Discharge from the genitals can bother not only girls, but also boys. Men have normal odorless discharge. Their source is the urethra. In women, the discharge is called leucorrhoea. If you find unhealthy discharge in yourself, immediately go to a face-to-face appointment with a urologist.
Norm or pathology?
The urethra is the male passage. From there, they appear from time to time. There is such a thing as urethrorrhea. It can be physiological or libidinal. From the outlet of the urethra, the discharge of a transparent shade appears. It happens in the morning, right after waking up, or when a man is sexually aroused.
Urethrorrhea may be more pronounced or weaker. The lubricant released during stimulation contains spermatozoa. Therefore, if you do not want to have offspring yet, it is worth protecting yourself even with an initial caress by the genitals. The secretion in men helps sperm pass through the urethra and into and out of the partner's vagina. After all, the environment there is acidic, and this is harmful to sperm life.
Bowel prostorrhoea can be the second cause of discharge in boys and men. When a man rejects, he has discharge on the head of the penis that is odorless and colorless. They may sometimes have white-gray inclusions. Their consistency is viscous. These are secretions from the prostate and seminal vesicles. Appearance is possible upon completion of bladder emptying. Then it is called mictional prostorrhea. In very rare cases, a man notices such a discharge after coughing. It is not a disease, but a treatable disorder.
The next type of output from the male genitalia isIt includes the secretions of the sebaceous glands of the head of the penis and the foreskin. If a man washes, changes his underwear and does not wear other people's underwear, then this secretion will be washed away. And they will not be the center of attention. If hygiene is not very good, there may be accumulation of large amounts of smegma. Pathological flora will multiply and develop there, because the genitals and underwear will smell unpleasant.
Sperm
Sperm - discharge, in which there are many smermia (spermatozoa). Sperm is released during ejaculation, which is the moment of peak pleasure during sexual intercourse of a different nature. Also, in dreams, men and boys sometimes experience wet dreams, then sperm are also released from the penis.
Wet dreams occur mainly during puberty. This is 2-5 cases per month. But with changes in hormonal balance, there may be wet dreams even several times a week. If the sperm does not flow out of the penis at the time of orgasm, this is called "". This is a disease caused by a violation of muscle tone in the vas deferens. Basically, this happens with brain disease or chronic inflammation in the vessels.
Pathological discharge
Physiological secretions commonly found in men and boys are described above. Here we will look at emissions associated with health problems. Basically, pathological discharge from the urethra bothers men with urethritis. This is an inflammatory process that develops in the urethra. Infection or non-infectious factors can trigger urethritis.
Infection can be either specific or non-specific. Especially trichomoniasis or gonorrhea. And non-specific urethritis can be triggered by pathogens such as:
- mycoplasma
- ureaplasma
- chlamydia
- herpes
- staphylococcus aureus
- streptococcus
Causes of non-infectious urethritis and associated discharge from the genital tract:
- injury, urethral stricture
- irritation with chemicals
- mechanical damage to the mucous membrane
- the influence of allergens
Discharge from the genital tract in men can vary in color, as well as in transparency. It depends on how active the inflammation is, at what stage it is, the type of flora caused. The composition of secretions from the penis includes:
- slime
- liquid
- different cells of origin
If there are a lot of the last named components, then the discharge becomes cloudy, which the man himself can see visually. If epithelial cells appear in the secretion in large numbers, then the secretion thickens and acquires a gray color.
Symptoms of candidiasis:
- white spot on the head of the penis
- The head of the penis has an unpleasant smell, reminiscent of yeast or sour bread
- there are unpleasant sensations on the penis and in the perineal area: burning, itching, sometimes pain
- more secretions when emptying the bladder
- reddish spots on the tip of the penis and in the foreskin
- discharge at times other than urination
- pain during sex (in the head and on the foreskin)
- sexual partner (wife, girl) complains of discomfort up to pain during intercourse
- his partner experienced discharge with a thick consistency
The second possible cause of white discharge in men is ureaplasmosis, chlamydia, mycoplasmosis. It can also be inflammation of the prostate gland, the symptoms are:
- a frequent urge to urinate
- discomfort during defecation
- burning in perineum and urethra
- bladder emptying is intermittent and difficult
- sexual harassment
If prostatitis is not treated, then the erection will disappear, and it will also be impossible to conceive a child in the future. Therefore, if one or more of the above symptoms appear, immediately seek the advice of a doctor for a face-to-face consultation.
Trichomoniasis can cause yellow discharge in men. But in most cases, the disease has a latent course, that is, there will be no symptoms. If there are still symptoms, then there will be, among others, such as:
- discomfort in the perineum
- heaviness in the lower abdomen
- frequent and extreme urge to urinate
- burning and pain when urinating
Discharge with odor
The first possible reason (and the most harmless) is a violation of hygiene. As mentioned above, smegma is a normal (non-diseased) male secretion. If you do not wash often, at least once a day, then smegma accumulates, bacteria multiply in it, creating an unpleasant smell. This scent can vary from person to person.
If you follow the rules of hygiene, and the unpleasant smell is still there, the doctor may suspect a metabolic disorder. In such cases, the most common cause is diabetes mellitus. Smegma will stand out in a fairly large amount, because the clothes will be wet.
The infection also causes foul-smelling discharge in men. Basically, the pathological process occurs in the urethra. A doctor may suspect urethritis is caused by a gonorrhea infection. The nature of the release is described above. If the discharge from the penis smells sour in men, it is most likely that urogenital candidiasis develops.
If the discharge from the genitals smells like fish, it is very likely that the man has gardnerellosis. The same pathogen in women causes the so-called disease. But this is a very rare case, in women this disease is more common. Gardnerella is a conditionally pathogenic flora. It multiplies when exposed to certain factors. Factors for the development of gardnerellosis:
- free sex life
- tight synthetic underwear (made from non-natural materials)
- long courses of antibiotics or immunosuppressants
- spermicidal condoms
- inflammation of the urinary tract
- decreased immunity
Discharge with blood in men
The main reason is infection. The discharge can either be completely bloody or include streaks of blood. If the infection reproduces in the urethra, then you will see such symptoms in yourself, but not necessarily. Urethritis is mainly caused in such cases by Candida, Trichomonas or gonorrhea infection. The stronger the inflammation, the more blood is removed.
Possible reason number two is careless medical manipulation. The urethra is injured, and therefore blood is released. Procedures that can damage the urethra:
- catheter placement
- catheter removal
- bougieage
- take a swipe
- cystoscopy
Allocation with blood is simultaneous. It should be noted that in this case, red blood, without clots, quickly stops.
Path calculi, sand is the next cause of bleeding from the penis. They are secreted from the kidneys or bladder and through the urethra. Microliths are hard, they injure the mucous membranes and walls of blood vessels, which are the direct cause of bleeding. There is also a sensation of pain.
It also causes, in some cases, discharge with blood. Blood in the urine that a man sees when he goes to the toilet is called gross hematuria. Then in parallel develop symptoms such as increased blood pressure, swelling.
There may also be a more serious cause of bloody discharge in men and men - cancer. Malignant tumors can consist of such organs:
- testicles
- penis
- prostate, etc.
The blood will then turn brown or dark, and blood clots will be present in the discharge.
Separation of blood and semen
Such discharge is called "hematospermia". It can be true and false. If hematospermia is false, then blood mixes with semen during its passage through the urethra. If this pathology is true, then blood mixes with sperm even before passing through the urethra.
Hematospermia is indicated by such signs (clinical picture):
- urinary disorders
- pain during ejaculation
- discomfort and back pain
- pain and/or swelling in the genitals
- high body temperature
Causes of bleeding with semen:
- prolonged sexual abstinence
- too active sex life (during intercourse, blood vessel walls are torn)
- pelvic organ varicose veins
- stones in the testes and vas deferens
- malignant and benign formations in the genitourinary organs
- biopsy
- genital surgery
Physiological secretions
The health of a man is evidenced by the physiological discharge from the urethral outlet, which is observed in the following cases:
Libidinous or physiological urethrorrhea
This condition occurs when discharge is clearly visible on the head of the penis during sexual stimulation or in the morning, immediately after sleep. Their number in different men varies and is directly related to the severity of sexual stimulation. But in any case, it is important to remember that such discharge, when excited, contains a small number of spermatozoa, therefore, if they enter the partner's genitals, he has a risk of pregnancy. The secretory function described is to ensure the passage of spermatozoa through the urethra and vagina of the woman, where there is an acidic environment that is harmful to the "gums", and to insert them in a viable form into the uterine cavity and tubes. for egg fertilization.
Prostorrhoea defecation
During increased intra-abdominal pressure (during straining), a transparent, odorless discharge with possible gray-white streaks may appear on the head of the penis. Such secretions are viscous and consist of a mixture of prostate and seminal vesicle secretions. The same discharge may also appear at the end of urination, in this case they are talking about micturatory prostorrhea. In exceptional cases, such discharge also appears with a strong cough. They are not considered an organic pathology, but only indicate a violation of the autonomous regulation of the function of the genital organs.
Smegma
Smegma (preputial lubrication) is a secret consisting of secretions from the sebaceous glands of the glans penis and foreskin. Usually, if a man follows the rules of personal hygiene, such discharge does not cause difficulties, because it is washed mechanically with water. But if hygiene is neglected, smegma accumulates, and microorganisms multiply in it, which serves as a source of unpleasant odors.
semen excretion
Sperm, which contains a large number of spermatozoa, is usually released during ejaculation (ejaculation) at the end of sexual intercourse or spontaneously, in a dream (pollution). Wet dreams are observed in adolescent boys and occur either several times a month, or 1 - 3 a week (hormonal changes).
In some cases, spermatorrhea, that is, the flow of sperm from the urethra without sexual intercourse and orgasm, indicates pathology when the tone of the muscular layer of the vas deferens is disturbed in the presence of chronic inflammation or brain disease.
Pathological discharge
All other secretions that go beyond physiology are pathological and indicate primarily urethral inflammation or urethritis. different, they can be infectious and non-infectious.
Infectious causes are divided into specific and non-specific.
- Specific etiological factors include sexually transmitted diseases, these and.
- Non-specific infectious urethritis caused by bacteria, viruses and opportunistic fungi:
- chlamydial urethritis;
- ureaplasma and mycoplasmal urethritis;
- candidal urethritis or urogenital candidiasis in men;
- herpetic urethritis and others (E. coli, streptococcus, staphylococci).
Non-infectious inflammatory factors include:
- allergic reaction
- mechanical damage to the urethral mucosa
- irritation of the urethra by chemicals
- injury, urethral stricture.
Male discharge may vary in transparency and color. These parameters are influenced by the intensity of the inflammatory process, its stage and etiological factors. Secretions are made up of fluid, mucus and various cells.
- Muddy - if there are a large number of cells, then the discharge has a cloudy color.
- Gray or thick - with the dominance of epithelial cells in the secretion, they become gray in color and become thick.
- Yellow, green or yellow-green - when a large number of leukocytes are contained in the secretion, they become yellow and also green in color, it is also called purulent discharge.
It should be noted that with the same pathology, the nature of the discharge changes over time.
Whiteness
White discharge in men is caused by several reasons. First of all, candidiasis should be excluded (see). With this disease, the following symptoms are observed:
- head of the penis smells unpleasant sour bread or yeast;
- the head of the penis is covered with a whitish coating;
- there is itching, burning and also pain in the penis and in the perineum;
- discharge appears during urination;
- reddish spots (irritation, inflammation) are noted on the head and inner surface of the foreskin;
- there is pain during intercourse, discomfort is felt in the area of the head and foreskin;
- white discharge is observed not only during urination;
- partner complains of itching and burning, pain during intercourse, has curdled discharge.
Transparent highlights
- Chlamydia, ureaplasmosis - transparent mucus discharge is possible with chlamydial or ureaplasma urethritis in the chronic stage of the disease. With the aggravation of the process in the secretion, the number of leukocytes increases, and they acquire a greenish or yellowish color.
- Trichomoniasis, gonorrhea - also transparent, abundant discharge with a large amount of mucus, which is observed during the day, is possible in the early stages of infection with Trichomonas or gonococci. In the case of chlamydia (ureaplasmosis), subjective sensations are often absent (pain, itching, burning), and clear discharge appears after prolonged urination.
yellow discharge
Purulent discharge, which includes a desquamated urethral epithelium, a large number of leukocytes and urethral mucus, yellowish or greenish in color. Yellow or greenish discharge is a characteristic sign of sexually transmitted diseases.
- Gonorrhea - thick discharge with an unpleasant odor, observed during the day and accompanied by pain when urinating. A man should first think of a gonorrhea infection if there is a pair of classic symptoms: discharge and itching.
- Trichomoniasis - also with yellow discharge, trichomoniasis is not excluded, although it is often asymptomatic. With severe symptoms of trichomonas infection, in addition to purulent discharge, a man is disturbed by a frequent and irresistible urge to urinate, a feeling of heaviness in the lower abdomen and discomfort in the perineum.
Discharge with odor
Violation of hygiene
An unpleasant smell on the perineum and penis in particular can be observed if the conditions of intimate hygiene are not observed:
- Smegma is an excellent breeding ground for microorganisms that, multiplying and dying, produce an unpleasant odor if you do not regularly wash the external genitalia thoroughly.
- In addition, smegma itself may have an unpleasant odor in case of metabolic disorders. At the same time, the release of smegma is so strong that it seeps through underwear.
infection
Discharge with an odor is most often observed with infectious lesions of the urethra. First of all, gonorrheal urethritis should be excluded - thick, yellow or green discharge that occurs throughout the day.
The sour smell of secretions is a pathognomic symptom of urogenital candidiasis. Infection with fungi of the genus Candida causes the appearance of milky white discharge (see).
A fishy smell of discharge is also possible, which exists in gardnerellosis, which is quite characteristic of women (called bacterial vaginosis), and in men the development of this disease is rather nonsense. Gardnerella belongs to conditionally pathogenic microorganisms and begins to reproduce actively only under certain conditions:
- immune system weakness;
- simultaneous inflammatory process of genitourinary organs;
- intestinal dysbacteriosis;
- use of condoms with spermicide;
- long-term treatment with antibiotics or immunosuppressants (cytostatics, corticosteroids);
- tight underwear made of synthetic fabric;
- free sex life.
Out with blood
infection
Bloody discharge or discharge with streaks of blood is often observed with infectious lesions of the urethra. Blood mixture is characteristic of gonorrhea, trichomonas or candidal urethritis. In addition, the amount of blood is directly related to the intensity of inflammation.
Often, blood is observed in chronic urethritis (the mucous membrane of the urethra is loosened and reacts with contact bleeding to the slightest irritation, including the passage of urine through the channel).
Medical manipulation
Another reason for this is trauma to the urethra during medical procedures. In the case of gross bougienage, inserting and removing catheters, cystoscopy or taking smears, one-stage bleeding may be observed. They differ in that red blood does not have clots, and the bleeding itself stops quickly.
Stone path, sand
Among other things, discharge with blood can be observed when small stones or sand (from the kidneys or bladder) pass through the urethra. The hard surface of the microlite damages the mucosa and the wall of the canal, causing bleeding. In this case, blood is most noticeable during urination, which is accompanied by pain.
Glomerulonephritis
Gross hematuria may also occur in the presence of glomerulonephritis. In this case, there is a triad of symptoms: gross hematuria, edema, increased blood pressure.
Separation of blood and semen
We must not forget about symptoms such as discharge (hematospermia). There are false and true hematospermia. With fake blood, it mixes with semen during its passage through the urethra. And with pure blood entering the ejaculation even before it passes through the urethra. Hematospermia is accompanied by the following symptoms:
- pain during ejaculation;
- urinary disorders;
- pain and / or swelling in the genitals (testicles and scrotum);
- discomfort and back pain;
- increased body temperature.
One of the causes of hematospermia is:
- too active sex life or vice versa,
- prolonged sexual abstinence, while during intercourse there is a rupture of the vascular wall in the tissue of the genital organ
- A previous surgery or biopsy can also cause blood in the semen
- hematospermia appears with benign and malignant neoplasms of the genitourinary organ
- with the presence of stones in the testicles and vas deferens
- with varicose veins of the pelvic organs.
As you know, discharge from a man's penis can be physiological and pathological. Physiology includes secretions that are the result of gonadal activity, including the result of sexual stimulation.
Such discharge from the penis is a clear viscous liquid and does not cause any discomfort in men with their presence. Physiological discharge from the head of the penis in healthy men is normal and quite common. The rest of the discharge on the head in men is pathological in nature and, as a rule, is accompanied by certain infections.