{"id":12139,"date":"2025-07-23T10:51:41","date_gmt":"2025-07-23T14:51:41","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/ejaculation-retrograde\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"eyaculacion-retrograda-es","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/eyaculacion-retrograda-es\/","title":{"rendered":"Eyaculaci\u00f3n Retr\u00f3grada"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[126],"glossary-product":[],"class_list":["post-12139","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-conditions"],"acf":{"gt-definition":"<p>La eyaculaci\u00f3n retr\u00f3grada es una afecci\u00f3n en la que el semen entra en la vejiga en lugar de expulsarse a trav\u00e9s de la uretra durante la eyaculaci\u00f3n.<sup>1<\/sup> Durante la eyaculaci\u00f3n normal, el m\u00fasculo del cuello vesical se contrae para impedir que el semen entre en la vejiga cuando pasa de la pr\u00f3stata a la uretra.<sup>2<\/sup> En la eyaculaci\u00f3n retr\u00f3grada, este m\u00fasculo del cuello vesical no se contrae correctamente, lo que hace que los espermatozoides se desplacen hacia atr\u00e1s, a la vejiga, en lugar de avanzar a trav\u00e9s del pene.<sup>3<\/sup> La afecci\u00f3n da lugar a un volumen de eyaculado reducido o ausente a pesar de una sensaci\u00f3n org\u00e1smica normal, lo que a menudo se denomina \u00aborgasmo seco\u00bb.<sup>4<\/sup> Aunque la eyaculaci\u00f3n retr\u00f3grada no es perjudicial para la salud f\u00edsica, puede afectar de forma significativa a la fertilidad y causar malestar psicol\u00f3gico en las personas afectadas.<sup>5<\/sup><\/p>","gt-synonyms":"Eyaculaci\u00f3n retr\u00f3grada, Orgasmo seco, Emisi\u00f3n retr\u00f3grada, Aspermia (cuando est\u00e1 completa), Eyaculaci\u00f3n de vejiga, Eyaculaci\u00f3n retr\u00f3grada","gt-citation":"[1] Konstantinidis C, Zachariou A, Evgeni E, \u00c7ayan S, Boeri L, Agarwal A. Recent Advances in the Diagnosis and Management of Retrograde Ejaculation: A Narrative Review. Diagnostics. 2025 Mar 14;15(6):726. DOI: 10.3390\/diagnostics15060726\n\n[2] Parnham A, Serefoglu EC. Retrograde ejaculation, painful ejaculation and hematospermia. Transl Androl Urol. 2016 Aug;5(4):592-601. DOI: 10.21037\/tau.2016.06.05\n\n[3] Jefferys A, Siassakos D, Wardle P. The management of retrograde ejaculation: a systematic review and update. Fertil Steril. 2012 Feb;97(2):306-12. DOI: 10.1016\/j.fertnstert.2011.11.019\n\n[4] Mieusset R, Walschaerts M, Isus F, Almont T, Daudin M, Hamdi SM. Diagnosis of Partial Retrograde Ejaculation in Non-Azoospermic Infertile Men with Low Semen Volume. PLoS One. 2017 Jan 6;12(1):e0168742. DOI: 10.1371\/journal.pone.0168742\n\n[5] Gupta S, Finelli R, Agarwal A, Leisegang K. A Comprehensive Guide to Sperm Recovery in Infertile Men with Retrograde Ejaculation. World J Mens Health. 2022 Apr;40(2):204-216. DOI: 10.5534\/wjmh.210069","gt-clinical-context":"<p>La eyaculaci\u00f3n retr\u00f3grada se diagnostica principalmente en el contexto de la evaluaci\u00f3n de la infertilidad masculina, y es responsable de aproximadamente el 0,3-2% de los casos de infertilidad masculina.<sup>1<\/sup> La afecci\u00f3n se diagnostica mediante la anamnesis, la exploraci\u00f3n f\u00edsica y el an\u00e1lisis de laboratorio de muestras de orina posteyaculatoria; la presencia de 10-15 espermatozoides por campo de gran aumento confirma el diagn\u00f3stico.<sup>2<\/sup><\/p>\n    \n    <p>La selecci\u00f3n de los pacientes para el tratamiento depende de la causa subyacente, que puede incluir factores anat\u00f3micos (p. ej., cirug\u00eda de pr\u00f3stata, cirug\u00eda del cuello vesical), trastornos neurol\u00f3gicos (p. ej., diabetes mellitus, esclerosis m\u00faltiple, lesiones medulares) o efectos secundarios de medicamentos (p. ej., alfabloqueantes, antidepresivos).<sup>3<\/sup> Los enfoques terap\u00e9uticos var\u00edan en funci\u00f3n de la etiolog\u00eda y de los objetivos de fertilidad.<\/p>\n    \n    <p>En los pacientes que desean tener descendencia, las opciones de manejo incluyen intervenciones farmacol\u00f3gicas con simpaticomim\u00e9ticos (p. ej., pseudoefedrina, efedrina) y antimuscar\u00ednicos (p. ej., imipramina) para mejorar el cierre del cuello vesical durante la eyaculaci\u00f3n.<sup>4<\/sup> Cuando la medicaci\u00f3n es ineficaz, pueden emplearse t\u00e9cnicas de reproducci\u00f3n asistida con espermatozoides recuperados de muestras de orina posteyaculatoria, como la inseminaci\u00f3n intrauterina o la fecundaci\u00f3n in vitro.<sup>5<\/sup><\/p>\n    \n    <p>Los resultados esperados var\u00edan en funci\u00f3n de la causa subyacente y del enfoque terap\u00e9utico. Los tratamientos farmacol\u00f3gicos muestran tasas de eficacia de aproximadamente el 28% con simpaticomim\u00e9ticos solos y del 39% con el tratamiento combinado con antimuscar\u00ednicos.<sup>2<\/sup> Los espermatozoides recuperados de la orina posteyaculatoria pueden utilizarse para la reproducci\u00f3n asistida, con tasas de embarazo descritas de alrededor del 15% por ciclo tras la centrifugaci\u00f3n y resuspensi\u00f3n y de alrededor del 24% por ciclo con la t\u00e9cnica de Hotchkiss (modificada).<sup>5<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":122},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Eyaculaci\u00f3n Retr\u00f3grada: Diagn\u00f3stico y Tratamiento | Rigicon<\/title>\n<meta name=\"description\" content=\"La eyaculaci\u00f3n retr\u00f3grada hace que el semen se desv\u00ede hacia la vejiga durante el orgasmo, siendo una causa tratable de infertilidad masculina.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.rigicon.com\/es\/glossary-term\/eyaculacion-retrograda-es\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Eyaculaci\u00f3n Retr\u00f3grada - 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