Discharge from the genital organs can bother not only girls but also men. Men have normal, odorless discharge. Their source is the urethra. In women, the discharge is called leucorrhea. If you notice unhealthy discharge, go to a personal appointment with a urologist immediately.
Normal or pathological?
The urethra is the male urethra. From there they appear from time to time. There is such a thing as urethritis. It can be physiological or libidinal in nature. A transparent discharge emerges from the urethral opening. This happens in the morning, immediately after waking up or when a man is sexually aroused.
Urethritis can be more or less severe. The lubricant released during arousal contains sperm. So if you don't want to have children yet, you should also protect yourself during foreplay with your genitals. In men, the discharge helps sperm move through and past the urethra and into the partner's vagina. After all, the environment there is acidic, and that is harmful to the lifespan of sperm.
Pathological discharge
The physiological discharge that usually occurs in boys and men is described above. Here we look at the discharge that is associated with health problems. Most of all, pathological discharge from the urethra worries menfor urethritis. This is an inflammatory process that develops in the urethra. Urethritis can be caused by infection or non-infectious factors.
The infection can be either specific or nonspecific. Trichomoniasis or gonorrhea is particularly specific. Anonspecific urethritiscan be triggered by the following pathogens:
- Mycoplasmas
- Ureaplasma
- Chlamydia
- Herpes
- Staphylococci
- Streptococci
Non-infectious causes of urethritisand associated discharge from the genital tract:
- Trauma, narrowing of the urethra
- Irritation caused by chemical factors
- mechanical damage to the mucous membrane
- Influence of allergens
Discharge from the genital tract in men can vary in color and transparency. It depends on how active the inflammation is, what stage it is in and what flora is causing it.Discharge from the penis includes::
- mucus
- fluid
- Cells of different origins
If there is a lot of the latter component, the discharge becomes cloudy, which can be visually observed by the man himself. When epithelial cells appear in the discharge in large numbers, the discharge thickens and takes on a gray hue.
When you find yourselfyellow-green, greenish or yellowish dischargeMost likely they contain a lot of leukocytes. This means that the discharge contains purulent masses, which are a consequence of the inflammatory process. With the same disease, the discharge can be of different strength, quantity and type. For example, they may be thicker at the beginning of the disease and then gradually become more fluid. This is such an individual process that the doctor cannot determine your disease during an examination and you will have to undergo a series of tests.
discharge in menWhitecan have different reasons. The first thing doctors suspect is the proliferation of the Candida fungus. The disease is called accordingly -. You've probably heard that women get thrush. It also occurs in men, but usually in a hidden form. However, in rare cases, white discharge from the genitals may occur.
Discharge with smell
The first possible reason (and the most harmless) is poor hygiene. As mentioned above, smegma is normal male discharge (which does not indicate disease). If you do not wash yourself regularly, at least once a day, smegma accumulates, bacteria multiply in it and cause not very pleasant odors. These smells can be different for different men.
If you follow good hygiene rules and still experience an unpleasant odor, your doctor may suspect a metabolic disorder. In such cases, diabetes is the most common cause. Smegma is released in relatively large quantities, causing laundry to become wet.
Infections are also the cause of odorous discharge in men. The pathological process takes place mainly in the urethra. Your doctor may suspect urethritis due to a gonorrhea infection. The nature of the discharge is described above. If discharge from the penis in men smells sour, urogenital candidiasis is most likely developing.
Bloody discharge in men
The main reason is infections. The discharge may be completely bloody or contain streaks of blood. If the infection multiplies in the urethra, you will notice such a symptom, but not necessarily. Urethritis in such cases is mainly caused by candida, trichomonas or gonorrhea infection. The stronger the inflammation, the more blood is released.
Blood can be due to chronic inflammation of the urethra. The essence of the process is that the mucous layer of the urethra loosens. When exposed to an irritant, the membrane is damaged and blood begins to be released. Even urinating can be irritating.
Probable reason number two is negligently performed medical procedures. The urethra is injured, which is why blood comes out. Procedures that can cause damage to the urethra:
- Catheter installation
- Removal of the catheter
- Bouging
- take a swab
- cystoscopy
Discharge with blood occurs immediately. It should be noted that the blood in this case is scarlet, does not have clots and stops quickly.
The discharge of stones and sand is the next cause of bloody discharge from the penis. They are excreted by the kidneys or bladder and pass through the urethra. Microliths are hard, they injure the mucous membrane and the walls of blood vessels, which becomes the direct cause of bleeding. Pain also occurs.
Discharge of blood with semen
Such a discharge is called "hematospermia". It can be true and false. In false hematospermia, the blood mixes with the sperm as it passes through the urethra. If this pathology applies, the blood mixes with the sperm before itpasses through the urethra.
Hematospermia is manifested by the following symptoms:(medical condition):
- Urinary tract diseases
- Pain during ejaculation
- Discomfort and pain in the lower back
- Pain and/or swelling in the genital area
- high body temperature
Causes of blood discharge with semen:
- long-term sexual abstinence
- overly active sexual life (during coitus, the walls of blood vessels rupture)
- Varicose veins of the pelvic organs
- Stones in the testicles and vas deferens
- malignant and benign formations in the urogenital organs
- biopsy
- Genital surgery
If you notice discharge from your genitals that does not go away within a day or two, immediately seek a personal consultation with an experienced doctor. If discharge occurs after unprotected sexual intercourse, there is no reason to raise the alarm, but rather go to the doctor as soon as possible and get tested. Health to you and your other halves!
Discharge from the sexual organs in men is discharge from the urethra (urethra) and secretionpreputialGlands located on the head of the penis under the skin of the foreskin. The urethra opensejaculationduct, prostate ducts,urethraAndBulbourethraliron
Variants of physiological secretions
criteria for normal discharge,according to the functions of the organs of the urogenital system:
- urine- transparent, straw to golden yellow in color, practically odorless, without flakes or other inclusions;
- Prostate secrethas a viscous consistency and a whitish hue, it smells specifically of sperm;
- Ejaculate:Sperm from the ejaculatory duct mixes with secretions from the urethral glands (urethra), Cooper's gland (bulbourethral), and prostatic secretions and acquires a grayish-white color and a mucous consistency.
- Fresh smegmafrom the foreskin glands looks like a thick white lubricant; may become yellowish or greenish over time.
Preputial lubrication –Smegma– is constantly noticed, which accumulate under the inner layer of the foreskin and in the coronary groove of the penis. The lubricant consists of fats and bacterial residues, is evenly distributed and reduces friction between the skin of the foreskin and the glans. The maximum activity of the foreskin glands is characteristic of the period of puberty; With increasing age, secretion decreases and stops altogether in old age.
Inflammation of the urethra, mucous, colorless dischargefrom the bulbourethral and urethral glands. They only occur during arousal, which is linked to libido. The excretion of clear mucus is intended to moisten the urethra and improve sperm passage. The amount of secretion ranges from scanty to abundant; these parameters are related to the individual characteristics of the body and the frequency of sexual activity. After a long period of abstinence, the amount of discharge increases.
Emission – spontaneous release of sperm, not associated with sexual intercourse. Usually seen in the morning when testosterone levels rise. Depends on the age and intensity of sexual activity: it occurs in boys during puberty, in adult men – with irregular or infrequent sexual intercourse.
Prostatorrhea, discharge of a small amount of clear mucus from the urethrawith gray-white inclusions. Occurs after overexertion of the abdominal muscles (for example when constipated) or after urination. The secretion consists of a mixture of semen and prostate secretion; increased volume and cloudiness can be signs of prostatitis.
Pathological discharge
In men, the causes of discharge from the penis can be sexually transmitted diseases, tumors, nonspecific inflammation of the urogenital organs, various injuries, medical procedures or operations.
Pathological discharge from the urethra differs from the normal state:
- By volume (too abundant or sparse, perhaps moderate);
- By color and transparency (from white to yellow-green, cloudy);
- Through impurities (blood, pus, clots of mucus);
- consistency (very runny or too thick and sticky);
- By smell (sour, putrid, fishy);
- Depending on the frequency of occurrence (constant or episodic discharge depending on the time of day);
- Associated with urination, sexual arousal, alcohol consumption, hot and spicy foods.
The type of discharge depends on the causative agent of the disease, the status of the immune system and concomitant diseasesand the severity and duration of the inflammation (acute or chronic).
If there is a change in the amount, density or color of the discharge or if an unpleasant smell occurs, it is advisable to see a doctor and have tests carried out. There is no point in self-diagnosis, it is very difficult to correctly identify the disease based on just one symptom.
Penile discharge associated with sexually transmitted diseases
Slimy: transparent discharge, viscous and in small quantity, occurs in the chronic form or urethritis. Microscopy shows a moderate number of leukocytes in the discharge (up to 4 cells in the field of view are normal).
Mucopurulent: white discharge, translucent; observed in the acute phase of chlamydia, ureaplasmosis and mycoplasmosis. During a chlamydia infection, they accumulate on the glans as if they were "sticking" to the skin.
Purulent dischargeCharacteristic are that have an unpleasant smell. They are sticky, thick, yellow or greenish and have a foul smell. Under the microscope, epithelial cells from the urethra and many leukocytes are visible in the material.
Accompanying symptoms of gonorrheic urethritis: constant and profuse discharge; particularly strong when urinating.
Combined infections are often observed in sexually transmitted diseases, in which several pathogens occur at the same time. Gonorrhea and accompanied by chlamydia, mycoplasmosis and ureaplasmosis usually occur "in pairs". The symptoms of such diseases differ from classic manifestations, the urethral discharge can also take on a completely different character. For the final diagnosis, modern analytical techniques with high reliability are therefore used and notthe properties of the secretions.
Non-specific (non-venereal) inflammation
The cause of non-specific inflammation is the patient's own microflora, which is classified as opportunistic and is only activated when there are problems with the body's immune defenses. Strepto- and staphylococci, fungi of the genusCandidaand E. coli are always present on the surface of the skin and mucous membranes, but begin to actively multiply and displace beneficial bacteria after hypothermia, prolonged stress, uncontrolled treatment with antibiotics, after courses of radiation and chemotherapy.
Discharge that is not associated with inflammation
Spermatorea – discharge in the form of passively flowing sperm,occur outside of sexual intercourse or masturbation, without the feeling of orgasm. The reasons are some diseases of the nervous system, spinal injuries, chronic stress and possible long-term inflammation of the genital area. Spermatorea is associated with impaired innervation and reduced tone of the vas deferens.
hematorrhea,damn problems. Often occurs with injuries to the urethral canalBouging, after productioncatheteror when taking a mucous membrane swab. In these cases, the blood is fresh, without clots, the amount is small, and the bleeding stops quickly. When small kidney stones or sand come out, blood is released during or immediately after urination, hematorrhea is accompanied by very severe pain (renal colic). Blood drainage duringhematuric form of glomerulonephritis(inflammation of the renal glomeruli) are accompanied by edema and persistently elevated blood pressure as well as the appearance of protein in the urine.
The discharge is brown, with clumps of blood or mucus mixed with pus, occur in malignant tumors arising from the prostate, urethra, or bladder. When wounds heal on the mucous membranes, brownish mucus can form, which is released in polyposis of the urethra and/or bladder.
Prostatorrhea- Secretion of the prostate gland flowing from the urethra. Occurs in chronic prostatitis, prostate adenoma and impaired innervation (neurogenic bladders).
Examination algorithm for the presence of pathological discharge from the penis
- Inspection of the perineum, penis, foreskin and glans.The aim is to detect deformities of the genital organs, traces of injury, signs of external inflammation, discharge, rash, etc. Traces of discharge can sometimes be seen on the underwear.
- Palpation of the inguinal lymph nodes, assessment of their condition:Size, whether they are hotter or colder than the surrounding tissue, painful or not, soft or dense, mobile or adherent to the skin, whether there are ulcers over them.
- Digital examination of the prostate;Massage the prostate through the rectum and collect secretions for microscopic examination. Before the massage, it is recommended to avoid urinating for 1-2 hours. In prostate adenoma, its lobes are approximately equally enlarged, dense strands are palpable. Uneven growths and their consistency are typical of a malignant tumor; When the prostate is palpated, blood with blood clots may come out of the urethra.
- Material – for microscopy.When examined under a microscope, the stained smear reveals blood cells, epithelium, sperm, fatty inclusions and some pathogens (Escherichia coli, gonococci, gardnerella, yeast).Increased white blood cell countcharacteristic of acute urethritis or exacerbation of chronic inflammation,Eosinophils– for urethritis with allergies.Red blood cellsoccurs with severe inflammation, tumors, injuries to the urogenital organs and urolithiasis.Large amount of epithelium– a sign of chronic urethritis, urethral leukoplakia. If spermatorrhea is detected in a smearsperm, with urethritis –mucus, easier -Lipid grains.
- General clinical blood test,Blood for sugar- in the morning on an empty stomach.Detailed urinalysis(Morning portion, immediately after sleeping).
- Ultrasound of the prostate, bladder and kidneys; CT and urography.
If the manifestations of genital inflammation are severe, the patient is immediately prescribed broad-spectrum antibiotics before receiving the test results. If bleeding is severe, hospitalization and active measures to stop bleeding are indicated. The suspicion of a malignant tumor can only be confirmed by the results of a biopsy; the final diagnosis is made on the basis of a histological examination.
Important:
- Penile discharge is just a symptom and cannot be used as a guide to diagnosis.
- UnacceptableIndependent prescription of medicines. Medication, even if the manifestations for a particular disease seem obvious.
Normal amount of mucus
The amount of pre-ejaculate directly depends on the man's level of arousal. Maximum concentration is achieved through strong sexual desire.The normal amount of fluid is 5 ml.
Some representatives of the stronger sex are physiologically incapable of secreting lubricants. The absence of pre-ejaculation during an erection reduces the ability to conceive.
A healthy pre-ejaculate has the following characteristics:
Pre-Seed performs cleaning functions, so its consistency can change. A man may experience clouding of the lubricant during repeated sexual intercourse, poor hygiene, or before ejaculation. It will return to normal in 1-2 days. Otherwise, the development of a pathogenic process should be suspected.
Signs of deviation from the norm
Pathological mucous discharge in men differs from healthy in color, smell and consistency. They are almost always accompanied by unpleasant sensations.
Symptoms indicating a deviation of the lubricant from the norm:
These signs are characteristic of pathological processes that indicate the development of diseases.
Unhealthy discharge in men is divided into the following types:
| Type | Description |
|---|---|
| spermatorrhea | Accidental release of sperm without reaching orgasm. The cause of the process is reduced muscle tone of the vas deferens. The pathology develops due to chronic inflammation |
| Hematorrhea | Leakage of lubricant mixed with blood. Occurs when the urethral mucosa is injured |
| Leukocytic urethrorrhea | The exudative phase of the inflammatory process resulting from thermal, mechanical, chemical or viral damage to the urethral mucosa |
| Mucopurulent | They consist of a small number of leukocytes, serous fluid and glandular secretions. This mucus is characterized by active formation at night. A man notices discharge of pus in the morning and yellow spots are found on his underwear. Mucopurulent discharge occurs when the urethra is damaged by bacteria: Trichomonas, Uramicoplasma, Chlamydia |
| Purulent | These include large numbers of leukocytes, urethral epithelium, mucus and serous fluid. They have a thick consistency and an unpleasant smell. They appear in the form of drops with a yellow or greenish tint. Evidence of the development of gonococcal urethritis, which arises against the background of chlamydia and gonorrhea |
The amount of mucus released can be either abundant or small. It can be quite difficult to notice poor lubrication. To do this, you have to press on the urethra so that fluid comes out of the opening. It dries quickly and forms a film on the membrane of the head of the penis. The viscous consistency causes the sponges in the urethra to stick together.
Causes of pathological discharge
In most cases, lubricant secretion that deviates from the norm is due to sexually transmitted diseases, but there are a number of other diseases.
Sexually transmitted diseases
If pathological discharge appears with unpleasant symptoms, one should suspect the development of sexually transmitted diseases (STDs). Such diseases arise under the influence of unfavorable microflora, which settles on the mucous membrane of the urethra, the external areas and cavities of the genital organs, as well as in the glands.
What changes indicate the disease?
Various changes in pre-ejaculate indicators are a cause for concern. The reasons for an immediate visit to a specialist are:
- Change in the color of the fluid – it may be grayish, with a green or yellow tint (indicating the presence of purulent contents).
- Blood impurities.
- Turbidity.
- Cottage cheese-like consistency.
- Unpleasant, musty smell.
These signs indicate an inflammatory process. The following symptoms often occur:
- Pain in the lower abdomen.
- Frequent urge to go to the toilet.
- High temperature.
- Hyperemia of skin areas.
- The appearance of purulent discharge from the urethra at rest (without sexual excitement).
During surgical interventions on the prostate and other organs of the genitourinary system, mucus can be released from the urethra, which can lead to postoperative complications.
The release of clear fluid without an erection is one of the symptoms of a pathology, the causative agents of which are streptococci, staphylococci and E. coli. A similar situation is observed when infected with sexually transmitted infections. In such cases, please note:
- Hyperemia of the external reproductive organs.
- Itching in the penis and scrotum.
- Swelling of the lower extremities.
If a man notices cheesy inclusions in the pre-ejaculate, he must urgently consult a qualified doctor, as this indicates the presence of candidiasis. This inflammatory disease is caused by fungi of the genus Candida, which are opportunistic microflora. Under normal conditions, they exist in the body without causing harm. The influence of negative external factors and weakened immunity contribute to the rapid reproduction of fungi and their transition to a pathogenic form.
There are some sperm cells in the pre-ejaculate that make conception possible. Therefore, if a couple is not planning to become pregnant, they should take birth control pills or protect themselves in other ways not only during sexual intercourse but also during foreplay.
Different reasons
The prostate plays a key role in sperm production. It produces a secretion without which the seminal fluid loses its functionality. When the prostate becomes inflamed, its production increases.
Men suffering from chronic prostatitis may observe copious amounts of lubricant leaking from the urethral opening when excited. This is a prostate secretion that is quite similar to pre-ejaculate.
Excessive discharge during excitement can be accompanied by the development of various inflammatory processes.
After probing, the appearance of clear mucus from the urethra can be observed. This fluid is created as a protective reaction of the body to the resulting microtraumas on the surface of the mucous membrane.
An abundant amount of clear discharge during ejaculation may indicate the development of infertility.
When diagnosing pathologies, not only the visual nature of the fluid is taken into account, but also its biological composition. The man needs to see a doctor for an examination.