{"id":12632,"date":"2025-07-08T09:06:06","date_gmt":"2025-07-08T13:06:06","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/aspermia\/"},"modified":"2026-10-06T15:38:20","modified_gmt":"2026-10-06T19:38:20","slug":"aspermia","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/aspermia\/","title":{"rendered":"Aspermia"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[131],"glossary-product":[104,105],"class_list":["post-12632","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-male-infertility-treatments","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p>A aspermia \u00e9 uma condi\u00e7\u00e3o m\u00e9dica caracterizada pela aus\u00eancia completa de s\u00eamen durante a ejacula\u00e7\u00e3o. Isso significa que, embora o indiv\u00edduo possa ter orgasmo, nenhum l\u00edquido seminal \u00e9 expelido pelo p\u00eanis.<sup>1<\/sup>\u02d2<sup>2<\/sup> \u00c9 importante diferenciar a aspermia da azoospermia, na qual o s\u00eamen \u00e9 ejaculado, mas n\u00e3o cont\u00e9m espermatozoides.<sup>3<\/sup> A aspermia pode ser uma causa significativa de infertilidade masculina, pois a aus\u00eancia de s\u00eamen impede o transporte dos espermatozoides necess\u00e1rio para a concep\u00e7\u00e3o natural. A condi\u00e7\u00e3o pode decorrer de diversas causas subjacentes, incluindo a incapacidade de transportar o s\u00eamen (anejacula\u00e7\u00e3o) ou a passagem do s\u00eamen em dire\u00e7\u00e3o retr\u00f3grada (ejacula\u00e7\u00e3o retr\u00f3grada), em que o s\u00eamen entra na bexiga em vez de sair pela uretra.<sup>4<\/sup>\u02d2<sup>5<\/sup><\/p>","gt-synonyms":"Ejacula\u00e7\u00e3o seca, anejacula\u00e7\u00e3o (em alguns contextos, embora a anejacula\u00e7\u00e3o se refira especificamente \u00e0 incapacidade de ejacular, que \u00e9 uma causa da aspermia)","gt-citation":"[1] Indira IVF. Aspermia: What is Aspermia Causes, Symptoms & Treatment. Accessed May 15, 2025. https:\/\/www.indiraivf.com\/blog\/aspermia-causes-symptoms-treatment\n\n[2] ART Fertility Clinics. Aspermia : Causes Symptoms and Treatment. Accessed May 15, 2025. https:\/\/www.artfertilityclinics.com\/in\/en\/art-blog\/aspermia-causes-symptoms-treatment\n\n[3] National Center for Biotechnology Information. Aspermia (Concept Id: C1704202). Accessed May 15, 2025. http:\/\/www.ncbi.nlm.nih.gov\/medgen\/352809\n\n[4] Xie D, Klopukh B, Nehrenz GM, Gheiler E. Aspermia: A Review of Etiology and Treatment. Int Arch Urol Complic 2017;3:023. DOI: 10.23937\/2469-5742\/1510023\n\n[5] Mehta A, Sigman M. Management of the dry ejaculate: a systematic review of aspermia and retrograde ejaculation. Fertil Steril. 2015 Nov;104(5):1074-81. DOI: 10.1016\/j.fertnstert.2015.09.024","gt-clinical-context":"<p>A aspermia \u00e9 clinicamente relevante principalmente no contexto da infertilidade masculina, pois a aus\u00eancia de ejaculado impede a concep\u00e7\u00e3o natural.<sup>1<\/sup>\u02d2<sup>2<\/sup> Pode ser causada por diversos fatores. Uma das principais causas \u00e9 a ejacula\u00e7\u00e3o retr\u00f3grada, em que o s\u00eamen entra na bexiga em vez de ser expelido pela uretra. Isso pode ocorrer devido a condi\u00e7\u00f5es como diabetes, certos medicamentos (por exemplo, alfabloqueadores para doen\u00e7as da pr\u00f3stata) ou como complica\u00e7\u00e3o de cirurgias no colo vesical ou na pr\u00f3stata.<sup>4<\/sup>\u02d2<sup>5<\/sup> Outra causa significativa \u00e9 a obstru\u00e7\u00e3o dos ductos ejaculat\u00f3rios, que pode ser cong\u00eanita ou adquirida em decorr\u00eancia de infec\u00e7\u00f5es, inflama\u00e7\u00e3o ou cistos.<sup>4<\/sup> Dist\u00farbios neurol\u00f3gicos, como les\u00f5es da medula espinhal ou esclerose m\u00faltipla, tamb\u00e9m podem levar \u00e0 anejacula\u00e7\u00e3o e, consequentemente, \u00e0 aspermia, ao interromper os sinais nervosos necess\u00e1rios para a ejacula\u00e7\u00e3o.<sup>4<\/sup> Desequil\u00edbrios hormonais, particularmente a defici\u00eancia de andr\u00f3genos, podem resultar em gl\u00e2ndulas reprodutivas subdesenvolvidas que n\u00e3o produzem s\u00eamen.<sup>2<\/sup> Outros fatores contribuintes incluem infec\u00e7\u00f5es do trato urogenital (por exemplo, infec\u00e7\u00f5es TORCH, brucelose, tuberculose), exposi\u00e7\u00e3o \u00e0 radia\u00e7\u00e3o ou \u00e0 quimioterapia, certos medicamentos (por exemplo, alguns anti-hipertensivos, antagonistas da progesterona, esteroides anabolizantes) e fatores psicol\u00f3gicos, como estresse e ansiedade relacionados ao desempenho sexual.<sup>4<\/sup><\/p>\n<p>O diagn\u00f3stico da aspermia envolve uma hist\u00f3ria cl\u00ednica detalhada e exame f\u00edsico. A an\u00e1lise do s\u00eamen \u00e9 crucial para confirmar a aus\u00eancia de ejaculado.<sup>1<\/sup> Exames de imagem, como a ultrassonografia transretal (USTR), podem ser utilizados para identificar obstru\u00e7\u00f5es nos ductos ejaculat\u00f3rios.<sup>1<\/sup> O exame de urina p\u00f3s-ejaculat\u00f3rio pode detectar espermatozoides na urina, confirmando a ejacula\u00e7\u00e3o retr\u00f3grada. Avalia\u00e7\u00f5es hormonais tamb\u00e9m podem ser realizadas.<sup>4<\/sup><\/p>\n<p>O tratamento da aspermia \u00e9 direcionado \u00e0 causa subjacente. Se a ejacula\u00e7\u00e3o retr\u00f3grada for decorrente de um medicamento, a suspens\u00e3o ou a troca do medicamento pode resolver o problema. A terapia medicamentosa com simpaticomim\u00e9ticos \u00e0s vezes pode ajudar a fechar o colo vesical e restaurar a ejacula\u00e7\u00e3o anter\u00f3grada.<sup>5<\/sup> Para a obstru\u00e7\u00e3o dos ductos ejaculat\u00f3rios, pode ser realizada a ressec\u00e7\u00e3o transuretral dos ductos ejaculat\u00f3rios (TURED) para desfazer o bloqueio.<sup>2<\/sup>\u02d2<sup>4<\/sup> Nos casos em que esses tratamentos s\u00e3o ineficazes ou n\u00e3o aplic\u00e1veis, ou se a causa for neurol\u00f3gica, frequentemente s\u00e3o empregadas t\u00e9cnicas de reprodu\u00e7\u00e3o assistida (TRA). Os espermatozoides podem ser obtidos diretamente dos test\u00edculos (por exemplo, extra\u00e7\u00e3o de espermatozoides testiculares \u2013 TESE) ou da urina (em casos de ejacula\u00e7\u00e3o retr\u00f3grada) para uso em procedimentos como a fertiliza\u00e7\u00e3o in vitro (FIV) com inje\u00e7\u00e3o intracitoplasm\u00e1tica de espermatozoide (ICSI).<sup>1<\/sup>\u02d2<sup>4<\/sup> O aconselhamento psicol\u00f3gico pode ser ben\u00e9fico se o estresse ou a ansiedade forem fatores contribuintes.<sup>2<\/sup><\/p>\n<p>Os resultados esperados variam conforme a causa e o tratamento adotado. O tratamento bem-sucedido da causa subjacente pode restaurar a fertilidade em alguns indiv\u00edduos. Para aqueles que necessitam de TRA, as taxas de sucesso dependem de v\u00e1rios fatores, incluindo a qualidade dos espermatozoides e a fertilidade da parceira.<sup>4<\/sup>\u02d2<sup>5<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":118},"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>Aspermia: Aus\u00eancia de Ejaculado | Rigicon<\/title>\n<meta name=\"description\" content=\"Entenda a aspermia, aus\u00eancia completa de ejaculado. 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