L’eiaculazione retrograda è una condizione in cui durante l’orgasmo maschile manca la fuoriuscita di sperma o è in quantità minime. Il liquido spermatico è presente, ma invece di risalire lungo il pene, dalla prostata fa un percorso inverso e va a depositarsi nella vescica (diverso da aneiaculazione in cui non vi è questa azione). Non eiaculare non è pericoloso per la salute, ma può avere complicanze sulla sfera sessuale ed emotiva oltre che sulla ferilità. Che fare? Quali cure in questo caso? E come si fa la diagnosi?

Complicazioni
L’eiaculazione retrograda può comportare infertilità maschile ed un disagio sessuale dovuto alla mancanza di eiaculato. Può altresì provocare qualche deficit funzionale e nel piacere laddove la preoccupazione per l’assenza di eiaculato sia particolarmente importante, sia cioè vissuta con forte imbarazzo.
Come si fa la diagnosi?
Altre condizioni di salute possono provocare un orgasmo senza fuoriuscita di liquido spermatico (si parla anche di “orgasmo a secco” o “asciutto”), come anche l’aneiaculazione. Per questo è importante una diagnosi precisa, anche nell’ottica di stabilire una cura efficace, specie se si vogliono avere dei figli. Cosa fare? Il primo step è sicuramente il consulto di uno specialista in andrologia/urologia che possa prescrivere i giusti esami. Sarà utile indicare quando il problema si è posto la prima volta (o se c’è sempre stato), se vi sono altri sintomi correlati, se si soffre di altre patologie, se si assumono farmaci i si sono subiti interventi chirurgici ivi localizzati per tumore o meno. probabilmente sarà necessario anche un esame fisico del pene, dei testicoli, della prostata e del retto.
La raccolta delle urine post -orgasmo servirà poi a stabilire se vi è presenza di sperma. In genere questo test si esegue in un ambulatorio medico dove, è necessaria la masturbazione. Se il risultato sarà positivo si potrà parlare di eiaculazione retrograda, se negativo, ci si indirizzerà verso altro e più precisamente verso una diagnosi di aneiaculazione e dunque un problema con la produzione di sperma. Tale condizione può essere provocata da un danno o anomalia alla prostata o alle ghiandole seminali, dovuto ad un problema fisiologico presente sin dalla nascita, ad un cancro nella zona pelvica o a chirurgia o radioterapia nella stessa area. In tutti i casi sarà necessario stabilire bene le cause determinanti di un orgasmo a secco.
Quali cure?
L’eiaculazione retrograda in genere non richiede alcuna cura specifica a meno che non interferisca con la fertilità e si desiderino dei figli. Il tali casi la cura ovviamente non può prescindere dalla causa scatenante, sottostante al problema. Alcuni farmaci ad esempio sono efficaci in caso di eiaculazione retrograda dovuta ad un danno ai nervi del muscolo della vescica provocati da diabete, sclerosi multipla o alcuni interventi chirurgici: non funzioneranno invece in caso di operazioni che alterano l’anatomia di alcune parti importanti come nel caso della chirurgia del collo vescicale e la resezione transuretrale della prostata.
Se a stimolare l’eiaculazione retrograda sono invece alcuni farmaci che si stanno assumendo (ad esempio quelli per i disturbi dell’umore, gli alfa-bloccanti – che servono per la pressiona alta o altri per la prostata ingrossata) a seconda dei casi potrà essere avviata una modifica terapeutica per questa condizione, con altri medicinali, aggiustamenti nei dosaggi o sospensione laddove possibile. E’ sempre opportuno evitare il fai da te: sospendere di proprio arbitrio un medicinale per l’ipertensione ad esempio, può essere molto pericoloso.
Va detto inoltre che non esistono farmaci specifici per il trattamento dell’eiaculazione retrograda: si utilizzano medicinali che hanno altre indicazioni principali, come i seguenti:
- Imipramina (Tofranil)
- Clorfeniramina e brompheniramine
- L’efedrina, pseudoefedrina e fenilefrina
Questi medicinali sostanzialmente aiutano a mantenere il muscolo del collo vescicale chiuso durante l’eiaculazione (quando è aperto favorisce il reflusso del liquido spermatico all’interno della vescica, dando luogo alla condizione). Chiaramente, pur essendo efficaci allo scopo hanno effetti collaterali, alcuni lievi altri pericolosi, da soli o in combinazione con altri prncipi attivi, come i seguenti:
- Effetti negativi con interazione di altri farmaci
- Aumentano la pressione sanguigna e la frequenza cardiaca (il che non è positivo per chi soffre di ipertensione o malattie cardiovascolari di altro genere)
Per il resto, in caso di profondo disagio nell’atto sessuale a causa dell’orgasmo asciutto può essere utile un trattamento psicoterapico che aiuti ad accettare e a superare il problema.
Infertilità
Un discorso a se stante va fatto in caso di infertilità: se si vuole un figlio e le terapie sopra elencate non producono risultati ottimali in tal senso può essere necessario ricorrere a tecniche di fecondazione assistita.
Il più delle volte gli spermatozoi necessari allo scopo possono essere raccolti nella vescica, mentre in pochi altri casi possono essere necessarie metodiche leggermente più complesse, ma poiché il problema non è nella qualità dello sperma e dunque degli spermatozoi, in genere la fecondazione assitita ha esito positivo molto facilmente.
Leggi anche:
-
Mancata eiaculazione nonostante orgasmo, quali cause ? L’andrologo risponde
-
Eiaculazione precoce rimedi, cure, consigli
-
Aneiaculazione, cause e rimedi
Fonte: Mayo Clinic
Foto: Thinkstock
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Came in confused about the topic and left with a much firmer grasp on it, and after rosecovemerchantgallery I felt I could explain this to someone else without hesitation, that is the gold standard for any educational content and most sites simply fail to reach it ever which is unfortunate but true.
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A particular pleasure to read this with a fresh coffee, and a look at allthingsstore extended the pleasure across more pages, content that pairs well with quiet morning rituals is something I have come to value highly and this site has the kind of energy that fits naturally into a calm reading routine.
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Now feeling the small relief of finding writing that does not condescend, and a stop at bomkix extended that respect for readers, content that treats its audience as capable adults rather than as people to be managed produces a different reading experience and this site has clearly chosen the respectful approach across all pieces.
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During a reading session that included several other sources this one stood out, and a look at floraridgemerchantgallery continued the standout quality, the side by side comparison of sources during research is a useful exercise and this site has been winning those comparisons for me consistently across multiple research sessions during the last week.
Bookmark moved to my permanent reference folder rather than the casual maybe later folder, and a look at quickdealscorner earned the same upgrade, the distinction between casual interest and lasting reference is something I track carefully and very few sites cross that threshold but this one did so without much effort apparently.
Found this really helpful, the explanations are simple but they actually answer the questions a normal reader would have, and after I followed vaultscript I had a clearer sense of the topic, no extra fluff just useful points laid out in a sensible order that made the time worth it.
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Honestly enjoyed not being sold anything for the entire duration of the post, and a look at oliveorchardcraftcollective kept that pleasant absence going across more pages, content that exists for its own sake rather than as a funnel to a paid product is increasingly rare and worth supporting where I can find it.
Honestly the simplicity of the explanation made the topic click for me in a way other writeups had not, and a look at alpinecovemerchantgallery 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.
Came away with a small but real shift in perspective on the topic, and a stop at meadowharbormerchantgallery 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.
Halfway through reading I knew this would be one to bookmark, and a look at tractsmoke confirmed that early intuition, when bookmark intent forms before finishing a post you know the writing has cleared a quality bar that most content fails to clear and this site has cleared it on multiple visits already.
Different feel from the algorithmically optimised posts that dominate the topic, and a stop at elfincinder reinforced that human touch, you can tell when a site is being run by someone who reads what they publish versus someone just hitting submit and moving on quickly to the next assignment without checking the result.
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Found a couple of useful angles in here I had not considered before reading carefully, and a quick stop at forestbrooktradingfoundry added more, this is one of those sites where the value compounds the more you read rather than peaking at one viral post and then offering nothing else of substance afterwards which is common.
Felt the post had been written without using a single buzzword, and a look at infinitytrendzone 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.
Really grateful for content like this, it does not waste my time and it does not insult my intelligence either, and a quick look at jencap was the same, balanced respectful writing that makes a person feel welcome rather than rushed through pages of forced engagement just to keep clicking around.
Reading this felt easy in the best way, no friction and no confusion at any point, and a stop at sageharbormerchantgallery carried that same comfort across more pages, the kind of editorial flow that lets you absorb information without fighting the format which is increasingly hard to find on the open web today across topics.
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Looking at the surface design and the substance together this site has both right, and a look at vectorswift 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.
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Decided not to skim despite my usual habit and was rewarded for the discipline, and a stop at derbunch earned the same patient approach, training myself to recognise sites that warrant slower reading is part of being a careful online reader and this site is the kind that helps me practice that skill regularly.
Picked something concrete from the post that I will use immediately, and a look at elmharborartisanexchange 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.
Honestly enjoyed not being sold anything for the entire duration of the post, and a look at jeqblot kept that pleasant absence going across more pages, content that exists for its own sake rather than as a funnel to a paid product is increasingly rare and worth supporting where I can find it.
However many similar pages I have read this one taught me something new, and a stop at mooncoveartisanexchange added more new material, content that contributes genuinely fresh information rather than recycling what is already widely available is content with real informational value and this site is providing that informational freshness at a notable rate.
Honestly the simplicity is what makes this work, the topic is not buried under filler words or overly complex examples, and a quick look at bayharbormerchantgallery showed the same sensible style, I left with what I came for and no headache from over reading which is a real win these days.
Quality work here, the post reads cleanly and the points stay focused throughout, and a stop at humzap kept the standard high, you can tell the writer cares about the final result rather than just hitting publish for the sake of having something new on the page to feed the search engines.
Took something from this I did not expect to find, and a stop at violavenom added another unexpected useful piece, content that exceeds expectations rather than just meeting them is the kind that builds enthusiasm and earns repeat visits without any explicit ask from the writer or platform behind the work being read.
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Speaking carefully because I do not want to overstate things this site is genuinely above average across multiple measurements, and a stop at jifedge 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.
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A piece that read as if the writer was thinking carefully rather than just typing fluently, and a look at duneelfin 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.
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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 tidaltunic 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.
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Now feeling something close to gratitude for the fact this site exists, and a look at slateserif 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.
Really like the way the post resists reaching for cliches that would have made it feel generic, and a quick visit to camelcinder 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.
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Worth every minute of the time spent reading, and a stop at moderntrendarena extends that value across more pages, in a media environment where most content is engineered to waste attention this site stands out by treating reader time as something valuable rather than something to be exploited and stretched as far as possible.
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Reading this with my morning coffee turned into reading the related posts with my morning coffee, and a stop at derburn 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.
Picked this up between two other things I was doing and got drawn in completely, and after alpineharborcommercegallery my original tasks were completely forgotten for a while, content that derails a workflow in a positive way by being more interesting than what you were already doing is rare and worth recognising clearly.
Decided to write a short note to the author if there is contact info anywhere, and a stop at igoblob extended that intention, the urge to thank the writer directly is a strong signal of content quality and this site has triggered that urge in me today which is a fairly rare event for my reading.
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Now adding the writer to a small mental list of voices I want to follow, and a look at jesaria reinforced that follow intention, the few writers whose work I actively track are writers who have demonstrated sustained quality and this writer has clearly demonstrated that sustained quality across the pieces I have sampled here today.
The tone stayed consistent across the whole post which is harder than it looks for longer pieces, and a look at apricotharbormerchantgallery continued the same voice, this kind of editorial consistency is a sign of either a single careful writer or a tightly run team and either is impressive today across the broader media environment.
Now sitting with the thoughts the post triggered rather than rushing on to the next thing, and a stop at hupido 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.
Now appreciating that the post did not try to imitate any other style I might recognise, and a stop at jasperharborcraftcollective continued that distinct voice, content with its own register rather than borrowed from elsewhere is content with real authorial presence and this site has clearly developed that presence through what feels like patient editorial work.
Reading this prompted a brief but useful conversation with a colleague who happened to walk by, and a stop at glybrow extended that conversational seed, content that becomes a starting point for in person discussion rather than ending in solitary reading is content with social generative energy and this site has plenty of it apparently.
Reading this site over the past week has changed how I evaluate content in this space, and a look at rivercoveartisanexchange extended that recalibration, the standards I bring to reading on the topic have shifted upward as a direct result of regular exposure to this kind of work and that shift will outlast any single reading session.
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Reading this with my morning coffee turned into reading the related posts with my morning coffee, and a stop at reliableshoppingzone 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.
Stands out for actually being useful instead of just being long, and a look at unicorntiger 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.
Reading this in segments because the day was busy, and the post survived the fragmented attention well, and a stop at suppletoast 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.
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Now feeling slightly more optimistic about the state of independent writing online, and a stop at elfinebony extended that quiet optimism, sites like this one are the reason I have not given up on the open web entirely and finding them occasionally renews the case for paying attention to non algorithmic content sources today.
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Easily one of the better explanations I have read on the topic, and a stop at eagleelder 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.
Looking back on this reading session it stands as one of the better ones recently, and a look at oakcovemerchantgallery extended that ranking, the informal ranking of reading sessions against each other is something I do mentally and this session ranks high largely because of this site and a couple of related pages here.
Reading this confirmed that the topic deserves more careful attention than it usually gets, and a stop at savorvantage extended that elevated framing, content that raises the appropriate weight of a subject without being preachy about it is serving a quiet but important editorial function for the broader cultural conversation about it.
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Reading this in a quiet hour and finding it suited the quiet, and a stop at neoncartcenter extended the quiet reading mood, content that matches its own optimal reading conditions rather than fighting them is content that has been thoughtfully calibrated and this site reads as having a particular reading mood in mind throughout.
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A genuine compliment to the writer for keeping the post focused on what mattered, and a look at apricotharborcommercegallery continued that disciplined focus, focus is a editorial choice that compounds across many small decisions and this site has clearly made those small decisions consistently across what I have read so far this week here.
Beats most of the alternatives on the topic by a noticeable margin, and a look at tennisvortex 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.
Coming back to this one, definitely, and a quick visit to coastharborcommercegallery only made me more sure of that, the kind of writing that makes you want to set aside time later rather than rushing through it now while distracted by everything else competing for attention on the screen today across so many tabs.
По теме “Единство команды: микроклимат и достижения в спорте”, там просто кладезь информации.
Смотрите сами:
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Bookmark added without hesitation after finishing, and a look at rosecoveartisanexchange confirmed I should bookmark the homepage too rather than just this page, the rare site that earns category level trust rather than just single article approval is the kind I want to rely on across many different topics over time.
Reading this between two meetings turned out to be the highlight of the morning, and a stop at elderbeetle 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.
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Glad to have another reliable bookmark for this topic, and a look at tracestudio suggested several more pages I will be marking too, building a personal library of trustworthy resources is one of the actual rewards of careful browsing and this site is earning a place on my permanent shortlist for the topic.
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.
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A clean piece that knew exactly what it wanted to say and said it, and a look at ibeburn 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.