Discharge from the genitals can disturb not only girls, but also men. Males usually have discharge that is odorless. Their source is the urethra. In women, the discharge is called leucorrhoea. If you have noticed unhealthy discharge in yourself, you should urgently go to a face-to-face meeting with a urologist.
Norm or pathology?
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. From the outlet of the urethra is shown discharge of a transparent shadow. It happens in the morning, right after waking up, or when a man is sexually aroused.
The urethra may be more pronounced or weaker. The lubricant released during arousal contains spermatozoa. Therefore, if you do not want to have children yet, it is worth protecting yourself with preliminary caresses of the genitals. The secretions in men help sperm pass through the urethra and into and out of the partner's vagina. After all, the environment there is acidic, and it is harmful to the life of the sperm cells.
Defecation prostatorrhea can be the second cause of discharge in boys and men. When a man pushes, he has a discharge on the head of the penis that is odorless and colorless. They can sometimes have white-gray inclusions. Their consistency is viscous. These are secretions from the prostate and seminal vesicles. Appearance is possible at the end of emptying the bladder. Then it is called micturition prostrea. In extremely rare cases, a man notices such discharge after coughing. It is not a disease, but a disorder that can be cured.
The next type of discharge from a man's genitals is. It includes the secret of the sebaceous glands in the head of the penis and the foreskin. If a man washes, changes his underwear and does not wear other people's underwear, then these secretions will be washed off. And they don't want to be the center of attention. If the hygiene is not so good, there can be an accumulation of quite a large amount of smegma. Pathological flora will multiply and develop there, because the genitals and underwear will smell unpleasant.
Sperm
Sperm - discharge in which there is a lot of smermia (spermatozoa). Sperm is released during ejaculation, that is, at the moment of maximum pleasure during sexual intercourse of a different nature. Also in a dream, men and boys sometimes have wet dreams, then sperm is also released from the penis.
Wet dreams mainly occur during puberty. That's 2-5 cases a month. But with changes in the hormonal balance, there may be wet dreams even several times a week. If 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 diseases of the brain or chronic inflammation of the channels.
Pathological discharge
The physiological secretions normally found in guys and men are described above. Here we will look at emissions that are associated with health problems. Basically, pathological discharge from the urethra disturbs men with urethritis. This is an inflammatory process that develops in the urethra. An infection or non-infectious factors can trigger urethritis.
The infection can be either specific or nonspecific. Specifically, mainly trichomoniasis or gonorrhea. And nonspecific urethritis can be triggered by such pathogens:
- mycoplasma
- ureaplasma
- chlamydia
- herpes
- Staphylococcus aureus
- streptococci
Non-infectious causes of urethritis and associated genital discharge:
- injury, narrowing of the urethra
- irritation with chemicals
- mechanical damage to the mucous membrane
- allergen exposure
Discharge from the genitals in men can be different in color, as well as in transparency. It depends on how active the inflammation is, at what stage it is, what kind of flora is caused. The composition of secretions from the penis includes:
- mucus
- liquid
- cells of different origin
If there is a lot of the latter component, the discharge becomes cloudy, which the man himself can observe visually. If epithelial cells appear in the secretions in large numbers, then the secretions become thicker and acquire a gray tint.
Symptoms of candidiasis:
- white spots 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 region: burning, itching, sometimes pain
- more secretions when emptying the bladder
- reddish spots on the tip of the penis and inside the foreskin
- white discharge at times other than urination
- pain during sex (on the head and on the foreskin)
- sexual partner (wife, girl) complains of discomfort up to pain during intercourse
- the partner has white discharge of a curdled consistency
The other possible cause of white discharge in men is ureaplasmosis, chlamydia, mycoplasmosis. It can also be an inflammation of the prostate gland, the symptoms of which are:
- frequent urge to urinate
- discomfort during bowel movements
- burning in the perineum and urethra
- intermittent and difficult bladder emptying
- sexual disorders
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 occur, you should immediately contact a doctor for a personal 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, there will be such of them, among others:
- discomfort in the perineum
- feeling of heaviness in the abdomen
- frequent and overwhelming urge to urinate
- burning and stinging 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-disease) male secretion. If you do not wash regularly, at least once a day, smegma accumulates, bacteria multiply in it, which causes not very pleasant smells. These scents may vary from person to person.
If you follow the hygiene rules and the unpleasant smell is still present, the doctor may suspect a metabolic disorder. In such cases, the most common cause is diabetes mellitus. Smegma will stand out in a sufficiently large amount because the laundry gets wet.
Infections also cause smelly discharge in men. Basically, a pathological process occurs in the urethra. A doctor may suspect urethritis caused by a gonorrhea infection. The nature of the discharge is described above. If the discharge from the penis smells sour in men, urogenital candidiasis is most likely developing.
If the discharge from the genitals smells of fish, the man most likely has gardnerellosis. The same pathogen in women causes a disease calledBut these are very rare cases, in women the disease is much more common. Gardnerella is a conditionally pathogenic flora. It multiplies when exposed to certain factors. Factors for the development of gardnerellosis:
- promiscuous sex life
- tight synthetic underwear (made from non-natural materials)
- long courses of antibiotics or immunosuppressants
- spermicidal condoms
- inflammation of the urinary tract
- reduced immunity
Discharge with blood in men
The main cause is infection. The discharge can either be completely bloody or contain streaks of blood. If the infection multiplies in the urethra, then you will notice such a symptom 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 released.
Probable reason number two is medical manipulations performed carelessly. The urethra is injured and therefore blood is released. Procedures that can damage the urethra:
- catheter placement
- removal of catheter
- bougienage
- take a cotton swab
- cystoscopy
Allocations with blood are simultaneous. It should be noted that in this case the scarlet blood, without blood clots, stops quickly.
The passage of tartar, 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 mucosa and walls of the blood vessels, which becomes the direct cause of bleeding. There are also pain sensations.
It also causes, in some cases, discharge with blood inclusions. Blood in the urine that a man sees when he goes to the toilet is called gross hematuria. Then concurrently develop symptoms such as high blood pressure, swelling.
There can also be an even more serious cause of bloody discharge in guys and men - cancer. Malignant tumors can be of such organs:
- testicles
- penis
- prostate etc.
The blood will then be brown or dark, and there will be blood clots in the secretions.
Isolation of blood with semen
Such discharge is called "haematospermia". It can be true and false. If the hematospermia is false, the blood mixes with the sperm during its passage through the urethra. If this pathology is true, the blood mixes with sperm even before it passes through the urethra.
Hematospermia is manifested by such signs (clinical picture):
- urination 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
- excessively active sex life (during coitus the walls of the blood vessels tear)
- varicose veins in the pelvic organs
- stones in the testicles and vas deferens
- malignant and benign formations in genitourinary organs
- biopsy
- genital surgery
Physiological secretions
A man's health is proven by physiological discharge from the outlet of the urethra, which is observed in the following cases:
Libidinous or physiological urethrorrhea
This condition occurs when clear discharge appears on the head of the penis during sexual arousal or in the morning immediately after sleep. Their number in different men varies and is directly related to the severity of sexual arousal. But in any case, it is important to remember that such discharges, when excited, contain a small amount of sperm, therefore she is at risk of becoming pregnant if they enter the partner's genitals. The function of the described secretions is to ensure the passage of spermatozoa through the urethra and vagina of a woman, where there is an acidic environment harmful to the "gum", and to carry them in a viable form into the uterine cavity and tubes for fertilization ofthe egg.
Faeces prostrate
During an increase in intra-abdominal pressure (on exertion), 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 secretions and seminal vesicles. Similar discharge may also occur at the end of urination, in which case they speak of micturatory prostrea. In exceptional cases, such discharge also occurs 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 that consists of secretions from the sebaceous glands in the head of the penis and foreskin. Usually, if a man observes the rules of personal hygiene, such discharges do not cause trouble, as they are mechanically washed off with water. But if hygiene is neglected, smegma accumulates and microorganisms multiply in it, which serves as a source of an unpleasant smell.
ejaculation
Semen, 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 young boys and occur either several times a month or 1-3 times a week (hormonal changes).
In some cases, spermatorrhea, that is, the flow of semen from the urethra without intercourse and orgasm, indicates a pathology when the tone of the muscular layer of the vas deferens is disturbed in the presence of chronic inflammation or brain diseases.
Pathological discharge
All other secretions that go beyond the physiological are pathologies and primarily indicate inflammation of the urethra or urethritis. different, they can be both infectious and non-infectious.
Infectious causes are divided into specific and non-specific.
- Specific etiological factors include diseases that are sexually transmitted, this and.
- Nonspecific infectious urethritis is caused by opportunistic bacteria, viruses and fungi:
- chlamydial urethritis;
- ureaplasma and mycoplasmal urethritis;
- candidal urethritis or urogenital candidiasis in men;
- herpetic urethritis and others (E. coli, streptococci, staphylococci).
Non-infectious inflammatory factors include:
- allergic reactions
- mechanical damage to the urethral mucosa
- irritation of the urethra by chemicals
- injury, narrowing of the urethra.
Male discharge can vary in transparency and color. These parameters are influenced by the intensity of the inflammatory process, its stage and etiological factor. The secretions are formed by liquid, mucus and various cells.
- Muddy - if there are a large number of cells, then the discharge has a cloudy color.
- Gray or thick - with a predominance of epithelial cells in the secretions, they become gray in color and become thick.
- Yellow, green or yellow-green - when a large number of leukocytes are contained in the secretions, they become yellow and even green in color, they are also called purulent discharges.
It should be noted that with the same pathology, the nature of the discharge changes over time.
White discharge
White discharge in men is due to several reasons. First of all, candidiasis should be ruled out (see). With this disease, the following symptoms are observed:
- the head of the penis smells unpleasantly of sour bread or yeast;
- the head of the penis is covered with a whitish coating;
- there is itching, burning and even pain in the penis and in the perineum;
- discharge appears during urination;
- reddish spots (irritation, inflammation) are noted on the head and the inner surface of the foreskin;
- there is pain during intercourse, discomfort is felt in the area of the head and foreskin;
- white discharge is noted not only during urination;
- the partner complains of itching and burning, pain during intercourse, has curdled discharge.
Transparent highlights
- Chlamydia, ureaplasmosis - transparent mucus discharge is possible with chlamydia or ureaplasmic urethritis in the chronic phase of the disease. With a worsening of the process in the secretions, 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, are possible in the initial stage 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 the desquamated epithelium of the urethra, a significant number of leukocytes and urethral mucus, is yellowish or greenish. Yellow discharge or with a mixture of green is a characteristic sign of sexually transmitted diseases.
- Gonorrhea - the discharge is thick and has an unpleasant rotten smell, is observed during the day and is accompanied by pain during urination. A man should first think of a gonorrhea infection if there are a classic pair of symptoms: discharge and itching.
- Trichomoniasis - even 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 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 of the perineum and penis can be observed especially if the conditions of intimate hygiene are not observed:
- Smegma is an excellent breeding ground for microorganisms that multiply and die, creating an unpleasant odor if the external genitalia are not thoroughly washed regularly.
- In addition, smegma itself can have an unpleasant odor in case of metabolic disorders. At the same time, the release of smegma is so intense that it soaks through the underwear.
infections
Discharge with an odor is most often observed with an infectious lesion of the urethra. First of all, gonorrheal urethritis should be excluded - thick, yellow or green discharge that occurs during the day.
The sour smell of secretions is a pathognomonic symptom of urogenital candidiasis. Infection with fungi of the genus Candida causes the appearance of cheesy or milky discharge (see).
A fishy smell of discharge is also possible, which is inherent in gardnerellosis, which is rather 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 multiply actively only under certain conditions:
- weakening of the immune system;
- simultaneous inflammatory processes in the genitourinary organs;
- intestinal dysbacteriosis;
- use of condoms with spermicides;
- long-term treatment with antibiotics or immunosuppressants (cytostatics, corticosteroids);
- tight underwear made of synthetic fabrics;
- promiscuous sex life.
Discharge with blood
infections
Bloody discharge or discharge with streaks of blood is often observed with an infectious lesion of the urethra. A mixture of blood is characteristic of gonorrhea, trichomonas or candidal urethritis. Moreover, the amount of blood is directly related to the intensity of inflammation.
Blood is often observed in chronic urethritis (the mucous membrane of the urethra loosens and reacts with contact bleeding to the slightest irritation, including the passage of urine through the channel).
Medical manipulations
Another reason for these is trauma to the urethra during medical procedures. In case of gross bougienage, insertion and removal of the catheter, cystoscopy or smear, one-step bleeding may be observed. They differ in that the scarlet blood does not have blood clots, and the bleeding itself stops very quickly.
Passage of stones, 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 microliths damages the mucosa and vessel walls, causing bleeding. In this case, the blood is most noticeable during urination, which is accompanied by pain.
Glomerulonephritis
Gross hematuria is also possible in the presence of glomerulonephritis. In this case, there is a triad of symptoms: gross hematuria, edema, high blood pressure.
Isolation of blood with semen
We must not forget such a symptom as discharge (hematospermia). There is false and true hematospermia. With fake blood, it mixes with semen during its passage through the urethra. And with real blood enters the ejaculate even before it passes through the urethra. Hematospermia is accompanied by the following symptoms:
- pain during ejaculation;
- urination disorders;
- pain and/or swelling in the genitals (testicles and scrotum);
- discomfort and back pain;
- increase in body temperature.
One of the causes of hematospermia is:
- excessively active sex life or vice versa,
- prolonged sexual abstinence, while during intercourse a rupture of the vessel walls in the tissues of the genital organs occurs
- previous surgery or biopsy can also cause blood in the semen
- hematospermia appears with benign and malignant neoplasms of the genitourinary organs
- in the presence of stones in the testicles and vas deferens
- with varicose veins in the pelvic organs.
As you know, discharge from a man's penis can be both physiological and pathological. Physiologically, it includes secretions that are the result of the activity of the gonads, including the result of sexual arousal.
Such discharges from the penis are a clear viscous liquid and do not cause discomfort to a man in their presence. Physiological discharge on the head of the penis in a healthy man is normal and quite common. The rest of the discharge on the head in men is pathological in nature and is usually accompanied by a certain infection.