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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  101. Этот краткий обзор предлагает сжатую информацию из области медицины, включая ключевые факты и последние новости. Мы стремимся сделать информацию доступной и понятной для широкой аудитории, что позволит читателям оставаться в курсе актуальных событий в здравоохранении.
    Как достичь результата? – психиатр на дом в Москве

  103. Этот медицинский обзор сосредоточен на последних достижениях, которые оказывают влияние на пациентов и медицинскую практику. Мы разбираем инновационные методы лечения и исследований, акцентируя внимание на их значимости для общественного здоровья. Читатели узнают о свежих данных и их возможном применении.
    Тыкай сюда — узнаешь много интересного – нарколог на дом в Москве

  107. Will be passing this along to a few people who would benefit from the perspective shared here, and a stop at turbineunion only added to what I will be sharing, this kind of generous content deserves to circulate widely rather than getting buried in some search engine algorithm tweak that pushes it down the rankings.

  111. Now noticing that the post benefited from being neither too short nor too long for its content, and a look at vaultvelour continued that calibration of length, sites that match length to content rather than padding to hit some target are sites that respect both their material and their readers and this site does both.

  115. Now wishing I had found this site sooner, and a look at maplecrestcraftcollective extended that mild regret, the calculation of how many years of good content I missed by not finding the right sources earlier is one I try not to make too often but it does come up sometimes when I find sites this good.

  117. Just sat back at the end of the post and felt grateful that someone took the time to write it, and a look at taupeswift extended that gratitude across more of the site, recognising effort behind quality work is part of what makes the open web a community rather than just a marketplace today.

  118. Now feeling something close to gratitude for the fact this site exists, and a look at vyxbrisk extended that gratitude, the rare site that produces this kind of response is the rare site worth defending in conversations about whether the modern internet is still capable of producing genuinely valuable independent content for serious adults.

  119. Picked a friend mentally as the audience for this and decided to send the link, and a look at valecovemerchantgallery confirmed the send was the right choice, choosing whom to share content with is a small act of curation that I take more seriously than the public sharing most platforms encourage these days online.

  121. Just want to record that this site is entering my regular reading list, and a look at biabrook confirmed it deserves the spot, my regular reading list is short and well curated and adding to it requires meeting a fairly high quality bar that this site has clearly cleared without much effort apparently.

  122. The conclusions felt earned rather than tacked on at the end like an afterthought, and a look at jazfix kept that careful structure going, you can tell when a writer has thought about the shape of their post versus just letting it ramble out and hoping for the best at the end which most do.

  123. Now wondering how the writers calibrated the level of detail so well, and a stop at idozix continued the same calibration, the right level of detail is one of the harder editorial calls in any piece and this site has clearly developed an instinct for it through what I assume is years of careful practice publicly.

  124. Этот документ охватывает важные аспекты медицинской науки, сосредотачиваясь на ключевых вопросах, касающихся здоровья населения. Мы рассматриваем свежие исследования, клинические рекомендации и лучшие практики, которые помогут улучшить качество лечения и профилактики заболеваний. Читатели получат возможность углубиться в различные медицинские дисциплины.
    Хочешь знать всё? – лечении наркомании в Москве

  126. Слушайте, попал в такую передрягу. Родственник пьет без остановки. Нервов ни у кого нет. Скорая не едет. Короче, единственное что реально помогло — срочный вывод из запоя круглосуточно. Поставили систему. В общем, там и контакты и прайс — выведение из запоя на дому воронеж выведение из запоя на дому воронеж Не надейтесь на авось. Сохраните себе.

  127. Halfway through I knew I would finish the post, and a stop at forestcovecommerceatelier also held me through to the end, content that signals its quality early and then sustains it is content with real internal consistency and this site has clearly figured out how to maintain quality from opening sentence through to closing thought.

  129. Люди, ситуация жуткая когда — человек уже пятый день под завязку. Жена в слезах. В диспансер тащить страшно — посадят на учёт. Сам был в такой жопе. Короче, проверенный способ — адекватный вывод из запоя цены нормальные. Поставили систему за 20 минут. В общем, вся инфа вот здесь — стоимость вывода из запоя https://vyvod-iz-zapoya-na-domu-voronezh-jhg.ru Не тяните резину. Деньги потом не нужны будут. Перешлите тому кто в беде.

  130. Now realising the post solved a small problem I had been carrying for weeks, and a look at orchardmeadowcommercegallery extended that problem solving function, content that connects to specific unresolved questions in my own life rather than just providing general interest is content with real practical impact and this site is providing that practical value.

  131. Worth flagging that the writing rewarded a second read more than I expected, and a look at goodsroutestore produced the same second read benefit, content with hidden depths that emerge only on careful rereading is rare in the modern blog space and this site has clearly invested in that level of compositional density throughout.

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

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

  134. Reading this prompted me to send the link to two different people for two different reasons, and a stop at pearlcovecraftcollective provided ammunition for a third share, content that suits multiple audiences without being generic enough to be useless to any of them is genuinely valuable and this site has that multi audience quality clearly.

  135. Solid quality, the kind of work that holds up to a careful read rather than a quick skim, and a quick look at triggersyrup 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.

  137. Добрый день!
    В нише экспертного проекта шаблонный дизайн часто не отражает специфику ниши, поэтому структура и контент должны проектироваться индивидуально. Поэтому продающий лендинг лучше делать с опорой на аналитику, семантику, UX и понятную воронку заявки. Один из вариантов решения — web-студия VOLT: https://volt-site.ru/uslugi/razrabotka-lendinga
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    Всего наилучшего и роста в топ!

  138. Will recommend this to a couple of friends who have been asking about this exact topic, and after graniteorchardcraftcollective I have even more reason to do so, the kind of site that earns word of mouth rather than chasing it through aggressive marketing or paid placements is always a treat to find online.

  139. Now noticing that the post did not mention the writer at all, focus stayed on the topic, and a look at echobrookmerchantgallery continued that author absent quality, content that disappears the writer to focus on the substance is a particular kind of generosity and this site has clearly chosen the substance over the personality consistently.

  141. Reading this in three sittings because the day was fragmented, and the piece survived the fragmentation, and a stop at syxblue held up under similar reading conditions, content engineered for continuous attention is fragile in modern conditions and this site reads as durable across the realistic ways people consume content today.

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

  143. Started reading skeptically because the headline seemed overconfident, and the post earned the headline by the end, and a look at trumpetsash continued that pattern of earning its claims, sites that can back up their headlines without overpromising are rare and this one has clearly developed editorial calibration on that front consistently.

  146. Will share this on a forum I am part of where it will be appreciated by others working in the same area, and a look at buyedgeshop suggests there is more here worth passing along too, definitely a generous resource that deserves a wider audience than it probably has today across the open internet.

  147. Easily one of the better explanations I have read on the topic, and a stop at digitalgoodscorner pushed it even higher in my mental ranking of useful resources, the kind of site that beats the average not by trying harder but by simply caring more about what it puts out daily which always shows.

  148. Thanks again for the post, I learned a couple of things I can actually use later this week, and after I went over broblur the rest of the site looked equally promising, definitely going to spend more time here when I get a free moment over the weekend to read more carefully.

  149. Came away with a small but real shift in perspective on the topic, and a stop at hagaro pushed that shift a bit further, the kind of subtle reframing that good writing does to a reader without making a big deal of it is something I always appreciate when it happens which is sadly not that often.

  151. Decided to subscribe to the RSS feed if there is one, and a stop at jibion confirmed that decision, content that I want delivered to me proactively rather than just remembered when I have time is content that has earned a higher level of commitment from me as a reader looking for reliable sources.

  153. Speaking carefully because I do not want to overstate things this site is genuinely above average across multiple measurements, and a stop at gorurn 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.

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

  156. Stands out for actually being useful instead of just being long, and a look at sheentabby kept that going, length without value is the default mode of most blogs these days but this site has clearly chosen a different path which I respect a lot as a reader who values careful editing decisions like that.

  158. Reading this prompted me to subscribe to my first newsletter in months, and a stop at fernbrookvendorfoundry 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.

  160. A clean piece that knew exactly what it wanted to say and said it, and a look at atticboulder maintained the same clarity of intention, knowing the goal of a piece before writing is something most blog content lacks and the clarity of purpose here shows up in every paragraph for any careful reader to notice.

  161. Сил уже нет, родственники на нервах. Руки опускаются. Проверенный вариант — адекватный вывод из запоя цены указаны. Ребята знают свое дело. Короче, тыкайте сюда — вывод из запоя цена вывод из запоя цена Организм не вывозит. Сам через это прошел, чем хоронить близкого. Проверено на своей шкуре.

  162. Да уж, соседи уже устали слушать эти крики. Как есть — только срочный вывод из запоя. Ребята работают чисто. Короче говоря, вот нормальный расклад — вывод из запоя на дому недорого вывод из запоя на дому недорого Печень вообще молчит. Лучше один раз дернуться, чем потом скорую вызывать. Рекомендую эту наркологическую клинику.

  164. Друзья, столкнулся с такой ситуацией. Родственник пьет без остановки. Нервов ни у кого нет. В больницу тащить страшно. Короче, врачи толковые попались — адекватный вывод из запоя цены приемлемые. Поставили систему. В общем, там и контакты и прайс — выведение из запоя выведение из запоя Не тяните. Сохраните себе.

  167. Without overstating it this is a quietly excellent post, and a look at lemonridgecommercegallery 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.

  168. Pass this along to colleagues if the topic comes up, the framing here is sensible, and a stop at quartzorchardcraftcollective 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.

  170. I came here looking for a quick answer and ended up reading the whole post because it was actually interesting, and after jebbeo I had a much fuller picture, no stress and no confusion just a clear walk through the topic that made everything fall into place without much effort.

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

  172. Reading this gave me something to think about for the rest of the afternoon, and after igogoa 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.

  173. Worth recognising the specific care that went into how this post ended, and a look at creekharborcommercegallery maintained the same careful conclusions, endings are where most blog content falls apart and this site has clearly invested in the closing stretches of its pieces rather than letting them simply trail off when energy fades.

  174. Just sat back at the end of the post and felt grateful that someone took the time to write it, and a look at goodswaystore extended that gratitude across more of the site, recognising effort behind quality work is part of what makes the open web a community rather than just a marketplace today.

  175. Liked the natural conversational tone throughout, never stiff and never overly casual either, and a stop at targetskein kept that comfortable middle ground going, finding a tone that respects the reader without becoming distant or overly familiar is harder than it sounds and this site nails that balance consistently across many different pieces.

  176. Ребята, ситуация жуткая когда — близкий совсем не выходит из штопора. Соседи звонят в дверь. Участковый разводит руками. Сам был в такой жопе. Короче, только это и работает — лучшая наркологическая клиника с выездом. Откачали и спать уложили. В общем, там контакты и прайс и условия — снятие интоксикации на дому https://vyvod-iz-zapoya-na-domu-voronezh-jhg.ru Промедление реально убивает. Здоровье дороже. Перешлите тому кто в беде.

  177. Appreciate the thoughtful approach, the writer clearly took time to make this readable for someone who is not already an expert, and a look at oakcovecraftcollective kept that going nicely, easy on the eyes and easy on the brain which is always a winning combination when reading on a busy day.

  179. Worth marking the moment when reading this clicked into something useful for my own work, and a look at pebblepinemerchantgallery extended that practical click, content that connects to my actual life rather than just being interesting is content with the highest kind of value and this site is generating that connection at a high rate.

  180. Этот обзор посвящен успешным стратегиям избавления от зависимости, включая реальные примеры и советы. Мы разоблачим мифы и предоставим читателям достоверную информацию о различных подходах. Получите опыт многообразия методов и найдите подходящий способ для себя!
    Слушай внимательно — тут важно – выведение из запоя на дому цена

  181. Liked the way the post got out of its own way, and a stop at vincatrench extended that invisible craft, the best writing you barely notice while reading because it is doing its work without drawing attention to itself and this site has clearly mastered that disappearing act across the pieces I have read.

  185. Liked everything about the experience, from the opening through to the closing notes, and a stop at vyxcar extended that into more pages, finding a site where the editorial vision shows through every choice rather than feeling random is an increasingly rare experience and one I am glad to have today during this particular reading session.

  186. Better than most of the writing I have come across on this topic recently, simpler and more direct, and a look at emberstonecommercegallery continued in that same way, a real outlier in a crowded space full of repetitive content that says little while taking up a lot of reader time today which is unfortunate.

  187. В этой статье мы обсудим процесс восстановления после зависимостей, акцентируя внимание на различных методах и подходах к реабилитации. Читатели узнают, как создать план выздоровления и использовать полезные ресурсы для достижения устойчивых изменений.
    Ссылка на источник – выводе из запоя на дому в Мурманске

  188. Reading this felt productive in a way most internet reading does not, and a look at hazelharborcraftcollective continued that productive feeling, sometimes the open web feels like a waste of time but sites like this remind me why I still bother to look around rather than retreating to old reliable sources for everything I need.

  189. Good post, the kind that respects the reader by getting to the point quickly without skipping the details that matter, and a short look at fastcartsolutions confirmed that approach is consistent across the site which is rare to find online these days, definitely a place I will return to soon.

  191. Skipped breakfast still reading this and finished hungry but satisfied, and a stop at driftcovecommerceatelier kept me past breakfast time, content that displaces basic biological needs is content with serious attentional pull and the writers here are clearly capable of producing that level of engagement which is genuinely impressive these days.

  192. Эта публикация обращает внимание на важность профилактики зависимостей. Мы обсудим, как осведомленность и образование могут помочь в предотвращении возникновения зависимости. Читатели смогут ознакомиться с полезными советами и ресурсами, которые способствуют здоровому образу жизни.
    Ознакомиться с отчётом – клиника плюс москва

  193. Слушай, родственники маются. Как есть — адекватный вывод из запоя цены и условия. Ребята работают чисто. Между нами, нажимайте и читайте — вывод из запоя цены воронеж https://vyvod-iz-zapoya-na-domu-voronezh-xrt.ru Организм не резиновый. Лучше один раз дернуться, чем труп из квартиры выносить. Проверенный вариант по городу.

  194. Блин, каждое утро одно и то же. Что делать — непонятно. Проверенный вариант — нормальное выведение из запоя капельницей. Там реальные врачи. Короче, вот вам информация — цены на вывод из запоя на дому цены на вывод из запоя на дому Организм не вывозит. Сам через это прошел, чем потом собирать по кускам. Серьезно ребят.

  195. Appreciated the way each section connected smoothly to the next without abrupt jumps, and a stop at nextcartstation kept that flow going nicely, transitions are something most blog writers ignore but the difference is huge for the reader who is trying to follow a sustained line of thought today across many different topics.

  196. However measured this site clears the bar I set for sites I take seriously, and a stop at halarch continued clearing that bar, the metrics I use for site quality are admittedly informal but they are consistent and this site has cleared them on multiple measurements across multiple visits which is meaningful for my evaluation.

  197. One of the more thoughtful posts I have read recently on this topic, and a stop at vergetrophy added even more weight to that impression, this is genuinely good content that holds its own against far better known sites in the same space without trying to imitate any of them at all which I appreciate.

  198. Honestly impressed by how much useful content sits in such a small post, and a stop at salemsolid confirmed the rest of the site packs a similar punch, density without confusion is a hard balance to strike and this site has clearly cracked the code on it across many different topic areas covered.

  199. Honestly enjoyed reading this more than I expected to when I first clicked through, and a stop at meadowharborartisanexchange kept that pleasant surprise going, sometimes you stumble onto a site that just clicks with how you like to read and this is one of those for me right now today which is great.

  200. Solid information that lines up with what I have been hearing from other reliable sources, and after my visit to sageharborgoodsroom 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.

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