Discharge from the genitals can bother not only girls, but also men. Males have normal, odorless secretions. Their source is the urethra. In women, the discharge is called leucorrhoea. If you notice unhealthy discharge, go to a urologist in person immediately.
Normal or abnormal?
The urethra is the male urethra. From there they appear from time to time. There is something called urethrorhoea. It can be physiological or libidinal. A transparent discharge appears at the outlet of the urethra. This happens in the morning, right after waking up, or when a man is sexually aroused.
The urethrorhoea can be more or less pronounced. The lubricant released during arousal contains semen. Therefore, if you don't want to have children yet, you should also protect yourself during foreplay with the genitals. In men, discharge helps sperm travel through the urethra, into the partner's vagina and beyond. After all, the environment there is acidic, and this is harmful to the life of sperm.
Pathological discharge
The physiological discharge that usually occurs in boys and men has been described above. Here we look at discharge related to health problems. Men are mostly concerned about abnormal discharge from the urethrafor urethritis. This is an inflammatory process that develops in the urethra. Urethritis can be caused by infection or non-infectious factors.
Infection can be specific or non-specific. It is mainly specific for trichomoniasis or gonorrhea. THEnon-specific urethritiscan be caused by the following pathogens:
- mycoplasma
- ureaplasma
- chlamydia
- herpes
- staphylococcus
- streptococcus
Non-infectious causes of urethritisand related discharge from the genital tract:
- trauma, urethral stricture
- irritation caused by chemical factors
- mechanical damage to the mucous membrane
- effect of allergens
The color and transparency of discharge from the male genital tract may vary. It depends on how active the inflammation is, what stage it is in, and what kind of flora is causing it.Penile discharge includes::
- mud
- liquid
- cells of different origins
If there is a lot of the last-named component, the secretion becomes cloudy, which can be visually observed by the person himself. If a large number of epithelial cells appear in the discharge, the discharge thickens and acquires a gray tint.
If you find yourselfyellow-green, greenish, or yellowish dischargeThey probably contain many leukocytes. This means that the discharge contains purulent masses, which are the result of the inflammatory process. In the case of the same disease, the discharge can be of different thickness, quantity and nature. For example, they may be thicker at the beginning of the disease, and then gradually become more liquid. This is such an individual process that the doctor cannot diagnose your disease during the examination, and you will have to undergo a series of tests.
Selection for menwhitethere may be different reasons. The first thing that doctors assume is an overgrowth of the Candida fungus. The disease accordingly -. You must have heard that women get thrush. It also occurs in men, but mostly in a hidden form. However, in rare cases, a 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 a normal (non-disease-indicating) male secretion. If you don't wash regularly, at least once a day, smegma accumulates and bacteria multiply in it, causing unpleasant smells. These smells can be different for different men.
If you follow good hygiene practices and still have an unpleasant odor, your doctor may suspect a metabolic disorder. In such cases, the most common cause is diabetes. Smegma will be released in quite a large amount, so the clothes will be wet.
Infections also cause smelly discharge in men. The pathological process occurs primarily in the urethra. Your doctor may suspect urethritis due to a gonorrheal infection. The nature of the discharge has been described above. If the discharge from the penis of men has a sour smell, it is most likely that urogenital candidiasis develops.
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. In such cases, urethritis is mainly caused by candida, trichomonas or gonorrhoeal infection. The stronger the inflammation, the more blood is released.
Blood can be caused by chronic inflammation of the urethra. The essence of the process is that the mucous layer of the urethra loosens. If an irritant occurs, the membrane is damaged and blood is released. Even urination can be irritating.
The second likely cause is carelessly performed medical procedures. The urethra is damaged, so blood is released. Procedures that can cause damage to the urethra:
- catheter installation
- catheter removal
- bougienage
- to take an anointing
- cystoscopy
The bloody discharge is immediate. It should be noted that in this case the blood is scarlet, without clots, and stops quickly.
The next cause of bloody discharge from the penis is the passage of stones and sand. They are excreted from the kidneys or bladder and pass through the urethra. Microliths are hard, damage the mucous membrane and the walls of blood vessels, which will be the direct cause of bleeding. Pain also occurs.
Evacuation of blood with semen
Such a discharge is called "hematospermia". It can be true or false. If hematospermia is false, then the blood mixes with the sperm while passing through the urethra. If this pathology is true, then the blood mixes with the sperm before passing through the urethra.
Hematospermia is manifested by the following symptoms:(clinical picture):
- urinary disorders
- pain during ejaculation
- discomfort and pain in the lower back
- pain and/or swelling in the genitals
- high body temperature
Causes of blood loss with semen:
- long-term sexual abstinence
- too active sexual life (the walls of blood vessels crack during intercourse)
- varicose veins of the pelvic organs
- stones in the testicles and vas deferens
- malignant and benign formations in the urinary organs
- biopsy
- genital surgery
If you notice a discharge from your genitals that does not go away within a day or two, contact an experienced doctor immediately. If discharge occurs after unprotected sex, there is no need to sound the alarm, but you should go to the doctor as quickly as possible and be examined. Health to you and your significant other!
Male genital discharge from the urethra (urethra) and secretions
Variations of physiological secretions
Criteria for normal discharge,according to the functions of the organs of the urogenital system:
Urine - transparent, straw-golden in color, practically odorless, does not contain flakes or other inclusions;Prostate secret it has a viscous consistency and a whitish tint, it has the specific smell of sperm;Shot: spermatozoa from the ejaculatory duct are mixed with the secretions of the Littre (urethra), Cooper (bulbourethral) glands and the secretion of the prostate, giving a grayish-white color and a slimy texture;Fresh smegma from the preputial glands it appears as a thick white lubricant; it may turn yellowish or greenish over time.
Foreskin Lubrication –
Urethrorhoea, slimy, colorless dischargefrom the bulbourethral and urethral glands. They appear only with excitement related to libido. The purpose of secreting clear mucus is to lubricate the urethra and improve the passage of sperm. The amount of discharge ranges from little to abundant, these parameters depend on the individual characteristics of the body and the frequency of sexual activity. After prolonged abstinence, the amount of mucus increases.
Emission - the spontaneous release of sperm, not related to sexual intercourse. It is usually observed in the morning when testosterone levels rise. It depends on age and the intensity of sexual activity: it appears in boys during puberty, in adult men - in irregular or infrequent sexual contact.
Prostatorrhea, discharge of small amounts of clear mucus from the urethrawith gray-white inclusions. It occurs after straining the abdominal muscles (e. g. during constipation) or after urination. The discharge consists of a mixture of seminal fluid and prostatic secretion; increased volume and cloudiness may be a sign of prostatitis.
Pathological discharge
In men, discharge from the penis can be caused by STDs, tumors, non-specific inflammation of the urogenital organs, various injuries, medical procedures or surgeries.
Abnormal discharge from the urethra differs from normal:
- By volume (too much or too little, maybe moderate);
- By color and transparency (from white to yellowish-green, cloudy);
- By impurities (blood, pus, mucous glands);
- Consistency (very runny or too thick and sticky);
- By smell (sour, putrid, fishy);
- According to the frequency of appearance (constant or episodic discharge depending on the time of day);
- Related to urination, sexual excitement, alcohol consumption, hot and spicy foods.
The nature of the discharge depends on the causative agent of the disease, the state of the immune system and accompanying diseases, and the severity and duration of the inflammation (acute or chronic).
In the event of a change in the quantity, density, or color of the exudate, or an unpleasant odor, it is recommended to consult a doctor and have tests performed. There is no point in self-diagnosis, it is very difficult to correctly recognize the disease based on one symptom.
Penile discharge associated with STDs
Mucoid: transparent discharge, viscous and in small quantities, occurs in chronic form or urethritis. Microscopic examination reveals a moderate number of leukocytes in the sputum (the norm is no more than 4 cells in the visual field).
Mucous membrane purulent: white discharge, translucent; it is observed in the acute phase of chlamydia, ureaplasmosis and mycoplasmosis. During chlamydia infection, they accumulate on the head of the penis, as if "sticking" to the skin.
Purulent discharge, which have an unpleasant smell, are characteristic. They are sticky, thick, yellow or greenish in color and have a putrid smell. Under a microscope, epithelial cells of the urethra and numerous leukocytes can be seen in the material.
Symptoms accompanying gonorrhoeal urethritis: constant and strong discharge; especially during heavy urination.
In the case of sexually transmitted diseases, combined infections are often observed, which combine several pathogens at the same time. Gonorrhea and chlamydia, mycoplasmosis and ureaplasmosis usually occur "in pairs". The symptoms of such diseases differ from the classical manifestations, the discharge from the urethra can be of a completely different nature. Therefore, modern, high-reliability analytical techniques are used for the final diagnosis, and notsecretion characteristics.
Non-specific (non-sexual) inflammation
The cause of non-specific inflammation is the patient's own microflora, which is considered an opportunist and is only activated when there are problems with the body's immune defenses. Fungi of the genus Strepto- and staphylococci
The discharge is not associated with inflammation
Spermatorea - discharge in the form of passively flowing spermatozoa,they occur outside of sexual intercourse or masturbation, without the feeling of orgasm. The causes are certain nervous system diseases, spinal injuries, chronic stress and any long-lasting inflammation of the genitals. Sperms are associated with impaired innervation and reduced tone of the vas deferens.
hematorrhea,blood problems. It often appears injuries received during the urethral canal
The discharge is brown, blood clots or mucus, mixed with pus, appear with malignant tumors originating from the prostate, urethra or bladder. Brownish mucus may form during the healing of mucosal wounds and is released during polyposis of the urethra and/or bladder.
Prostatorrhea- prostatic discharge from the urethra. Occurs in case of chronic prostatitis, prostate adenoma, damaged innervation (
Examination algorithm for the presence of abnormal discharge from the penis
- Examination of the perineum, penis, foreskin and glans.The goal is to detect deformations of the genitals, signs of injury, signs of external inflammation, discharge, rash, etc. identification. Traces of discharge can sometimes be seen on underwear.
- Palpation of the inguinal lymph nodes and assessment of their condition:regardless of their size, whether they are warmer or colder than the surrounding tissue, painful or not, soft or dense, mobile or attached to the skin, whether they have ulcers.
- Digital examination of the prostate;massage the prostate through the rectum and obtain secretions for microscopic examination. It is advisable to refrain from urinating for 1-2 hours before the massage. In the case of prostate adenoma, the lobes are approximately equally enlarged, dense cords can be felt. A malignant tumor is characterized by its uneven growth and consistency, blood clots may be released from the urethra during palpation of the prostate.
- Material - for microscopy.When examined under a microscope, blood cells, epithelium, sperm, fat inclusions and some pathogens (Escherichia coli, gonococci, gardnerella, yeast) can be seen in the stained smear.
Increased white blood cell count characteristic of acute urethritis or exacerbation of chronic inflammation,eosinophils – in case of allergic urethritis.red blood cells it occurs in case of severe inflammations, tumors, urinary tract injuries and urolithiasis.A large amount of epithelium - a sign of chronic urethritis, urethral leukoplakia. When spermatorrhea is found in a smearsperms with urethrorhoea -mud , easier -lipid granules . - General clinical blood test,
blood for sugar - in the morning, on an empty stomach.Detailed analysis of urine (morning portion, immediately after sleep). - 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 the test results arrive. In case of heavy bleeding, hospitalization and active measures to stop the bleeding are necessary. The suspicion of a malignant tumor can only be confirmed by the results of the biopsy, the final diagnosis is based on the histological examination.
Important:
- Penile discharge is only a symptom and should not be used as a guide in making a diagnosis.
- Unacceptableprescription of independent drugs. drugs, even if the manifestations seem obvious for a particular disease.
Normal amount of mucus
The amount of pre-ejaculate directly depends on the guy's level of excitement. Maximum concentration is achieved by strong sexual desire.The normal amount of liquid is 5 ml.
Some representatives of the stronger sex are physiologically unable to secrete lubricant. The lack of pre-ejaculation during an erection reduces the ability to conceive.
Healthy preejaculate has the following properties:
The precursor performs cleaning functions, so its texture can change. A man may experience darkening of the lubricant during repeated sexual intercourse, lack of hygiene or before ejaculation. It will return to normal within 1-2 days. Otherwise, the development of a pathogenic process should be suspected.
Signs of deviation from the norm
The color, smell and texture of the pathological mucous membrane of men differ from that of healthy ones. They are almost always accompanied by unpleasant feelings.
Symptoms that indicate the deviation of the lubricant from the norm:
These signs are typical of pathological processes indicating the development of diseases.
Unhealthy discharge in men is divided into types:
type | Description |
---|---|
Spermatorrhoea | Random leakage of sperm without achieving orgasm. The cause of the process is reduced muscle tone of the vas deferens. The pathology develops due to chronic inflammation |
Haemorrhoea | Draining the lubricant mixed with blood. It appears with injuries to the mucous membrane of the urethra |
Leukocytic urethrorhoea | The exudative phase of the inflammatory process, resulting from thermal, mechanical, chemical or viral damage to the mucous membrane of the urethra. |
Mucous membrane purulent | They consist of a small number of leukocytes, serous fluid, and glandular secretions. This mucus is characterized by its active formation at night. A man notices purulent discharge in the morning and yellow spots appear on his underwear. Mucous-purulent discharge appears when the urethra is damaged by bacteria: trichomonas, ureamicoplasma, chlamydia |
Purulent | It contains a large number of leukocytes, urinary epithelium, mucus and serous fluid. They have a thick texture and an unpleasant smell. They appear in the form of drops with a yellow or greenish tint. Evidence for the development of gonococcal urethritis, which develops against the background of chlamydia and gonorrhea |
The amount of mucus released can be abundant or small. Bad lubrication can be quite difficult to spot. To do this, you need to press the urethra so that the fluid comes out of the opening. It dries quickly, forming a film on the membrane of the head of the penis. The viscous consistency causes the urethral sponges to stick together.
Causes of abnormal discharge
In the majority of cases, abnormal secretion of lubricant can be traced back to sexually transmitted diseases, but there are also many other conditions.
Sexually transmitted diseases
If abnormal discharge occurs with unpleasant symptoms, the development of sexually transmitted diseases (STD) should be suspected. Such diseases develop as a result of unfavorable microflora, which settles on the mucous membrane of the urethra, the external areas and cavities of the genitals, and the glands.
What changes indicate the disease
Various changes in pre-ejaculatory indicators are cause for concern. The reasons for an immediate visit to the specialist are as follows:
- A change in the color of the liquid - it can be gray with a green or yellow tint (which indicates the presence of purulent content).
- Blood stains.
- Clouding.
- Cottage cheese texture.
- Unpleasant, musty smell.
These symptoms indicate an inflammatory process. The following symptoms often occur:
- Pain in the lower abdomen.
- Frequent urge to go to the toilet.
- Month.
- Hyperemia of skin areas.
- The appearance of purulent discharge from the urethra at rest (in the absence of sexual excitement).
Mucus can be released from the urethra with the development of postoperative complications during surgical interventions on the prostate and other organs of the urogenital system.
The release of clear liquid in the absence of an erection is one of the symptoms of pathology, the causative agents of which are streptococci, staphylococci and E. coli. A similar situation can be observed if you are infected with sexually transmitted infections. In such cases, please note:
- Hyperemia of the external reproductive organs.
- Itching sensation in the penis and scrotum.
- Swelling of the lower limbs.
If a man notices cheesy inclusions in the preejaculate, he should urgently consult a qualified doctor, as this indicates the presence of candidiasis. This inflammatory disease is caused by fungi belonging to the genus Candida, which are opportunistic microflora. They exist in the body under normal conditions without causing any harm. The influence of negative external factors and weakened immunity contribute to the rapid proliferation of fungi and their transition to a pathogenic form.
Some sperm are found in the pre-ejaculate, which makes conception possible. Therefore, if a couple is not planning pregnancy, they should take birth control pills or protect themselves in other ways, not only during sexual intercourse, but also during foreplay.
Other reasons
The prostate plays a key role in the production of sperm. It produces a secretion, without which the seminal fluid loses its functionality. When the prostate becomes inflamed, its production increases.
Men with chronic prostatitis may notice copious amounts of lubricant coming out of the urethral opening when aroused. This is a prostatic discharge that has quite a lot in common with pre-ejaculation.
Excessive secretion during excitement can occur with the development of various inflammatory processes.
After probing, the appearance of clear mucus from the urethra can be observed. This liquid is formed as a defensive reaction of the body against microtraumas occurring on the surface of the mucous membrane.
Abundant clear discharge during ejaculation may indicate the development of infertility.
To diagnose pathologies, not only the visual nature of the fluid, but also its biological composition is taken into account. The man should see a doctor for an examination.