen so far suggests there is a lot more here worth coming back for soon when I have more time.

  102. Honestly this was the highlight of my reading queue today, and a look at sodasherpa 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.

  103. 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 kraftkale 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.

  104. A genuine pleasure to find a site that publishes at a sustainable cadence rather than chasing the daily content treadmill, and a look at nyxsip confirmed the careful publication rhythm, sites that prioritise quality over frequency are rare and this one has clearly chosen the slower pace which I appreciate as a reader.

  105. Liked that the post left some questions open rather than pretending to settle everything, and a stop at sheentiny continued that intellectual honesty, content that respects the limits of its own claims is more trustworthy than content that overreaches and this site has clearly figured out which positions it can defend confidently.

  106. Probably this is one of the better quiet successes on the open web at the moment, and a look at hugbox reinforced that quiet success quality, sites that are doing well without making a noise about doing well are the sites I most respect and this one has clearly chosen the quiet success path consistently throughout.

  107. Generally I am cautious about recommending sites on first encounter but this one warrants the exception, and a look at hiltkindle reinforced the exception making, the rare site that justifies breaking my normal cautious approach is the rare site worth flagging early and this one has prompted exactly that early flagging response from me.

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  110. A piece that read as the work of someone who reads carefully themselves, and a look at goldenharborcommercegallery continued that informed feel, writers who are also serious readers produce work with a different quality and this site reads as the product of someone steeped in good writing rather than just generating content for an audience.

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

  113. During a quiet evening reading session this provided just the right depth without being heavy, and a stop at acornharbortradegallery 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.

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  115. Picked something concrete from the post that I will use immediately, and a look at tornadovapor 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.

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  118. Skipped the related products section because there was none, and a stop at thatchteapot also lacked any aggressive monetisation, content that is not constantly trying to convert me into a customer or subscriber is content that has confidence in its own value and that confidence shows up as a different reading experience.

  119. Now adding this to a short list of sites I would defend in a conversation about the modern web, and a look at crearena reinforced that defence list, the few sites that serve as evidence the web can still produce good things are precious and this one has clearly joined that small list of exemplary sites.

  120. Granted I am giving this site more credit than I usually give new finds, and a look at hewzap continued earning that credit, the calibration of how much trust to extend after limited exposure is something I do carefully and this site has earned more trust on shorter exposure than most due to consistent quality across.

  121. Glad I gave this a chance instead of bouncing on the headline, and after gildedcovemerchantgallery I was certain I had made the right call, snap judgements based on titles miss a lot of good content and this is a reminder to slow down and check things out before scrolling past in a hurry.

  122. Now leaving a small mental note to recommend this when the topic comes up in conversation, and a look at heliofine extended that recommend ready feeling, content that arms me with shareable references for likely future conversations is content with social value and this site is providing that conversational ammunition consistently for me lately.

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  124. Grateful for posts like this one, they remind me there are still places online run by people who care about quality, and a look at wildorchardmerchantgallery reflected the same standards, you can tell the difference between content made for readers and content made just for search engines today and this is the former.

  125. Took my time with this rather than rushing because the writing rewards attention, and after pearlharborcommercegallery 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.

  126. My time on this site has now extended past what I had budgeted, and a stop at swansignal keeps extending it further, content that overstays its budget in my schedule is content that has earned the extra time and this site has been earning extra time across multiple visits to the point where my schedule needs adjustment.

  127. Reading this in the gap between work projects was a small but meaningful break, and a stop at tundratoken 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.

  128. Bookmark added with a small note about why, and a look at scenictrader 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.

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  130. Recommended without reservation for anyone interested in the topic at any level of expertise, and a look at sonarsandal only strengthens that recommendation, this site clearly knows how to serve readers across a range of backgrounds without watering down the content or talking past anyone in the audience which is genuinely impressive to see.

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  132. Thank you for keeping the writing honest and the points easy to verify against your own experience, and a stop at tasseltrace 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.

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  135. Easy to recommend, the content speaks for itself without needing additional praise from me, and a stop at holmglobe 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.

  136. Closed the tab with a small sense of finality rather than the usual rushed exit, and a stop at irotix produced the same considered closing, when reading ends with deliberate satisfaction rather than impatient skip you know the time was well spent and this site is producing those satisfying endings consistently across what I read.

  137. A piece that did exactly what it promised in the headline without overshooting or underdelivering, and a look at iciclebrookcommercegallery continued that calibration, alignment between promise and delivery is a basic editorial virtue that many sites fail at and this site has clearly mastered the matching of expectation and substance throughout pieces.

  138. My professional context would benefit from having this kind of resource available, and a look at windharborcommercegallery extended the professional applicability, the rare site that contributes meaningfully to professional work rather than just personal interest is content with multiplied value and this one is providing that professional utility consistently across multiple pieces.

  139. Speaking carefully because I do not want to overstate things this site is genuinely above average across multiple measurements, and a stop at auroracovegoodsgallery continued the above average performance, the calibration of judgement against potential overstatement is something I take seriously and this site clears the higher bar even after that calibration applies.

  140. Reading the writers other posts after this one suggests the quality is consistent rather than peak, and a stop at gildedgrovecommercegallery 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.

  141. Felt the post had been written without using a single buzzword, and a look at grohax continued that clean vocabulary, content free of jargon and trendy phrases reads better and ages better and this site has clearly committed to a vocabulary that will not feel dated in three years which is impressive editorially.

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

  143. Reading this gave me something to think about for the rest of the afternoon, and after zencovemerchantgallery I had even more to mull over, the kind of post that lingers in the background of your day rather than evaporating immediately is genuinely valuable in an attention economy that punishes depth rather than rewarding it.

  144. Reading this in the morning set a good tone for the day, and a quick visit to buycoreshop kept that good tone going, content can do that sometimes when it hits the right notes and finding sites that consistently strike that tone is something I have learned to recognise and reward with regular visits.

  145. Most of the time I bounce off similar pages within seconds, and a stop at waferturtle held me longer than I would have predicted, the ability to convert a likely bouncing visitor into an engaged reader is a quality signal and this site has demonstrated that conversion ability across multiple visits where I expected to bounce.

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  147. Grateful for posts like this one, they remind me there are still places online run by people who care about quality, and a look at hugtix reflected the same standards, you can tell the difference between content made for readers and content made just for search engines today and this is the former.

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