Discharge from the genitals can bother not only girls, but also men. Men have normal discharge without odor. Their source is the urethra. In women, the discharge is called leucorrhoea. If you notice unhealthy discharge, make an in-person appointment with a urologist right away.
Normal or pathological?
The urethra is the male urethra. From there they appear from time to time. There is such a thing as urethrorrhea. It can be physiological or libidinal. A transparent discharge appears from the urethral outlet. This happens in the morning, right after waking up, or when a man is sexually aroused.
Urethrorrhea may be more or less pronounced. The lubricant released during arousal contains sperm. Therefore, if you still do not want to have children, you should protect yourself even during foreplay with the genitals. Ejaculation in men helps sperm pass through the urethra and into the partner's vagina. After all, the environment there is acidic, and this is harmful to the life of the sperm.
Pathological discharge
The physiological discharge that normally occurs in boys and men is described above. Here we will look at the discharge that is associated with health problems. Pathological discharge from the urethra mainly concerns menfor urethritis. This is an inflammatory process that develops in the urethra. Urethritis can be caused by infections or non-infectious factors.
The infection can be either specific or non-specific. Specific is mainly trichomoniasis or gonorrhea. ornonspecific urethritiscan be caused by the following pathogens:
- MYCOPLASMA
- ureaplasma
- Chlamydia
- shingles
- staphylococcal
- streptococcus
Non-infectious causes of urethritisand accompanying discharge from the genital tract:
- trauma, urethral stricture
- irritation from chemical factors
- mechanical damage to the mucosa
- the influence of allergens
Discharge from the genital tract in men can vary in color and transparency. It depends on how active the inflammation is, at what stage it is and which flora is causing it.Penile discharge includes::
- grime
- liquid
- cells of different origins
If there are many components with the last name, then the discharge becomes cloudy, which can be visually observed by the person himself. If epithelial cells appear in the discharge in large numbers, the discharge thickens and acquires a gray tint.
If you find yourselfyellow-green, green or yellow dischargeMost likely, they contain many 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 thickness, amount and nature. For example, at the beginning of the disease they can be thicker, and then gradually become more and more liquid. This is such an individual process that during an examination the doctor will not be able to determine your disease and you will have to undergo a series of tests.
Discharge in menWhitethere may be various reasons. The first thing that doctors assume is the spread of Candida fungi. The disease is called accordingly -. You've probably heard that women get sick from mold. It also occurs in men, but it mostly appears in a hidden form. But in rare cases, white discharge from the genitals may appear.
Wind discharge
The first possible reason (and the most harmless) is poor hygiene. As mentioned above, smegma is normal (not indicative of disease) male discharge. If you do not wash regularly, at least once a day, then smegma accumulates, bacteria multiply in it, causing not very pleasant smells. These scents may differ 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 fairly large quantities, so the clothes will be wet.
Infections are also the cause of smelly discharge in men. The pathological process occurs mainly in the urethra. Your doctor may suspect urethritis due to a gonorrheal infection. The nature of the discharge is described above. If the discharge from the penis in 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, then you will notice such a symptom, but not necessarily. Urethritis is mainly caused in such cases by candida, trichomonas or gonorrheal infection. The stronger the inflammation, the more blood is released.
The blood may be due to chronic inflammation of the urethra. The essence of the process is that the mucous layer of the urethra is loosened. If an irritant acts, the membrane is damaged and blood begins to be released. Even urination can be irritating.
The number two possible reason is carelessly performed medical procedures. The urethra is injured, therefore blood is released. Procedures that can cause damage to the urethra:
- catheter installation
- catheter removal
- bougienage
- receiving a slander
- cystoscopy
The bleeding is immediate. It should be noted that in this case the blood is red, without clots and stops quickly.
Passing stones and sand is another cause of bloody discharge from the penis. They are secreted by the kidneys or bladder and pass through the urethra. Microliths are hard, damage the mucosa and walls of blood vessels, which becomes the direct cause of bleeding. Pain also occurs.
Ejaculation of blood with semen
Such a discharge is called "hematospermia". It can be true and false. If hematospermia is false, then the blood mixes with the sperm as it passes through the urethra. If this pathology is true, then the blood mixes with the sperm before it passes 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 discharge of blood with sperm:
- long-term sexual abstinence
- overly active sex life (during coitus, the walls of blood vessels break)
- varicose veins of the pelvic organs
- stones in the testicles and vas deferens
- malignant and benign formations in the genitourinary organs
- biopsy
- genital surgery
If you notice discharge from the genitals that does not go away within a day or two, go immediately for a personal consultation with an experienced doctor. If the discharge appears after unprotected sex, there is no need to sound the alarm, but you should go to the doctor and take the test as soon as possible. Health to you and your other halves!
Discharge from the genitals in men is discharge from the urethra (urethra) and secretion
Variants of physiological secretions
Criteria for normal discharge,corresponding to the functions of the organs of the urogenital system:
urine - transparent, straw-colored to golden yellow, practically odorless, containing no flakes or other inclusions;Secretion of the prostate has a viscous consistency and a white tint, has a specific smell of semen;Ejaculation: semen from the ejaculatory duct is mixed with secretions from the Littre (urethral), Cooper (bulbourethral) glands and prostate secretions, taking on a gray-white color and mucous consistency;Fresh smegma from the preputial glands it looks like a thick white lubricant; it may turn yellow or green over time.
Pre-lubrication -
Urethral, mucous secretions, colorlessfrom the bulburethral and urethral glands. They appear only with libido-related excitement. The excretion of clear mucus is intended to lubricate the urethra and improve sperm passage. The amount of secretion varies from little to abundant; these parameters are related to the individual characteristics of the body and the frequency of sexual activity. After prolonged abstinence, the discharge volume increases.
Emission - spontaneous release of sperm, which is not accompanied by sexual intercourse. It is usually seen 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 - with irregular or rare sexual intercourse.
Prostatorrhea, discharge of a small amount of clear mucus from the urethrawith white gray inclusions. It occurs after straining the abdominal muscles (for example, with constipation) or after urination. The secretion consists of a mixture of seminal fluid and prostate discharge; increased volume and cloudiness may be signs of prostatitis.
Pathological discharge
In men, the causes of discharge from the penis can be sexually transmitted diseases, tumors, non-specific inflammations of the genital organs, various injuries, medical procedures or operations.
Pathological discharge from the urethra differs from normal:
- By volume (too much or too little, maybe moderate);
- According to color and transparency (from white to yellow-green, cloudy);
- From impurities (blood, pus, lumps of mucus);
- Consistency (too runny or too thick and sticky);
- From the smell (sour, rotten, of fish);
- According to the frequency of occurrence (depending on the time of day, constant or episodic discharge);
- Regarding urination, sexual arousal, drinking alcohol, hot and spicy foods.
The nature of the discharge depends on the causative agent of the disease, the status of the immune system and concomitant diseases., as well as the severity and duration of inflammation (acute or chronic).
If there is a change in the amount, density or color of the discharge, or if an unpleasant odor appears, it is recommended to consult a doctor and have tests done. There is no point in self-diagnosis; it is very difficult to correctly recognize the disease based on only one symptom.
Penile discharge associated with sexually transmitted diseases
Mucosa: transparent discharge, viscous and small in quantity, occurs in the chronic form, or urethritis. Microscopy reveals a moderate number of leukocytes in the discharge (the rate is up to 4 cells in the field of view).
Mucopurulent: white, transparent discharge; observed in the acute phase of chlamydia, ureaplasmosis and mycoplasmosis. With chlamydial infection, they accumulate on the head of the penis, as if "sticking" to the skin.
Purulent discharge, which have an unpleasant smell, are characteristic of. They are sticky, thick, yellow or green in color and have a rotten smell. Under the microscope, epithelial cells from the urethra and many leukocytes are visible in the material.
Symptoms accompanying gonorrheal urethritis: continuous and heavy flow; especially strong during urination.
With sexually transmitted diseases, combined infections are often observed, combining several pathogens at the same time. Gonorrhea and is accompanied by chlamydia, mycoplasmosis and ureaplasmosis usually occur "in pairs". The symptoms of such diseases differ from the classic manifestations; urethral discharge can also take on a completely different character. Therefore, for the final diagnosis, modern analytical techniques with a high degree of reliability are used, and not the characteristics 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 activated only in case of problems with the body's immune defense. Strepto- and staphylococci, fungi of the genus
The discharge is not accompanied by 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 cord injuries, chronic stress and any long-term inflammation of the genital area. Spermatorea is associated with impaired innervation and decreased tone of the vas deferens.
Hematorrhea,bloody matter. It often occurs with long-term injuries of the urethral canal
The download is brown, with clots of blood or mucus, mixed with pus, appear with malignant tumors arising from the prostate, urethra or bladder. Brown mucus may form during mucosal wound healing, and is released during urethral and/or bladder polyposis.
Prostatorrhea- secretion of the prostate gland flowing from the urethra. Occurs in chronic prostatitis, prostate adenoma, damaged innervation (
Examination algorithm for the presence of pathological discharge from the penis
- Inspection of the perineum, penis, foreskin and glans.The goal is to identify genital deformities, traces of injuries, signs of external inflammation, discharges, rashes, etc. Traces of secretions are sometimes observed in the underwear.
- Palpation of the inguinal lymph nodes, assessment of their condition:size, whether they are hotter or colder than the surrounding tissues, painful or not, soft or dense, mobile or fused to the skin, whether there are ulcers on them.
- Digital prostate examination;massage the prostate through the rectum and collect secretions for microscopic examination. Before the massage, it is advisable to refrain from urinating for 1-2 hours. With prostate adenoma, its lobes are enlarged approximately equally, dense cords are palpable. Uneven growths and their consistency are typical of a malignant tumor; during palpation of the prostate, clotted blood may be released from the urethra.
- Material - for microscopy.When examined under a microscope, the smear reveals blood cells, epithelium, sperm, fatty inclusions and some pathogens (Escherichia coli, gonococci, gardnerella, yeast).
Increase in the number of white blood cells characteristic of acute urethritis or exacerbation of chronic inflammation,eosinophils – for allergic urethritis.red blood cells found in severe inflammation, tumors, genitourinary organ injuries and urolithiasis.Large amount of epithelium – sign of chronic urethritis, urethral leukoplakia. When spermatorrhea is found in a spotThe sperm , with urethral -grime , simpler -lipid granules . - General clinical blood test,
blood for sugar - in the morning, on an empty stomach.Detailed analysis of urine (morning part, immediately after sleep). - Ultrasound of the prostate, bladder and kidneys; CT and urography.
If the manifestations of genital inflammation are severe, then before receiving the test results, the patient is immediately prescribed broad-spectrum antibiotics. In case of severe bleeding, hospitalization and active measures to stop the bleeding are indicated. The suspicion of a malignant tumor can only be confirmed by the result of a biopsy; the final diagnosis is established on the basis of histological examination.
Important:
- Penile discharge is only a symptom that cannot be used as a guide when making a diagnosis.
- Unacceptableindependent prescription of drugs. drugs, even if the manifestations seem obvious for a certain disease.
Normal amount of mucus
The volume of pre-ejaculation directly depends on the degree of arousal of the boy. Maximum concentration is achieved with strong sexual desire.The normal amount of liquid is 5 ml.
Some representatives of the stronger sex are physiologically unable to secrete lubricant. Lack of pre-ejaculation during an erection reduces the ability to conceive.
Healthy pre-ejaculate has the following characteristics:
Before the seed performs cleaning functions, so its consistency may change. A man may experience lube turbidity with repeated intercourse, lack of 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 discharge of mucus in men differs from healthy ones in color, smell and consistency. They are almost always accompanied by unpleasant sensations.
Symptoms that indicate 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 types:
| Business | Description |
|---|---|
| Spermatorrhoea | Random flow of sperm without reaching orgasm. The cause of the process is the decrease in muscle tone of the vas deferens. Pathology develops due to chronic inflammation |
| Hematorrhea | Discharge of lubricant mixed with blood. Appears with injuries to the urethral mucosa |
| Leukocytic urethrorhoea | 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 can be found in his underwear. Mucopurulent discharge appears when the urethra is damaged by bacteria: trichomonas, ureamicoplasma, chlamydia. |
| purulent | They include a large number of leukocytes, urethral epithelium, mucus and serous fluid. They have a thick consistency and an unpleasant smell. They appear in the form of dots with a yellow or green tint. Evidence for the development of gonococcal urethritis, which is formed against the background of chlamydia and gonorrhea |
The volume of mucus released can be either abundant or small. Poor lubrication can be quite difficult to spot. To do this, you need to press the urethra so that the liquid comes out of the hole. 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 pathological discharge
The secretion of lubrication that differs from the norm is in most cases due to sexually transmitted diseases, but there are a number of other conditions.
Sexually transmitted diseases
If pathological discharge appears with unpleasant symptoms, you should suspect the development of sexually transmitted diseases (STD). Such diseases develop under the influence of unfavorable microflora, which settles in the mucous membrane of the urethra, external areas and cavities of the genital organs and glands.
What changes indicate the disease?
Various changes in pre-ejaculatory indicators are cause for concern. Reasons to immediately visit a specialist are:
- Change in the color of the fluid - it can be gray, with a green or yellow tint (indicating the presence of purulent contents).
- Blood impurities.
- cloudiness.
- Curd-like consistency.
- Unpleasant, musty smell.
These signs indicate an inflammatory process. The following symptoms often appear:
- Pain in the lower abdomen.
- Frequent urge to go to the toilet.
- The heat.
- Hyperemia of skin areas.
- The appearance of purulent discharge from the urethra at rest (in the absence of sexual arousal).
Mucus can be released from the urethra with the development of postoperative complications during surgical operations on the prostate and other organs of the genitourinary system.
The release of clear fluid in the absence of erection is one of the symptoms of 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, note:
- Hyperemia of external reproductive organs.
- Itching sensation in the penis and scrotum.
- Swelling of the lower extremities.
If a man notices right inclusions in the pre-ejaculate, he should 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 any harm. The action of negative external factors and weakened immunity contribute to the rapid spread 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 does not plan a pregnancy, they should take contraceptive pills or protect themselves in another way not only during sexual intercourse, but also during foreplay.
Other reasons
The prostate gland plays a key role in the formation of sperm. It produces a secret, without which the seminal fluid loses its functionality. When the prostate becomes inflamed, its production increases.
Men suffering from chronic prostatitis may notice that when they wake up, a large amount of lubricant comes out of the urethral opening. This is a prostate secretion that has a very high similarity to pre-ejaculation.
Excessive discharge during excitement can appear with the development of various inflammatory processes.
The appearance of clear mucus from the urethra can be observed after examination. This liquid is formed as a protective reaction of the body to microtraumas that result on the surface of the mucosa.
A large amount of clear discharge during ejaculation can indicate the development of infertility.
To diagnose pathologies, not only the visual nature of the liquid, but also its biological composition is taken into account. The man should see a doctor for examination.