Discharge from the genitals can bother not only girls, but also men. Males have a normal discharge that is odorless. Their source is the urethra. In women, the discharge is called leukaemia. If you have noticed an unhealthy discharge in yourself, see a urologist immediately.
Norm or pathology?
The urethra is the male urethra. From there they appear from time to time. There is something called a urethra. It can be physiological or libido. From the outlet of the urethra comes an effusion of a transparent shade. It happens in the morning, right after waking up, or when a man is sexually aroused.
Urinary incontinence may be more pronounced or weaker. The lubricant released during stimulation contains sperm. Therefore, if you do not want to have children yet, it is worth protecting yourself even with urgent swabs of the genitals. Male secretions 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 sperm cells.
Constipation can be another cause of discharge in boys and men. When a man pushes, he has discharge on the glans that is odorless and colorless. They can sometimes have whitish gray inclusions. Their consistency is viscous. These are secretions from the prostate and seminal vesicles. An appearance is possible after emptying the bladder. Then it is called micturitional prostorrhea. In rare cases, one notices such a discharge after coughing. This is not a disease, but a disease that can be cured.
The next type of male genital discharge 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, this secretion is washed off. And they will not be the center of attention. If hygiene is not so good, a rather large amount of smegma may accumulate. Pathological flora will multiply and develop there, because the genitals and underwear will smell unpleasant.
Sperm
Semen - discharge, in which there are a lot of spermatozoa (sperm cells). Sperm cells are released during ejaculation, that is, at the moment of maximum pleasure during sexual intercourse of another kind. 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. These are 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 during orgasm, this is called "". This is a disease caused by muscle tension in blood vessels. Basically, this happens with diseases of the brain or chronic inflammation of the ducts.
Morbid discharge
The physiological secretions normally found in boys and men are described above. Here we will look at discharges related to health problems. Basically, pathological discharge from the urethra bothers men with urethritis. This is an inflammatory process that occurs in the urethra. Infection or non-infectious factors can cause urethritis.
The infection can be either specific or non-specific. Specific is mainly trichomoniasis or gonorrhea. And non-specific urethritis can be triggered by such pathogens:
- mycoplasma
- ureaplasma
- chlamydia
- herpes
- Staphylococcus aureus
- streptococci
Non-infectious causes of urethritis and associated genital discharge:
- injury, urethral stricture
- irritation with chemicals
- mechanical damage to the mucous membrane
- effects of allergens
Discharge from the genitals in men can vary in color, as well as transparency. It depends on how active the inflammation is, at what stage it is, what type of flora is caused. The composition of penile secretions includes:
- mucus
- liquid
- cells of different origins
If there is a lot of the latter component, then the discharge will be cloudy, which the person himself can see visually. If epithelial cells appear in the secretions in large quantities, the secretions thicken 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 sourdough 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 penis and inside the foreskin
- white discharge at times other than urination
- pain during sex (on the head and foreskin)
- partner (wife, girl) complains of discomfort up to pain during intercourse
- partner has white discharge with a thick consistency
Another possible cause of white discharge in men is ureaplasmosis, chlamydia, mycoplasmosis. It can also be inflammation of the prostate, the symptoms are:
- frequent urination
- discomfort during bowel movements
- burning in the abdomen and urethra
- with intermittent and difficult emptying of the bladder
- sexually transmitted diseases
If prostatitis is not treated, the erection will disappear and it will also be impossible to have a child in the future. Therefore, if one or more of the above symptoms occur, immediately contact 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, there are no symptoms. If there are still symptoms, they will include:
- discomfort in the perineum
- feeling of heaviness in the lower part of the abdomen
- frequent and overwhelming need to urinate
- burning and stinging when urinating
Discharge with smell
The first possible reason (and the most harmless) is a violation of hygiene. As mentioned above, smegma is a normal (not weak) male secretion. If you do not wash regularly, at least once a day, smegma accumulates, bacteria multiply in it, which causes a not very pleasant smell. This smell can vary from person to person.
If you follow hygiene rules and an unpleasant odor is still present, your doctor may suspect a metabolic disease. In such cases, the most common cause is diabetes. Smegma will stand out in sufficient quantity, because the laundry will be 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, it is likely that a urinary tract infection is developing.
If the discharge from the genitals smells like fish, the person most likely has gardnerellosis. The same germ 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
- tight synthetic underwear (made of unnatural materials)
- long doses of antibiotics or immunosuppressive drugs
- spermicidal condoms
- inflammation of the urinary tract
- reduced immunity
Discharge with blood in men
The main reason 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. In such cases, urethritis is mainly caused by Candida, Trichomonas or gonorrhea infection. The stronger the inflammation, the more blood is released.
The number two likely reason is negligent medical treatment. The urethra is damaged and blood is released. Actions that can damage the urethra:
- catheter
- deposit removal
- bougienage
- to take a swab
- cystoscopy
Allocation by blood is simultaneous. It should be noted that in this case, the scarlet blood, without clots, stops quickly.
The passage of tartar, sand is the next cause of bloody discharge from the penis. They are secreted from the kidneys or bladder and pass through the urethra. Microbes are hard, they damage the mucous membrane and blood vessel walls, which become the direct cause of bleeding. There are also feelings of pain.
It also causes, in some cases, a discharge with blood in it. Blood in the urine that a man sees when he goes to the toilet is called gross hematuria. Simultaneous symptoms such as increased blood pressure and swelling develop.
There can also be an even more serious cause of bloody discharge in kids and men - cancer. Malignant tumors can be from such organs:
- testicles
- the penis
- prostate etc.
The blood will then turn brown or dark and blood clots will be present in the discharge.
Isolation of blood with semen
Such discharge is called "hematospermia". It can be true or false. If the blood cells are false, the blood mixes with the sperm as it passes through the urethra. If this pathology is true, then the blood is mixed with sperm even before it passes through the urethra.
Hypercholesterolemia occurs with such symptoms (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
- excessively active sex (during intercourse the blood vessel walls are torn)
- varicose veins in the pelvic cavity
- stones in the testicles and blood vessels
- malignant and benign formations in the genitals
- biopsy
- genital surgery
Physiological secretion
A man's health is determined by the physiological discharge from the urethra, which can be seen in the following cases:
Libido or Physiological Urethritis
This condition occurs when a 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, if they enter the partner's genitals, she is at risk of becoming pregnant. The function of the described secretion is to ensure that the spermatozoa pass through the urethra and vagina of a woman, where there is an acidic environment that is harmful to the "rubber", and reach them in a viable form into the uterine cavity and tubes. for fertilization of the egg.
Constipation
With an increase in intra-abdominal pressure (when 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 prostatic secretions and seminal vesicles. A similar discharge can also appear at the end of urination, in which case it is called enuresis. In exceptional cases, such a discharge also occurs with a strong cough. They are not considered organic pathology, but only indicate a violation of the autonomic control of the functioning of the genital organs.
Smegma
Smegma (preputial lubrication) is a secretion consisting of secretions from sebaceous glands in the head of the penis and the foreskin. Usually, if one follows the rules of personal hygiene, such discharges do not cause discomfort, as they are mechanically washed with water. But if hygiene is neglected, smegma accumulates and microbes multiply in it, which serves as a source of unpleasant odors.
ejaculation
Semen, which contains a large number of sperm cells, is usually released during ejaculation (semen) at the end of intercourse or spontaneously during a dream (pollution). Wet dreams are seen in adolescent boys and occur either several times a month or 1 - 3 times a week (hormonal changes).
In some cases, spermatozoa, that is, the flow of sperm from the urethra without 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 diseases.
Morbid discharge
Any other secretion that goes beyond physiological is pathological and primarily indicates inflammation of the urethra or urethra. different, they can be both infectious and non-infectious.
Infectious causes are divided into specific and non-specific.
- Specific causative factors are sexually transmitted diseases, this and.
- Non-specific 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 mucous membrane of the urethra
- irritation of the urethra caused by chemicals
- injury, urethral stricture.
Male discharge can vary in transparency and color. These parameters are influenced by the intensity of the inflammatory process, its level and causative factors. The secretion is formed from fluid, mucus and various cells.
- Muddy - if there is a large number of cells, then the discharge has a cloudy color.
- Gray or thick - where epithelial cells are predominately secretory, they become gray in color and become thick.
- Yellow, green or yellow-green - when a large number of leukocytes are found in the secretion, they become yellow and even green in color, they 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 is caused by several reasons. First of all, candidiasis should be ruled out (see). With this disease, the following symptoms occur:
- the head of the penis smells unpleasantly of sour bread or yeast;
- the head of the penis is covered with whitish skin;
- there is itching, burning and even pain in the penis and in the abdomen;
- discharge occurs during urination;
- reddish spots (irritation, inflammation) are seen on the head and inner surface of the foreskin;
- there is pain during intercourse, discomfort is felt in the head and foreskin area;
- white discharge is seen not only during urination;
- partner complains of itching and burning, pain during intercourse, has rhythmic discharge.
Transparent highlight
- Chlamydia, ureaplasmosis - a transparent mucous membrane is possible with chlamydial or ureaplasmic urethritis in the chronic stage of the disease. With the worsening of the secretory process, the number of leukocytes increases and they acquire a greenish or yellowish color.
- Trichomoniasis, gonorrhea - also transparent, profuse discharge with a large amount of mucus, visible during the day, is 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 occurs after prolonged urination.
yellow discharge
Purulent discharge, which involves the epithelia of the urethra, a significant number of leukocytes and mucus in the urethra, is yellowish or greenish. Yellow discharge or with a mixture of green are characteristic signs of sexually transmitted diseases.
- Gonorrhea - the discharge is thick and has an unpleasant putrid smell, is visible during the day and is accompanied by pain during 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 need to urinate, a feeling of heaviness in the lower abdomen and discomfort in the perineum.
Discharge with smell
Violation of hygiene
In particular, an unpleasant smell can be seen from the perineum and penis if the conditions of close hygiene are not observed:
- Smegma is an excellent breeding ground for microbes that multiply and die, creating an unpleasant odor if the external genitalia are not regularly washed thoroughly.
- In addition, smegma itself can have an unpleasant odor in the case of metabolic diseases. At the same time, the release of smegma is so great that it runs through the underwear.
infections
Discharge with a smell is most often seen with an infectious lesion of the urethra. First, gonorrhea - thick, yellow or green discharge that occurs throughout the day - should be ruled out.
A sour-smelling discharge is a pathogenic symptom of a urinary tract infection. Infection by fungi of the genus Candida causes the appearance of a cheesy or milky white discharge (see).
A fishy smell of discharge is also possible, which is inherent in gardnerellosis, which is more 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 only under certain conditions:
- weakening of the immune system;
- concomitant inflammatory process in the genitals;
- intestinal dysbacteriosis;
- use of condoms with spermicides;
- long-term treatment with antibiotics or immunosuppressive drugs (cytotoxic drugs, corticosteroids);
- tight underwear made of synthetic materials;
- promiscuous sex.
Discharge with blood
infections
Bloody or streaked discharge is often seen with an infectious urethral lesion. The blood mixture is characteristic of gonorrhea, trichomonas or candidal urethritis. Moreover, the amount of blood is directly related to the intensity of the inflammation.
Blood is often seen in chronic urethritis (the lining of the urethra loosens and reacts with contact bleeding at the slightest irritation, including urethral discharge through the incision).
Medical treatments
Another reason for this is trauma to the urethra during medical procedures. In the case of gross inoculation, insertion and removal of the catheter, cystoscopy or smear taking, single stage bleeding may occur. 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, you can see a discharge with blood when small stones or sand (from the kidneys or bladder) pass through the urethra. The hard surface of the microliths damages the mucosa and blood vessel walls and causes bleeding. In this case, the blood is most noticeable during urination, which is accompanied by pain.
Glomerulonephritis
Gross hematuria is also possible in case of glomerulonephritis. In this case, there are three symptoms: gross hematuria, edema, elevated blood pressure.
Isolation of blood with semen
We must not forget such a symptom as discharge (hematocrit). There are false and true hematocrits. With false blood, it is mixed with sperm as it passes through the urethra. And with true blood enters the ejaculate even before it passes through the urethra. Elevated blood count 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;
- increase in body temperature.
One of the causes of hematocrit is:
- too active sex or vice versa,
- prolonged sexual abstinence, but during intercourse there is a rupture of the blood vessel walls in the tissues of the genitals
- a previous surgery or biopsy can also cause blood in the semen
- hematopoiesis occurs with benign and malignant genital tumors
- in the presence of stones in the testicles and veins
- with varicose veins in the pelvic organs.
As you know, discharge from the male penis can be both physiological and pathological. Physiological includes secretions that are the result of gonadal activity, including the result of sexual stimulation.
Such discharge from the penis is a clear viscous fluid and does not cause discomfort to a person due to 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 morbid in nature and is usually accompanied by some infection.