Discharge from the genital organs disturbs not only girls, but also men. Men have normal, odorless discharge. Their source is the urethra. In women, discharge is called leucorrhoea. If you notice any abnormal discharge, see a urologist right away.
Norm or pathology?
The urethra is the male urethra. From there they appear from time to time. There is something called urethrorrhea. It can be physiological or libidinal. A stream of clear shadow appears from the urethra. This happens in the morning, after waking up, or when a man is sexually aroused.
Urethrorrhea may be more or less pronounced. The lubricant secreted during arousal contains sperm. Therefore, if you do not want to have a child yet, then it is better to protect yourself with preliminary stroking of the genitals. Secretions in men help sperm to pass through the urethra and enter and exit the partner's vagina. After all, the environment there is acidic, which is harmful to the life of sperm.
Defecation can be a secondary cause of prostatitis in children and men. When a man pushes, an odorless and colorless discharge comes out at the head of the penis. They can sometimes be white-gray compounds. Their consistency is viscous. These are secretions from the prostate gland and seminal vesicles. The vision is possible with the completion of the bladder. It is then called the micturition chamber. In very rare cases, a person notices such a discharge after coughing. It is not a disease, but a disease that can be cured.
The next type of discharge from the male genital organs. It contains the secret of the oil glands of the head of the penis and the skin of the foreskin. If a man takes a bath, changes his underwear, and does not wear someone else's underwear, these secretions are washed away. And they won't be the center of attention. If the hygiene is not so good, then too much smegma can accumulate. Pathological flora grows and develops there, because the genitals and underwear smell bad.
Sperm
Semen - secretions that contain a large number of spermatozoa. Sperm is released during ejaculation, that is, when the peak of pleasure is reached during sexual intercourse of a different nature. Also, men and boys sometimes have wet dreams in their dreams, after which sperm is released from the penis.
Wet dreams usually occur during puberty. This is 2-5 cases per month. However, with changes in hormone balance, wet dreams may occur several times a week. If the sperm does not come out of the penis during orgasm, it is called "". This is a disease caused by a violation of muscle tone in the blood vessels. Basically, this happens with diseases of the brain or chronic inflammation in the channels.
Pathological discharge
Physiological secretions commonly found in boys and men have been mentioned above. Here we look at discharges associated with health problems. Men with urethritis are mainly concerned about pathological discharge from the urethra. This is an inflammatory process that occurs in the urinary tract. Infection or non-infectious factors can trigger urethritis.
Infection can be specific or non-specific. Especially trichomoniasis or gonorrhea. And non-specific urethritis can be caused by such pathogens:
- mycoplasma
- ureaplasma
- Chlamydia
- herpes
- Staphylococcus aureus
- streptococcus
Non-infectious causes of urethritis and genital discharge:
- injury, narrowing of the urethra
- irritation with chemicals
- mechanical damage to the mucous membrane
- allergen exposure
In men, discharge from the genital tract can vary in color and clarity. It depends on how active the inflammation is, at what stage, and what kind of flora is formed. Penile secretions include:
- slime
- liquid
- cells of different origin
If the latter component is abundant, the discharge becomes cloudy, which can be seen by the man himself. If there are a lot of epithelial cells in the secretions, then the secretions become thick and have a gray color.
Symptoms of candidiasis:
- white spots on the head of the penis
- The head has an unpleasant smell, reminiscent of yeast or sour bread
- Unpleasant sensations appear in the penis and perineal area: burning, itching, sometimes pain
- more secretion when emptying the bladder
- red spots on the tip of the penis and inside the foreskin
- White discharge other than when urinating
- Pain during intercourse (on the head and on the foreskin)
- sexual partner (woman, girl) complains of discomfort during intercourse, up to pain
- There is a white discharge with a cooked partner 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 of which are:
- frequent urination
- discomfort during bowel movements
- burning in perineum and urethra
- Intermittent and difficult emptying of the bladder
- sexual disorders
If prostatitis is not treated, then the erection will be lost and it will be impossible to have children in the future. Therefore, if one or more of the above-mentioned symptoms appear, it is necessary to immediately consult a doctor and have 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 are no symptoms. If there are still symptoms, they include, among other things:
- discomfort in the perineum
- a feeling of heaviness in the lower abdomen
- Frequent and overwhelming urge to urinate
- burning and itching 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 don't wash regularly, at least once a day, smegma accumulates, where bacteria multiply and create unpleasant odors. These smells 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, diabetes is the most common cause. Smegma is present in sufficient quantity because the dirt is moist.
Infections can also cause foul-smelling 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 has a sour smell in men, genitourinary candidiasis occurs.
If the discharge from the genitals has a fishy smell, then the man has gardnerella. The same pathogen causes the disease in women. But these are very rare cases, the disease is more common in women. Gardnerella is a conditionally pathogenic flora. It increases when exposed to certain factors. Factors in the development of Gardnerellosis:
- promiscuous sex life
- tight synthetic underwear (made from unnatural materials)
- long courses of antibiotics or immunosuppressants
- spermicidal condoms
- inflammation of the urinary organs
- decrease in immunity
Bloody discharge in men
The main cause is infection. The discharge may be completely bloody or may contain streaks of blood. If the infection grows in the urethra, you will notice this symptom in yourself, but not necessarily. In such cases, urethritis is mainly caused by candidiasis, trichomonas or gonorrhea infection. The more intense the inflammation, the more blood is released.
Probable cause number two is careless medical manipulations. The ureter is damaged, so it bleeds. Procedures that damage the urethra:
- catheter placement
- catheter removal
- bougainvillea
- take a tampon
- cystoscopy
Blood distribution is carried out at the same time. It should be noted that in this case the clotted red blood stops quickly.
The passage of stones and sand is the next cause of bloody discharge from the penis. They are released from the kidneys or bladder and pass through the urethra. Microliths are hard, they damage the mucous membrane and walls of blood vessels, which is the direct cause of bleeding. There are also feelings of pain.
Also, in some cases, it triggers the flow of blood compounds. Blood in the urine when a man goes to the bathroom is called gross hematuria. Then, in parallel, symptoms such as increased blood pressure and swelling appear.
Men and men can have a more serious cause of bleeding - cancer. Malignant tumors can be in the following organs:
- testicles
- penis
- prostate, etc. b.
Then the blood is brown or black, and blood clots in the secretions.
Separation of blood and semen
Such discharges are called "hematospermia". This can be true or false. If hematospermia is false, then blood mixes with sperm during passage through the urethra. If this pathology is true, then the blood mixes with the sperm until it passes through the urethra.
Hematospermia is manifested by such symptoms (clinical picture):
- urinary disorders
- pain during ejaculation
- discomfort and back pain
- pain and/or swelling of the genitals
- high body temperature
Causes of bleeding with semen:
- Prolonged abstinence from intercourse
- excessively active sex life (blood vessel walls are torn during coitus)
- Varicose veins of the pelvis
- stones in the testicles and blood vessels
- benign and malignant structures in the urinary organs
- biopsy
- genital surgery
Physiological secretions
Physiological discharge from the urethra, observed in the following cases, proves the health of a man:
Libidinous or physiological urethrorhoea
This condition occurs when there is a clear discharge at the head of the penis during sexual arousal or in the morning, immediately after sleeping. Their number is different for different men and is directly related to the severity of sexual arousal. However, in any case, it should be remembered that such secretions, when excited, contain some sperm, so if they enter the partner's genitals, there is a risk of pregnancy. 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 that damages the "gum", and to introduce them in a viable form into the uterine cavity and tubes. to fertilize the egg.
Defecation protorea
With increased intra-abdominal pressure (during ejaculation), clear, odorless, possibly gray-white streaks may appear on the tip of the penis. Such secretions are viscous and consist of a mixture of prostate gland secretions and seminal vesicles. Similar discharges may also appear at the end of urination, in which case they speak of miturator protorrhea. In extreme cases, such discharge also occurs with a severe cough. They are not considered an organic pathology, but indicate a violation of the vegetative regulation of the functioning of the genitals.
Smegma
Smegma (preputial lubrication) is a secret consisting of the secretions of the sebaceous glands of the head of the penis and the skin of the foreskin. Usually, if a man observes the rules of personal hygiene, such discharges do not cause discomfort, because they are mechanically washed off with water. However, if hygiene is neglected, smegma accumulates, microorganisms multiply in it and serve as a source of unpleasant odor.
the release of semen
Semen, which contains many spermatozoa, is usually released during ejaculation (ejaculation) at the end of sexual intercourse or spontaneously, in a dream (pollution). Adolescents experience wet dreams several times a month or 1-3 times a week (hormonal changes).
In some cases, speratorrhoea, that is, the discharge of sperm from the urethra without intercourse and orgasm, indicates pathology when the tone of the muscular layer of blood vessels is disturbed during chronic inflammation or brain diseases.
Pathological discharge
All other secretions that exceed physiological limits are pathological and primarily indicate inflammation of the urethra 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, and.
- Nonspecific infectious urethritis is caused by opportunistic bacteria, viruses, and fungi:
- chlamydial urethritis;
- ureaplasma and mycoplasma urethritis;
- candidal urethritis or genitourinary candidiasis in men;
- herpetic urethritis and others (E. coli, streptococcus, staphylococcus).
Non-infectious factors of inflammation include:
- allergic reactions
- mechanical damage to the mucous membrane of the urethra
- Urinary tract irritation with chemicals
- injury, urethral stricture.
Male discharge is clear and may vary in color. These indicators affect the intensity of the inflammatory process, its stage and etiological factor. Secretions are made up of fluid, mucus, and various cells.
- Mud - if there are a lot of cells, then the discharge has a cloudy color.
- Gray or thick - the secretions are dominated by epithelial cells and become gray and thick.
- Yellow, green or yellow-green - when there are a large number of leukocytes in the secretion, they have a yellow or even green color and are also called purulent discharge.
It should be noted that with the same pathology, the nature of the discharge changes over time.
White discharge
White discharge in men occurs for several reasons. First of all, it is necessary to remove candidiasis (see). The following symptoms are observed with this disease:
- unpleasant smell of sour bread or yeast;
- the head of the penis is covered with a white coating;
- there is itching, burning and even pain in the penis and perineum;
- occurs during urination;
- reddened spots (irritation, inflammation) are noted on the head and inner surface of the foreskin;
- there is pain during sexual 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, curdled discharge.
Obvious signs
- Chlamydia, ureaplasmosis - in the chronic stage of the disease, chlamydial or ureaplasmal urethritis and clear mucous discharge are possible. With the increase in the process of secretions, the number of leukocytes increases, and they acquire a green or yellowish color.
- Trichomoniasis, gonorrhea - in the early stages of trichomoniasis or gonococcal infection, there may be a large number of clear, mucoid discharges observed during the day. In chlamydia (ureaplasmosis), subjective sensations are often absent (pain, itching, burning), and clear discharge appears after prolonged urination.
yellow discharge
Purulent discharge, which includes desquamated urethral epithelium, significant numbers of leukocytes, and urethral mucus, is yellowish or green in color. Yellow or green discharge is a characteristic sign of sexually transmitted diseases.
- Gonorrhea is a discharge that is thick and has an unpleasant rotten smell, is observed during the day and is accompanied by pain when urinating. A man should first think about a gonorrhea infection if there is a classic pair of symptoms: discharge and itching.
- Trichomoniasis - also with yellow discharge, although trichomoniasis is often asymptomatic, it has not been ruled out. With severe symptoms of trichomoniasis infection, in addition to purulent discharge, a man is concerned about frequent and uncomfortable urination, heaviness in the lower abdomen and discomfort in the perineum.
Discharge with odor
Violation of hygiene
If the conditions of intimate hygiene are not observed, the unpleasant smell of the perineum and penis is noticeable:
- Smegma is an excellent breeding ground for microorganisms that multiply, die, and cause unpleasant odors if the external genitalia are not regularly washed thoroughly.
- In addition, smegma itself can have an unpleasant odor when the metabolism is disturbed. At the same time, the secretion of smegma is so strong that it is absorbed through underwear.
infections
Discharge with an odor is often seen with an infection in the urethra. First of all, gonorrhoeal urethritis should be removed - thick, yellow or green discharge that occurs throughout the day.
The sour smell of the secretion is a pathognomonic sign of urogenital candidiasis. Infection with fungi of the Candida type causes a cheesy or milky white discharge (see).
There may also be a fishy odor characteristic of Gardnerella, which is characteristic of women (called bacterial vaginosis), and the development of this disease in men is unreasonable. Gardnerella belongs to conditionally pathogenic microorganisms and actively reproduces only under certain conditions:
- weakening of the immune system;
- accompanying inflammatory processes of urinary organs;
- intestinal dysbiosis;
- use of spermicides and condoms;
- 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 streaks of blood are common with urinary tract infections. The mixture of blood is characteristic of gonorrhea, trichomoniasis or candidal urethritis. Moreover, the volume of blood is directly related to the intensity of inflammation.
Bleeding is often seen in chronic urethritis (the mucous membrane of the urethra loosens and responds with contact bleeding to the slightest irritation, including when passing urine through the canal).
Medical manipulations
Another cause of these is trauma to the urethra during medical procedures. One-stage bleeding may be observed during rough bougainvillea, catheter insertion and removal, cystoscopy, or swabbing. They differ in the clotting of red blood, and the blood itself stops very quickly.
The passage of stones and sand
Among other things, a bloody discharge occurs when small stones or sand pass through the urethra (from the kidneys or bladder). The hard surface of the microliths damages the mucous membrane and walls of blood vessels, causing bleeding. In this case, blood is observed during urination accompanied by pain.
Glomerulonephritis
Gross hematuria may also occur in the presence of glomerulonephritis. In this case, there are three symptoms: gross hematuria, edema, increased blood pressure.
Separation of blood and semen
We must not forget about such a symptom as discharge (hematospermia). There is false and true hematospermia. False blood mixes with semen as it passes through the urethra. But real blood enters the ejaculate before passing through the urethra. Hematospermia is accompanied by the following symptoms:
- pain during ejaculation;
- urinary disorders;
- pain and/or swelling of the genitals (testicles and testicles);
- discomfort and back pain;
- increase in body temperature.
One of the causes of hematospermia:
- excessive sexual activity or vice versa,
- long-term sexual abstinence, and during sexual intercourse there is a rupture of the vascular walls in the tissues of the genital organs.
- A previous surgery or biopsy can also cause seminal bleeding
- hematospermia occurs with benign and malignant tumors of the urinary organs
- in the presence of stones in the testicles and blood vessels
- with varicose veins of the pelvis.
As you know, discharge from the male penis can be physiological and pathological. Includes secretions that are the result of physiological gonad activity, including the result of sexual arousal.
Such secretions are a transparent viscous liquid in the penis, and their presence does not cause any discomfort to the man. Physiological discharge on the head of a healthy male is normal and very common. The remaining discharges on the head are pathological in men and, as a rule, are accompanied by a certain infection.