Discharge from the genitals can upset not only girls, but also men. Males have normal discharge that is odorless. Its source is the urethra. In women, the discharge is called leucorrhoea. If you have noticed an unhealthy discharge in yourself, urgently go to an in-person consultation with a urologist.
Norm or pathology?
The urethra is the male urethra. From there, they appear from time to time. There's a thing called urethrorrhea. It can be physiological or libidinal. From the exit of the urethra, a discharge of a transparent shadow 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 that is released during arousal contains sperm. Therefore, if you still do not want to have children, it is worth protecting yourself even with preliminary caresses on the genitals. 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 this is harmful to the life of sperm.
Defecation prostorrhoea can be the second cause of discharge in boys and men. When a man pushes, he has a discharge from the head of his penis that is odorless and colorless. Sometimes they can have whitish-gray inclusions. Its consistency is viscous. These are secretions from the prostate and seminal vesicles. Onset is possible after completion of bladder emptying. So it's called voiding prostorrhoea. In extremely rare cases, a man notices this 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 of the head of the penis and the foreskin. If a man washes himself, changes his underwear and doesn't wear someone else's underwear, those secretions will be washed away. And they won't be the center of attention. If hygiene is not so good, a fairly large amount of smegma can build up. Pathological flora will multiply and develop there, because the genitals and underwear will have an unpleasant smell.
Sperm
Spermatozoa - discharge, in which there is a lot of esmermia (sperm). Sperm is released during ejaculation, that is, at the time of peak pleasure during sexual intercourse of a different nature. Also, in a dream, men and boys sometimes have wet dreams, so sperm is also released from the penis.
Wet dreams mostly occur during puberty. That's 2-5 cases per month. But with changes in the balance of hormones, there can 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 in the ducts.
pathological discharge
The physiological secretions that are commonly found in men and men are described above. Here we will see the discharges associated with health problems. Basically, pathological discharge from the urethra troubles men with urethritis. This is an inflammatory process that develops in the urethra. An infection or non-infectious factors can cause urethritis.
The infection can be specific or non-specific. Specific is mainly trichomoniasis or gonorrhea. And nonspecific urethritis can be triggered by such pathogens:
- mycoplasma
- ureaplasma
- chlamydia
- herpes
- staphylococcus aureus
- streptococcus
Non-infectious causes of urethritis and associated discharge from the genital tract:
- injury, narrowing of the urethra
- chemical irritation
- mechanical damage to the mucous membrane
- allergen influence
Discharge from the genital tract in males may differ in color and transparency. It depends on how active the inflammation is, what stage it is in, what kind of flora is caused. The composition of penile secretions includes:
- sludge
- liquid
- cells of different origin
If there is too much of the last named component, the discharge becomes cloudy, which the man himself can visually observe. If epithelial cells appear in the secretions in large numbers, the secretions thicken and take on a gray hue.
Candidiasis symptoms:
- 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 in the penis and perineal area: burning, itching, sometimes pain
- more secretions when emptying your bladder
- red spots on the tip of the penis and inside the foreskin
- white discharge at other times besides urination
- pain during sex (in the head and foreskin)
- sexual partner (wife, girl) complains of discomfort to pain during intercourse
- the partner has white, clotted discharge
The second possible cause of white discharge in men is ureaplasmosis, chlamydia, mycoplasmosis. It can also be an inflammation of the prostate, 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, 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 see a doctor for an in-person 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, among other things, such as:
- discomfort in the perineum
- heaviness in the lower abdomen
- frequent and overwhelming urge to urinate
- burning and burning when urinating
Discharge with odor
The first possible reason (and the most harmless one) is a violation of hygiene. As mentioned above, smegma is a normal male secretion (not disease). If you don't wash regularly, at least once a day, smegma builds up, bacteria multiply, causing unpleasant odors. These scents can vary from person to person.
If you follow the rules of hygiene and the unpleasant smell is still present, the doctor may suspect a metabolic disorder. In these cases, the most common cause is diabetes mellitus. Smegma will stand out in a sufficiently large amount, because the clothes will get wet.
Infections also cause odorous discharge in men. Basically, a pathological process takes place in the urethra. A doctor may suspect urethritis caused by a gonorrhoeal infection. The nature of the discharge is described above. If the discharge from the penis smells sour in men, urogenital candidiasis is likely to develop.
If the discharge from the genitals smells like fish, the man probably has gardnerellosis. The same pathogen in women causes a disease called. But 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 unnatural materials)
- long courses of antibiotics or immunosuppressants
- spermicidal condoms
- urinary tract inflammation
- decreased immunity
Discharge with blood in men
The main reason is infection. The discharge may be completely bloody or include streaks of blood. If the infection multiplies in the urethra, you will notice this symptom in yourself, but not necessarily. Urethritis is mainly caused in these 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
- catheter removal
- buggyne
- picking up a cotton swab
- cystoscopy
Allocations with blood are simultaneous. It should be noted that in this case, scarlet blood, without clots, quickly stops.
The passage of stones, sand is the next cause of bloody discharge from the penis. They are secreted by the kidneys or bladder and pass through the urethra. Microliths are hard, they damage the mucous membrane and the walls of blood vessels, which becomes the direct cause of bleeding. There are also sensations of pain.
It also causes, in some cases, discharge with bloody inclusions. The blood in the urine that a man sees when he goes to the bathroom is called macroscopic hematuria. Then, in parallel, develop symptoms such as increased blood pressure, swelling.
There can also be an even more serious cause of bloody discharge in men and men - cancer. Malignant tumors can be of such organs:
- testicles
- penis
- prostate, etc.
The blood will then be brown or dark, and blood clots will be present in the secretions.
Blood isolation with semen
This discharge is called "hematospermia". It can be true and false. If the hematospermia is false, the blood mixes with the semen as it passes through the urethra. If this pathology is true, the blood is mixed with the sperm before it even passes through the urethra.
Hematospermia is manifested by such signs (clinical picture):
- urination disorders
- pain during ejaculation
- back discomfort and pain
- pain and/or swelling in the genitals
- high body temperature
Causes of bleeding with semen:
- prolonged sexual abstinence
- overly active sex life (during intercourse, blood vessel walls are torn apart)
- varicose veins of Organs pelvic organs
- stones in the testicles and vas deferens
- Malignant and benign formations in Organs genitourinary organs
- biopsy
- genital surgery
physiological secretions
The health of a man is evidenced by the physiological discharge from the outlet of the urethra, 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, so if they enter the partner's genitals, she runs the risk of becoming pregnant. The function of the described secretions is to guarantee the passage of spermatozoa through the woman's urethra and vagina, where there is an acidic environment that is harmful to the "gum", and to insert them in a viable way into the uterine cavity and fallopian tubes. for fertilization of the egg.
defecation prostorrhoea
During an increase in intra-abdominal pressure (when straining), a clear, 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 prostatic secretion and seminal vesicles. Similar discharge can also appear at the end of urination, in which case they speak of voiding prostorrhoea. In exceptional cases, this discharge also appears with a strong cough. They are not considered an organic pathology, but only indicate a violation of the autonomic regulation of the functioning of Organs genital organs.
smegma
Smegma (preputial lubrication) is a secret consisting of secretions from the sebaceous glands of the head of the penis and the foreskin. Usually, if a man observes the rules of personal hygiene, such discharges do not create inconvenience, as they are mechanically washed with water. But if hygiene is neglected, smegma accumulates and microorganisms multiply in it, which serves as a source of an unpleasant odor.
semen excretion
Sperm, which contains a large number of sperm, is normally released during ejaculation (ejaculation) at the end of sexual intercourse or spontaneously, in a dream (pollution). Wet dreams are seen in teenage boys and occur several times a month or 1 to 3 times a week (hormonal changes).
In some cases, spermatorrhea, that is, the flow of sperm from the urethra without sexual 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 mainly 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 sexually transmitted diseases, this e. g.
- Nonspecific infectious urethritis is caused by opportunistic bacteria, viruses, and fungi:
- chlamydial urethritis;
- ureaplasma and mycoplasmic urethritis;
- candidal urethritis or urogenital candidiasis in men;
- herpetic urethritis and others (E. coli, streptococci, staphylococci).
Non-infectious factors of inflammation include:
- allergic reactions
- mechanical damage to the urethral mucosa
- irritation of the urethra from chemicals
- injury, narrowing of the urethra.
Male discharge can vary in transparency and color. These parameters are affected by the intensity of the inflammatory process, its stage and etiologic factor. Secretions are formed from fluid, mucus and various cells.
- Muddy - if there are a large number of cells, the discharge will have a cloudy color.
- Gray or thick - with a predominance of epithelial cells in the secretions, they turn gray in color and become thick.
- Yellow, green or greenish-yellow - when a large number of leukocytes are contained in the secretions, they turn yellow and even green, 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, candidiasis must be excluded (see). With this disease, the following symptoms are observed:
- the head of the penis unpleasantly smells 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 perineum;
- discharge appears during urination;
- reddish spots (irritation, inflammation) are observed on the head and on 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 observed not only during urination;
- the partner complains of itching and burning, pain during intercourse, has clotted discharge.
transparent highlights
- Chlamydia, ureaplasmosis - transparent mucous discharge is possible with chlamydial or ureaplasmic urethritis in the chronic stage of the disease. With an exacerbation of the process in the secretions, the number of leukocytes increases and they acquire a greenish or yellowish color.
- Trichomoniasis, gonorrhea - also transparent, copious discharge with large amount of mucus, observed during the day, is possible at the initial stage of infection with Trichomonas or gonococci. In the case of chlamydia (ureaplasmosis), subjective sensations are usually absent (pain, itching, burning) and clear discharge appears after prolonged urination.
yellow discharge
Purulent discharge, which includes the squamous epithelium of the urethra, a significant number of leukocytes, and urethral mucus, is yellowish or greenish. Yellow discharge or a mixture of vegetation is a characteristic sign of sexually transmitted diseases.
- Gonorrhea - the discharge is thick and has an unpleasant putrid odor, is observed during the day and is accompanied by painful urination. 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, 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
hygiene violation
An unpleasant smell from the perineum and penis in particular can be observed if intimate hygiene conditions are not observed:
- Smegma is an excellent breeding ground for microorganisms that, multiplying and dying, create an unpleasant odor if you don't regularly wash your external genitalia.
- 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
Odorous discharge is most often seen with an infectious lesion of the urethra. First of all, gonorrheic urethritis must be excluded - thick, yellow or green discharge that occurs throughout the day.
The sour smell of secretions is a pathognomonic symptom of urogenital candidiasis. Candida yeast infection causes milky white or cheesy discharge (see).
A fishy smell of discharge is also possible, which is inherent in gardnerellosis, which is quite characteristic of women (called bacterial vaginosis), and in men the development of this disease is quite absurd. Gardnerella belongs to conditionally pathogenic microorganisms and begins to actively multiply only under certain conditions:
- weakening of the immune system;
- concomitant inflammatory processes of Organs genitourinary organs;
- intestinal dysbacteriosis;
- use of condoms with spermicides;
- prolonged treatment with antibiotics or immunosuppressants (cytostatics, corticosteroids);
- tight underwear made of synthetic fabrics;
- promiscuous sex life.
discharge with blood
infections
Bloody discharge or blood-streaked discharge is often seen with an infectious lesion of the urethra. A mixture of blood is characteristic of gonorrhea, trichomonas or candida urethritis. In addition, the amount of blood is directly related to the intensity of inflammation.
Blood is often seen in chronic urethritis (the mucous membrane of the urethra is loosened and responds with contact bleeding to the slightest irritation, including passage of urine through the duct).
medical manipulations
Another reason for this is trauma to the urethra during medical procedures. In the case of rough bougienage, catheter insertion and removal, cystoscopy or smear collection, bleeding may be observed at one stage. They differ in that scarlet blood does not have clots, and the bleeding itself stops very quickly.
Passage of stones, sand
Among other things, bloody discharge can be seen 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, blood is more noticeable during urination, which is accompanied by pain.
glomerulonephritis
Macroscopic hematuria is also possible in the presence of glomerulonephritis. In this case, there is a triad of symptoms: macroscopic hematuria, edema, increased blood pressure.
Blood isolation with semen
We must not forget about such a symptom as discharge (hematospermia). There are false and true hematospermias. With fake blood, it is mixed with semen during its passage through the urethra. And with real blood it enters the ejaculation before it even 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:
- overly active sex life or vice versa,
- prolonged sexual abstinence, while during intercourse there is a rupture of the vascular walls in the tissues of Organs genital organs
- previous surgery or biopsy can also cause blood in the semen
- hematospermia appears with benign and malignant neoplasms of Organs genitourinary organs
- in the presence of stones in the testicles and vas deferens
- with varicose veins of Organs pelvic organs.
As you know, discharge from a man's penis can be both physiological and pathological. Physiological include secretions that are the result of gonad activity, including the result of sexual arousal.
Such discharges from the penis are clear viscous liquid and do not cause any discomfort in a man by their presence. Physiological discharge to the head of the penis in a healthy male 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 a specific infection.