Discharge from the genital organs can bother not only girls, but also men. Males have normal odorless discharge. Their source is the urethra. In women, the discharge is called leukorrhea. If you notice an unhealthy discharge, see 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 urethrorrhea. It can be physiological or libidinal. A clear discharge appears from the exit of the urethra. It happens in the morning, right after waking up, or when a man is sexually aroused.
Urethrorrhea can be more or less pronounced. The lubricant released during arousal contains semen. Therefore, if you do not want to have children yet, you should protect yourself even during genital foreplay. In men, discharge helps sperm pass through the urethra into and past the vagina. After all, the environment there is acidic, which is harmful to sperm life.
Pathological discharge
The physiological discharge that usually occurs in boys and men is described above. Here we look at discharge that is associated with health problems. Men are mainly concerned about pathological 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.
The infection can be specific or non-specific. Trichomoniasis or gonorrhea is specific. Anon-specific urethritiscan be caused by the following pathogens:
- mycoplasma
- ureaplasma
- chlamydia
- herpes
- staphylococcus
- streptococcus
Non-infectious causes of urethritisand associated discharge from the genital tract:
- trauma, narrowing of the urethra
- irritation 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, at what stage it is and which flora is causing it.Penile discharge includes::
- slime
- liquid
- cells of different origins
If there is a lot of the last mentioned component, 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 takes on a gray hue.
If you find yourselfyellow-green, greenish or yellowish dischargeThey most likely contain a lot of leukocytes. This means that the discharge contains purulent masses, which are the result of the inflammatory process. In the same disease, the discharge can be of different density, 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 during the examination the doctor will not be able to determine your illness, but you will have to undergo a series of tests.
Discharge in menWhitethey can have different reasons. The first thing that doctors suspect is the proliferation of the Candida fungus. The disease is accordingly called -. You've probably heard that women get thrush. It also happens to men, but it mostly occurs in a hidden form. But in rare cases, a white discharge from the genitals may appear.
Discharge with a smell
The first possible reason (and the most harmless) is poor hygiene. As mentioned above, smegma is a 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 can be different for different men.
If you follow good hygiene rules 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 laundry will be wet.
Infections are also a cause of smelly discharge in men. The pathological process mainly occurs 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 smells sour, it is most likely that urogenital candidiasis is developing.
Bloody discharge in men
The main reason is infections. The discharge may be completely bloody or contain traces of blood. If the infection multiplies in the urethra, then 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 the result of chronic inflammation of the urethra. The essence of the process is that the mucous layer of the urethra becomes loose. If the irritant works, the membrane is damaged and blood begins to be released. Even urination can be irritating.
The number two likely reason is carelessly performed medical procedures. The urethra is injured, which causes the release of blood. Procedures that can cause damage to the urethra:
- catheter insertion
- catheter removal
- bougienage
- taking a swab
- cystoscopy
Bloody discharge is immediate. It should be noted that in this case the blood is crimson, without clots and stops quickly.
The passage of stones and sand is the next cause of bloody discharge from the penis. They are excreted from the kidneys or bladder and pass through the urethra. Microliths are hard, they damage the mucous membrane and walls of blood vessels, which becomes a direct cause of bleeding. Pain also occurs.
Ejaculation 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 as it passes through the urethra. If this pathology is true, then blood mixes with 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 bleeding with seminal fluid:
- long-term sexual abstinence
- excessively active sexual life (during coitus the walls of blood vessels burst)
- varicose veins of the pelvic organs
- stones in the testicles and vas deferens
- malignant and benign formations in genitourinary organs
- biopsy
- genital surgery
If you notice a discharge from the genitals that does not disappear within a day or two, immediately go to a personal consultation with an experienced doctor. If the discharge appears after unprotected sex, there is no need to be alarmed, but it is necessary to go to the doctor as soon as possible and get tested. Health to you and your other halves!
Discharge from the genital organs in men is discharge from the urethra (urethra) and secretion
Variants of physiological secretions
Criteria for normal discharge,which correspond to the functions of the organs of the urogenital system:
Urine - transparent, straw to golden yellow in color, practically odorless, without scales or other inclusions;The secret of the prostate it has a viscous consistency and a whitish shade, there is a specific smell of semen;Ejaculate: sperm from the ejaculatory duct mixes with secretions from the Littra (urethral), Cooper's (bulbourethral) gland and prostate secretion, taking on a grayish-white color and the consistency of mucus;Fresh smegma from the preputial glands it looks like a thick white lubricant; it may turn yellowish or greenish over time.
Preputial lubrication –
Urethrorrhea, slimy, colorless dischargefrom the bulbourethral and urethral glands. They appear only with excitement associated with libido. The secretion of clear mucus aims to lubricate the urethra and improve the passage of sperm. The amount of secretion ranges from scanty to abundant, these parameters are related to the individual characteristics of the organism and the frequency of sexual activity. After prolonged abstinence, the secretion volume increases.
Emission - spontaneous release of sperm, is not related to sexual intercourse. It is usually observed in the morning, when testosterone levels rise. It depends on the age and intensity of sexual activity: it occurs in boys at puberty, in adult men - with irregular or rare sexual relations.
Prostatorrhea, discharge of a small amount of clear mucus from the urethrawith grayish-white inclusions. It appears 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 can be signs of prostatitis.
Pathological discharge
In men, the causes of discharge from the penis can be sexually transmitted diseases, tumors, non-specific inflammation of the urogenital organs, various injuries, medical procedures or operations.
Pathological discharge from the urethra differs from normal:
- By volume (too abundant or scarce, perhaps moderate);
- By color and transparency (from white to yellow-green, cloudy);
- Impurities (blood, pus, lumps of mucus);
- Consistency (very runny or too thick and sticky);
- By smell (sour, rotten, fishy);
- According to the frequency of occurrence (depending on the time of day, constant or episodic discharge);
- In connection with urination, sexual excitement, consumption of alcohol, hot and spicy food.
The nature of the discharge depends on the causative agent of the disease, the status of the immune system and accompanying diseases, as well as the intensity and duration of inflammation (acute or chronic).
If there is a change in the quantity, density or color of the discharge, or if an unpleasant smell appears, it is advisable to consult a doctor and have tests done. There is no point in self-diagnosis, it is very difficult to correctly recognize a disease based on just one symptom.
Penile discharge associated with sexually transmitted diseases
Slimy: transparent discharge, viscous and in small quantities, occurs in chronic form, i. e. urethritis. Microscopy reveals a moderate number of leukocytes in the discharge (the norm is up to 4 cells in the visual field).
Mucopurulent: white discharge, transparent; observed in the acute phase of chlamydia, ureaplasmosis and mycoplasmosis. With 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 of. They are sticky, thick, yellow or greenish in color and have a putrid smell. Under the microscope, epithelial cells from the urethra and many leukocytes are visible in the material.
Symptoms accompanying gonorrhoeal urethritis: constant and copious discharge; especially strong during urination.
In the case of sexually transmitted diseases, combined infections that combine several pathogens at once are often observed. Gonorrhea and accompanied by chlamydia, mycoplasmosis and ureaplasmosis usually occur "in pairs". The symptoms of such diseases differ from the classic manifestations, the discharge from the urethra can also take on a completely different character. Therefore, modern analytical techniques with a high degree of reliability are used for the final diagnosis, and not the characteristics of 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 defenses. Strepto- and staphylococci, fungi from the genus
The discharge is not associated with inflammation
Spermatorea - discharge in the form of passively flowing sperm,they arise 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 any long-term inflammation of the genital area. Spermatorrhea is associated with disturbed innervation and reduced tone of the vas deferens.
hematorrhea,bloody problems. It often occurs with injuries of the urethral canal acquired during
The discharge is brown, with clots of blood or mucus, mixed with pus, appear in malignant tumors arising from the prostate, urethra or bladder. Brownish mucus can form during the healing of wounds on the mucous membranes, and is released during polyposis of the urethra and/or bladder.
Prostatorrhea- prostate secretion flowing from the urethra. Occurs in chronic prostatitis, prostate adenoma, disturbed innervation (
Examination algorithm for the presence of pathological discharge from the penis
- Examination of the perineum, penis, foreskin and glans.The goal is to identify deformations of the genital organs, traces of injuries, signs of external inflammation, discharge, rash, etc. Traces of discharge are sometimes visible on underwear.
- Palpation of inguinal lymph nodes, assessment of their condition:size, whether they are warmer or colder than the surrounding tissues, painful or not, soft or dense, mobile or fused to the skin, regardless of whether there is ulceration on 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 refrain from urinating for 1-2 hours. With adenoma of the prostate, its lobes are enlarged approximately equally, dense cords are palpable. Uneven growths and their consistency are typical of a malignant tumor; when palpating the prostate, blood with clots can be released from the urethra.
- Material - for microscopy.When examined under a microscope, the stained smear reveals blood cells, epithelium, sperm, fat inclusions and some pathogens (Escherichia coli, gonococci, gardnerella, yeast).
Increased white blood cell count characteristic of acute urethritis or exacerbation of chronic inflammation,eosinophils – for urethritis with allergies.red blood cells it is found in severe inflammations, tumors, genitourinary organ injuries and urolithiasis.A large amount of epithelium - a sign of chronic urethritis, urethral leukoplakia. When spermatorrhea is found in the smearspermatozoa , with urethrorhoea –slime , simpler -lipid grains . - General clinical blood test,
blood for sugar - in the morning, on an empty stomach.Detailed urinalysis (morning portion, 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. Suspicion of a malignant tumor can only be confirmed by the findings of a biopsy, and the final diagnosis is made on the basis of a histological examination.
Important:
- Penile discharge is only one of the symptoms that cannot be used as a guide in establishing a diagnosis.
- Unacceptableindependent dispensing of prescription drugs. medicines, even if they appear obvious for a specific disease.
Normal amount of mucus
The volume of pre-ejaculate directly depends on the degree of arousal of the guy. 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. Absence of pre-ejaculation during erection reduces the ability to conceive.
Healthy preejaculate has the following characteristics:
Pre-seed performs a cleaning function, so its consistency can be changed. A man may experience turbidity of the lubricant during repeated sexual intercourse, lack of hygiene or before ejaculation. It will be back to normal in 1-2 days. Otherwise, the development of a pathogenic process should be suspected.
Signs of deviation from the norm
Pathological mucus discharge in men differs from healthy mucus in color, smell and consistency. They are almost always accompanied by unpleasant feelings.
Symptoms that indicate deviation of the lubricant from the norm:
These signs are characteristic of pathological processes that indicate the development of the disease.
Unhealthy discharge in men is divided into types:
| The guy | Description |
|---|---|
| Spermatorrhea | Accidental leakage of sperm without achieving orgasm. The cause of the process is reduced muscle tone of the vas deferens. Pathology develops due to chronic inflammation |
| Haematorrhea | Discharge of lubricant mixed with blood. Appears in the case of injuries to the urethral mucosa |
| Leukocytic urethrorhoea | The exudative phase of the inflammatory process, which is the result of 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 purulent discharge in the morning, and yellow stains can be found on his underwear. Mucous-purulent discharge occurs 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 drops of a yellow or greenish hue. Evidence of the development of gonococcal urethritis, which forms on the background of chlamydia and gonorrhea |
The amount of mucus secreted 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 liquid 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 pathological discharge
The discharge of lubricants that differs from the norm is in most cases caused by sexually transmitted diseases, but there are also a number of other conditions.
Sexually transmitted diseases
If a pathological discharge with unpleasant symptoms appears, the development of sexually transmitted diseases (STD) should be suspected. Such diseases develop under the influence of unfavorable microflora, which settles on the lining of the urethra, external areas and cavities of the genital organs, and in the glands.
What changes indicate the disease
Various changes in pre-ejaculatory indicators are cause for concern. The reasons for an urgent visit to a specialist are:
- Change in the color of the fluid - it can be grayish, with a green or yellow tint (which indicates the presence of purulent content).
- Blood impurities.
- Cloudiness.
- A cottage cheese-like consistency.
- An unpleasant, musty smell.
These signs indicate an inflammatory process. The following symptoms often appear:
- Pain in the lower abdomen.
- Frequent desire to go to the toilet.
- Heat.
- Hyperemia of the skin area.
- 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 operations on the prostate and other organs of the genitourinary system.
The release of a clear fluid in the absence of an erection is one of the symptoms of a pathology caused by streptococci, staphylococci and E. coli. A similar situation is observed when it becomes infected with sexually transmitted infections. In such cases, please note:
- Hyperemia of external reproductive organs.
- Itching sensation in the penis and scrotum.
- Swelling of the lower extremities.
If a man notices cheesy inclusions in the preejaculate, he must immediately consult a qualified doctor, as this indicates the presence of candidiasis. This inflammatory disease is caused by Candida fungi, which are opportunistic microflora. Under normal conditions, they exist in the body without any harm. The action of negative external factors and weakened immunity contribute to the rapid proliferation of fungi and their transition to a pathogenic form.
A few spermatozoa are found in the pre-ejaculate, which makes conception possible. Therefore, if the couple is not planning pregnancy, they should take birth control pills or protect themselves in another way not only during sexual intercourse, but also during foreplay.
Other reasons
The prostate plays a key role in the formation of sperm. 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 notice that when they are aroused, a large amount of lubricant comes out of the opening of the urethra. This is a prostate secretion that bears a fairly strong resemblance to pre-ejaculate.
Excessive discharge 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 created as a protective reaction of the body to the resulting microtraumas on the surface of the mucous membrane.
An abundant amount of clear secretion during ejaculation may 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 go to the doctor for an examination.