{"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":"2025-07-08T09:06:06","modified_gmt":"2025-07-08T13:06:06","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 completa aus\u00eancia de s\u00eamen durante a ejacula\u00e7\u00e3o. Isso significa que, embora um indiv\u00edduo possa ter orgasmo, nenhum fluido seminal \u00e9 expelido do p\u00eanis.<sup>1<\/sup>\u02d2<sup>2<\/sup> \u00c9 importante diferenciar a aspermia da azoospermia, onde o s\u00eamen \u00e9 ejaculado, mas n\u00e3o cont\u00e9m esperma.<sup>3<\/sup> A aspermia pode ser uma causa significativa de infertilidade masculina, pois a aus\u00eancia de s\u00eamen impede o transporte de esperma necess\u00e1rio para a concep\u00e7\u00e3o natural. A condi\u00e7\u00e3o pode surgir de v\u00e1rias causas subjacentes, incluindo a incapacidade de transportar o s\u00eamen (anejacula\u00e7\u00e3o) ou a ejacula\u00e7\u00e3o do s\u00eamen na dire\u00e7\u00e3o anter\u00f3grada (ejacula\u00e7\u00e3o retr\u00f3grada), onde o s\u00eamen entra na bexiga em vez de sair pela uretra.<sup>4<\/sup>\u02d2<sup>5<\/sup><\/p>\n<p>A aspermia refere-se \u00e0 aus\u00eancia completa de ejaculado (s\u00eamen) durante o orgasmo. Difere da azoospermia, em que h\u00e1 ejaculado mas sem espermatozoides. A aspermia pode resultar de ejacula\u00e7\u00e3o retr\u00f3grada, obstru\u00e7\u00e3o dos ductos ejaculat\u00f3rios, anejacula\u00e7\u00e3o ou aus\u00eancia cong\u00eanita das ves\u00edculas seminais. O volume ejaculat\u00f3rio normal \u00e9 de 1,5-5,0 mL segundo a OMS.<\/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 ejacula\u00e7\u00e3o impede a concep\u00e7\u00e3o natural.<sup>1<\/sup>\u02d2<sup>2<\/sup> Pode ser causada por v\u00e1rios fatores. Uma das principais causas \u00e9 a ejacula\u00e7\u00e3o retr\u00f3grada, onde 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, alfa-bloqueadores para doen\u00e7as da pr\u00f3stata) ou como uma complica\u00e7\u00e3o de cirurgia no colo da bexiga ou na pr\u00f3stata.<sup>4<\/sup>\u02d2<sup>5<\/sup> Outra causa significativa \u00e9 a obstru\u00e7\u00e3o do ducto ejaculat\u00f3rio, que pode ser cong\u00eanita ou adquirida devido a infec\u00e7\u00f5es, inflama\u00e7\u00e3o ou cistos.<sup>4<\/sup> Dist\u00farbios neurol\u00f3gicos, como les\u00f5es na medula espinhal ou m\u00faltiplas esclerose, tamb\u00e9m pode levar \u00e0 anejacula\u00e7\u00e3o e subsequentemente \u00e0 aspermia, interrompendo os sinais nervosos necess\u00e1rios para a ejacula\u00e7\u00e3o.<sup>4<\/sup> Os 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 que contribuem incluem infec\u00e7\u00f5es do trato urogenital (por exemplo, infec\u00e7\u00f5es TORCH, brucelose, tuberculose), exposi\u00e7\u00e3o \u00e0 radia\u00e7\u00e3o ou quimioterapia, certos medicamentos (por exemplo, alguns anti-hipertensivos, antagonistas da progesterona, ester\u00f3ides anabolizantes) e fatores psicol\u00f3gicos como estresse e ansiedade relacionados ao desempenho sexual.<sup>4<\/sup><\/p>\n<p>O diagn\u00f3stico de aspermia envolve uma hist\u00f3ria m\u00e9dica completa e um exame f\u00edsico. A an\u00e1lise do s\u00eamen \u00e9 crucial para confirmar a aus\u00eancia de ejacula\u00e7\u00e3o.<sup>1<\/sup> Estudos de imagem, como ultrassonografia transretal (TRUS), podem ser usados \u200b\u200bpara identificar obstru\u00e7\u00f5es nos dutos 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 causada por medica\u00e7\u00e3o, a interrup\u00e7\u00e3o ou altera\u00e7\u00e3o da medica\u00e7\u00e3o pode resolver o problema. A terapia m\u00e9dica com simpaticomim\u00e9ticos \u00e0s vezes pode ajudar a fechar o colo da bexiga e restaurar a ejacula\u00e7\u00e3o anter\u00f3grada.<sup>5<\/sup> Para obstru\u00e7\u00e3o do ducto ejaculat\u00f3rio, a ressec\u00e7\u00e3o transuretral dos ductos ejaculat\u00f3rios (TURED) pode ser realizada para eliminar 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, t\u00e9cnicas de reprodu\u00e7\u00e3o assistida (ART) s\u00e3o frequentemente empregados. O esperma pode ser recuperado diretamente dos test\u00edculos (por exemplo, extra\u00e7\u00e3o testicular de espermatoz\u00f3ides - TESE) ou da urina (em casos de ejacula\u00e7\u00e3o retr\u00f3grada) para uso em procedimentos como fertiliza\u00e7\u00e3o in vitro (FIV) com inje\u00e7\u00e3o intracitoplasm\u00e1tica de espermatoz\u00f3ides (ICSI).<sup>1<\/sup>\u02d2<sup>4<\/sup> O aconselhamento psicol\u00f3gico pode ser ben\u00e9fico se o estresse ou a ansiedade estiverem contribuindo fatores.<sup>2<\/sup><\/p>\n<p>Os resultados esperados variam dependendo da causa e do tratamento seguido. O tratamento bem-sucedido da causa subjacente pode restaurar a fertilidade em alguns indiv\u00edduos. Para aqueles que necessitam de TARV, as taxas de sucesso dependem de v\u00e1rios fatores, incluindo a qualidade do esperma e a fertilidade da parceira.<sup>4<\/sup>\u02d2<sup>5<\/sup><\/p>\n<p>O diagn\u00f3stico diferencial inclui an\u00e1lise de urina p\u00f3s-org\u00e1stica para excluir ejacula\u00e7\u00e3o retr\u00f3grada e ultrassonografia transretal para avaliar obstru\u00e7\u00e3o. O tratamento depende da causa: alfa-agonistas para ejacula\u00e7\u00e3o retr\u00f3grada, ressec\u00e7\u00e3o transuretral dos ductos ejaculat\u00f3rios para obstru\u00e7\u00e3o, ou t\u00e9cnicas de recupera\u00e7\u00e3o esperm\u00e1tica (TESE\/MESA) para fins de fertilidade com reprodu\u00e7\u00e3o assistida.<\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":48},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.8) - 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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