Discharge from the genitals can bother not only girls, but also men. Men have normal vaginal discharge that is odorless. Its source is the urethra. In women, the discharge is called fluorine. If you noticed an unhealthy discharge in yourself, urgently go to a personal appointment with a urologist.
Norm or pathology?
The urethra is the male urethra. From there they pop up from time to time. There is such a thing as urethrorrhea. It can be physiological or libidinal. A transparent shade emerges from the exit of the urethra. It happens in the morning, right after waking up or when a man is sexually aroused.
The urethrorrhea can be more pronounced or weaker. The lubricant that is released when aroused contains sperm. So if you do not yet have a desire to have children, it is worth protecting yourself with preliminary caresses on the genitals. The secretions in men help sperm travel through the urethra and in and out of the partner's vagina. After all, the environment there is acidic, and that is harmful to sperm life.
Defecation prostorrhea can be the second cause of vaginal discharge in boys and men. When a man squeezes, he has an odorless and colorless discharge on the glans. They can sometimes have white-grey inclusions. Their consistency is viscous. These are secretions from the prostate and seminal vesicles. Occurrence is possible after the completion of bladder emptying. Then one speaks of voiding prostorrhoea. In extremely rare cases, a man notices such a 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 contains the secret of the sebaceous glands of the head of the penis and the foreskin. When a man washes, changes his underwear and is not wearing someone else's underwear, these secretions are washed away. And they won't be the focus. If the hygiene is not so good, quite a large amount of smegma can accumulate. Pathological flora will multiply and develop there, because the genitals and underwear smell unpleasant.
sperm
Sperm - discharge in which there are many smermia (spermatozoa). Sperm is released during ejaculation, that is, at the moment of the greatest pleasure in sexual intercourse of a different kind. Even 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 per month. But with changes in hormonal balance, wet dreams can even occur several times a week. If sperm does not flow out of the penis at the time of orgasm, it 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 normally found in males and males are described above. Here we will look at discharges associated with health issues. Basically, a 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 provoke urethritis.
Infection can be either specific or non-specific. Especially trichomoniasis or gonorrhea is specific. And nonspecific urethritis can be triggered by such pathogens:
- mycoplasma
- urea plasma
- chlamydia
- herpes
- Staphylococcus aureus
- streptococci
Non-infectious causes of urethritis and associated discharge from the genital tract:
- Injury, narrowing of the urethra
- irritation with chemicals
- mechanical damage to the mucous membrane
- allergenic influence
Discharge from the genital tract in men can vary in both color and transparency. It depends on how active the inflammation is, at what stage it is, what kind of flora is being caused. The composition of the secretions from the penis includes:
- mucus
- liquid
- cells of different origins
If there is a lot of the latter component, the discharge becomes cloudy, which the man himself can visually observe. When epithelial cells appear in large numbers in the secretions, the secretions thicken and turn gray in color.
Symptoms of candidiasis:
- white spots on the glans
- The acorn has an unpleasant odor reminiscent of yeast or sour bread
- there are unpleasant sensations on the penis and in the perineal area: burning, itching, sometimes pain
- more secretion when emptying the bladder
- reddish spots on the tip of the penis and in the foreskin
- white discharge at times other than urination
- pain during sex (head and foreskin)
- Sexual partner (wife, girl) complains of discomfort up to pain during sexual intercourse
- partner has white discharge of a clotted consistency
The second possible cause of white discharge in men is ureaplasmosis, chlamydia, mycoplasmosis. It can also be inflammation of the prostate, the symptoms of which are:
- frequent urination
- Discomfort with bowel movements
- Burning in perineum and urethra
- intermittent and difficult voiding
- sexual disorders
If prostatitis is not treated, the erection will disappear and it will be impossible to conceive a child in the future. Therefore, if one or more of the above symptoms appear, consult a doctor immediately for a personal consultation.
Trichomoniasis can cause yellow discharge in men. However, in most cases, the disease has a latent course, that is, there are no symptoms. If there are still symptoms, then some of them include:
- Discomfort in the perineum
- Heaviness in the lower abdomen
- frequent and overwhelming urge 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 (non-morbid) male secretion. If you do not wash regularly, at least once a day, smegma accumulates, bacteria multiply in it, causing not very pleasant smells. These scents 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 is noticeable in sufficient quantity, as the laundry gets wet.
Infections also cause odor discharge in men. Basically, a pathological process occurs in the urethra. A doctor may suspect urethritis caused by a gonorrhea infection. The type of discharge is described above. If the discharge from the penis in men smells sour, most likely urogenital candidiasis is developing.
If the discharge from the genitals smells like fish, the man most likely 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 non-natural materials)
- long courses of antibiotics or immunosuppressants
- Condoms with spermicide
- inflammation of the urinary tract
- decreased immunity
Discharge with blood in men
The main reason is an infection. The discharge may be either all bloody or contain streaks of blood. If the infection in the urethra multiplies, you will notice such a symptom in yourself, but not necessarily. Urethritis in such cases is mainly caused by Candida, Trichomonas or Gonorrhea infection. The more severe the inflammation, the more blood is released.
Probable reason number two is carelessly performed medical manipulations. The urethra is injured and therefore blood is released. Procedures that can damage the urethra:
- catheter placement
- Removal of the catheter
- bougienage
- take a swab
- cystoscopy
The secretions with the blood occur simultaneously. It should be noted that in this case the scarlet blood without a clot will quickly stop.
The passage of stones, sand is the next cause of bloody discharge from the penis. They are excreted by the kidneys or bladder and pass through the urethra. Microliths are hard, they injure the mucous membrane and walls of blood vessels, which becomes the direct cause of bleeding. There are also pain sensations.
It also provokes discharge with blood inclusions in some cases. Blood in the urine that a man sees when he goes to the bathroom is called gross hematuria. Then symptoms such as increased blood pressure and swelling develop in parallel.
There can also be an even more serious cause of bloody discharge in males and males - cancer. Malignant tumors can be such organs:
- testicles
- penis
- prostate etc.
The blood will then be brown or dark and blood clots will be present in the secretions.
Isolation of Blood with Semen
Such a discharge is called "hemospermia". It can be true and false. If the hemospermia is wrong, the blood mixes with the semen during its passage through the urethra. If this pathology is true, then the blood will be mixed with sperm even before it passes through the urethra.
Hematospermia is manifested by such signs (clinical picture):
- Disturbances in urination
- 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 intercourse, the walls of blood vessels are torn)
- Varicose veins of the pelvic organs
- Stones in the testicles and vas deferens
- malignant and benign formations in the urogenital organs
- biopsy
- genital surgery
Physiological Secretions
The health of a man is evidenced by physiological discharge from the exit of the urethra, which is observed in the following cases:
Libidinal or physiological urethrorrhoea
This condition occurs when a clear discharge appears on the glans 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. However, in any case, it is important to remember that when aroused, such discharges contain a small amount of spermatozoa. Therefore, if they get into the partner's genitals, there is a risk that she will become pregnant. The function of the secretions described is to ensure the passage of spermatozoa through the urethra and vagina of a woman, where there is an acidic environment harmful to the "gums", and introduce them in a viable form into the uterine cavity and fallopian tubes for fertilizationthe egg cell.
defecation prostorrhea
During an increase in intra-abdominal pressure (on exertion), a transparent, odorless discharge with possible greyish-white streaks may appear on the glans. Such secretions are viscous and consist of a mixture of prostate secretions and seminal vesicles. A similar discharge can also appear at the end of urination, in which case it is called voiding prostorrhea. In exceptional cases, such a discharge occurs even with a strong cough. They are not considered organic pathology, but only indicate a violation of the autonomous regulation of the functioning of the genital organs.
smegma
Smegma (foreskin lubrication) is a secret made up 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 excretions do not cause any inconvenience, since 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 odor.
semen discharge
Sperm containing large numbers of spermatozoa are 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 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 with chronic inflammation or diseases of the brain.
Pathological discharge
All other secretions that go beyond the physiological are pathologies and primarily indicate urethritis or urethritis. different, they can be both infectious and non-infectious.
Infectious causes are divided into specific and non-specific causes.
- Specific etiological factors include diseases that are sexually transmitted, these and.
- Nonspecific infectious urethritis is caused by opportunistic bacteria, viruses and fungi:
- chlamydial urethritis;
- ureaplasma and mycoplasmal urethritis;
- Candida urethritis or urogenital candidiasis in men;
- herpetic urethritis and others (E. coli, streptococci, staphylococci).
Non-infectious inflammatory factors include:
- allergic reaction
- mechanical damage to the urethral mucosa
- Chemical irritation of the urethra
- 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 made up of fluid, mucus and various cells.
- Muddy - if there are a large number of cells, the discharge will be cloudy in color.
- Gray or thick - with a predominance of epithelial cells in the secretions, they become gray and thick.
- Yellow, green or yellow-green - if there is a large number of leukocytes 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 has several reasons. First of all, candidiasis should be excluded (see). With this disease, the following symptoms are observed:
- the glans 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 perineum;
- discharge occurs when urinating;
- reddish 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 \u200b\u200bthe head and foreskin;
- white discharge is noted not only when urinating;
- the partner complains of itching and burning, pain during sexual intercourse, has curdled discharge.
Transparent accents
- Chlamydia, ureaplasmosis - transparent mucous discharge is possible with chlamydia 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 a lot of mucus, observed during the day, is possible at the initial stage of infection with trichomonas or gonococci. With chlamydia (ureaplasmosis), subjective sensations (pain, itching, burning) are often absent, and significant 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 an admixture of green 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 pain when urinating. Men should first think of a gonorrhea infection when a classic pair of symptoms occurs: 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 urges to urinate, a feeling of heaviness in the lower abdomen and discomfort in the perineum.
discharge with smell
violation of hygiene
An unpleasant odor can be observed, especially on the perineum and penis, if the conditions of intimate hygiene are not observed:
- Smegma is an excellent breeding ground for microorganisms, which multiply and die, creating an unpleasant odor if you do not regularly wash the external genitals thoroughly.
- In addition, even with metabolic disorders, smegma can have an unpleasant odor. At the same time, the release of smegma is so intense that it penetrates underwear.
infections
Discharge with an odor is most often observed with an infectious lesion of the urethra. First of all, gonorrheic urethritis should be ruled out - a thick, yellow or green discharge that appears throughout the day.
The sour smell of secretion is a pathognomic symptom of urogenital candidiasis. Infection with fungi of the genus Candida provokes the appearance of a caseous or milky-white discharge (see).
It is also possible to have a fishy smell of discharge, which is inherent in gardnerellosis (so-called bacterial vaginosis), which is more characteristic of women, and the development of this disease in men is rather nonsensical. Gardnerella belongs to the conditionally pathogenic microorganisms and begins to actively multiply only under certain conditions:
- weakening of the immune system;
- accompanying inflammatory processes of the urogenital 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
With an infectious lesion of the urethra, bloody discharge or discharge with blood streaks is often observed. An admixture of blood is characteristic of gonorrhea, trichomonads or candida urethritis. In addition, the amount of blood is directly related to the intensity of inflammation.
With chronic urethritis, blood is often observed (the mucous membrane of the urethra is loosened and reacts to the slightest irritation with contact bleeding, including leakage of urine through the duct).
Medical manipulations
Another reason for this is trauma to the urethra during medical procedures. Unilateral bleeding may be observed with gross bougienage, catheter insertion and removal, cystoscopy, or swab collection. They differ in that the scarlet blood has no 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 mucous membrane and 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 the presence of glomerulonephritis. In this case, there is a triad of symptoms: gross hematuria, edema, increased blood pressure.
Isolation of Blood with Semen
We must not forget about such a symptom as discharge (hemospermia). There is false and real hemospermia. With false blood, it is mixed with sperm during its passage through the urethra. And with real blood, the ejaculate arrives before it even passes the urethra. Hematospermia is accompanied by the following symptoms:
- pain during ejaculation;
- disturbances in urination;
- pain and/or swelling in the genitals (testicles and scrotum);
- discomfort and back pain;
- increase in body temperature.
One of the causes of hemospermia is:
- excessively active sex life or vice versa,
- prolonged sexual abstinence, while during intercourse the vascular walls in the tissues of the genital organs rupture
- previous surgeries or biopsies can also cause blood in the semen
- Hemospermia occurs with benign and malignant neoplasms of the urogenital organs
- in 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 both physiological and pathological. Physiological secretions include secretions that are the result of the activity of the gonads, including the result of sexual arousal.
Such excretions from the penis are a clear viscous liquid and their presence does not cause a man any discomfort. Physiological discharge at the head of the penis in a healthy man is normal and fairly 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.