Discharge from the genitals can bother not only girls, but also boys. Men have normal odorless discharge. Their source is the urethra. In women, the discharge is called leucorrhoea. If you find unhealthy discharge, immediately go to a private appointment with a urologist.
Normal or pathological?
The urethra is the male passage. From there they appear from time to time. There is such a thing as urethrorrhea. It can be physiological or libidinal. A clear discharge appears from the urethral outlet. This happens in the morning, immediately after waking up, or when a man is sexually aroused.
Urethrorrhea can be more or less obvious. The lubricant released during stimulation contains sperm. Therefore, if you do not want to have children yet, you should protect yourself even during foreplay with the genitals. Ejaculation in men helps 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 sperm life.
Pathological discharge
Physiological discharges that usually occur in boys and men are described above. Here we will look at emissions associated with health problems. Most pathological discharge from the urethra concerns menfor urethritis. This is an inflammatory process that develops in the urethra. Urethritis can be caused by infection or non-infectious factors.
Infection can be either specific or non-specific. Specifically is trichomoniasis or gonorrhea. Anonspecific urethritiscan be triggered by the following pathogens:
- mycoplasma
- ureaplasma
- chlamydia
- herpes
- staphylococcus
- streptococcus
Non-infectious causes of urethritisand related discharge from the genital tract:
- trauma, urethral stricture
- irritation by chemical factors
- mechanical damage to the mucous membrane
- the influence of allergens
Discharge from the genital tract in men can vary in color and transparency. It depends on how active the inflammation is, at what stage it is, and what flora is causing it.Discharges from the penis include::
- slime
- liquid
- cells of various origins
If there are many of the last named components, then the discharge becomes cloudy, which can be visually seen by the man himself. If epithelial cells appear in the discharge in large numbers, the discharge will thicken and acquire a gray color.
If you find yourselfyellow-green, greenish or yellowish dischargeMost likely, it contains many leukocytes. This means that the discharge contains a purulent mass, which is a result of the inflammatory process. With the same disease, discharge can vary in thickness, quantity and nature. For example, at the beginning of the disease they may be thicker, and then gradually become more and more liquid. This is an individual process that during the examination the doctor will not be able to determine your disease, and you will have to undergo a series of tests.
Release in menwhitemay have different reasons. The first thing that doctors assume is the proliferation of Candida fungus. This disease is called appropriately -. You may have heard that women get thrush. It happens in men too, but mostly in a hidden form. But in rare cases, vaginal discharge may occur.
Discharge with odor
The first possible reason (and the least dangerous) is poor hygiene. As mentioned above, smegma is a normal (not indicative of disease) male discharge. If you do not wash often, at least once a day, then smegma accumulates, bacteria multiply in it, causing an unpleasant smell. This smell may be different for different men.
If you follow good hygiene rules and still have an unpleasant odor, your doctor may suspect a metabolic disorder. In such cases, the most common cause is diabetes. Smegma will be released in relatively large quantities, so the laundry will be wet.
Infection is also a cause of smelly discharge in men. Pathological processes mainly occur in the urethra. Your doctor may suspect urethritis is caused by a gonorrhea infection. The nature of the release is described above. If the discharge from the penis in men smells sour, urogenital candidiasis is most likely developing.
Bloody discharge in men
The main reason is infection. The discharge can be completely bloody or include streaks of blood. If the infection reproduces in the urethra, then you will see such symptoms, but not necessarily. Urethritis is mainly caused in such cases by candida, trichomonas or gonorrhea infection. The stronger the inflammation, the more blood is removed.
Blood can be caused by chronic inflammation of the urethra. The essence of the process is that the mucous layer of the urethra becomes loose. If the irritant acts, the membrane is damaged and blood begins to be released. Although pee can be an irritant.
Possible reason number two is carelessly performed medical procedures. The urethra is injured, which is why blood is released. Procedures that can cause damage to the urethra:
- catheter installation
- catheter removal
- bougieage
- take a swipe
- cystoscopy
Discharge with blood is immediate. It should be noted that in this case the blood is red, without clots, and quickly stops.
The passage of stones and sand is the next cause of bleeding from the penis. They are secreted from the kidneys or bladder and through the urethra. Microliths are hard, they injure the mucous membranes and walls of blood vessels, which are the direct cause of bleeding. Pain also occurs.
Blood discharge with sperm
Such discharge is called "hematospermia". It can be true and false. If hematospermia is false, then blood mixes with the sperm as it passes through the urethra. If this pathology is true, then blood mixes with sperm before passing through the urethra.
Hematospermia manifests itself with the following symptoms:(clinical picture):
- urinary disorders
- pain during ejaculation
- discomfort and pain in the lower back
- pain and/or swelling in the genitals
- high body temperature
Causes of bleeding with semen:
- long-term sexual abstinence
- too active sex life (during intercourse, blood vessel walls break)
- pelvic organ varicose veins
- stones in the testes and vas deferens
- malignant and benign formations in the genitourinary organs
- biopsy
- genital surgery
If you notice a discharge from your genitals that does not go away within a day or two, immediately seek personal advice from an experienced doctor. If the discharge appears after unprotected sex, there is no need to sound the alarm, but you should go to the doctor and get tested as soon as possible. Health for you and the rest of you!
Discharge from the male genitalia is the exit from the urethra (urethra) and secretions.
Physiological secretory variants
Criteria for normal discharge, corresponds to the function of the organs of the urogenital system:
Urine - transparent color, straw to golden yellow, practically odorless, does not contain flakes or other inclusions;Secrets of the prostate has a viscous consistency and a whitish color, there is a specific smell of sperm;Ejaculation: sperm from the ejaculatory duct mixed with secretions from the Littre (urethra), Cooper (bulbourethral) glands and prostate secretions, acquiring a gray-white color and mucus consistency;Fresh smegma from the preputial gland looks like a thick white lubricant; may turn yellowish or greenish over time.
Preputial lubrication -
Urethrorrhea, mucus, colorless dischargefrom the bulbourethral and urethral glands. They appear only with pleasures related to libido. Excretion of clear mucus is intended to lubricate the urethra and improve sperm passage. The amount of secretion is from little to much; This parameter is related to the individual characteristics of the body and the frequency of sexual activity. After prolonged abstinence, the amount of discharge increases.
Ejaculation - spontaneous release of sperm, not associated with sexual intercourse. It is usually observed in the morning, when testosterone levels rise. Depending on the age and intensity of sexual activity: it appears in boys during puberty, in adult men - with irregular or rare sexual intercourse.
Prostatorrhea, discharge of small amounts of clear mucus from the urethrawith gray white inclusions. Occurs after straining the abdominal muscles (for example, with constipation) or after urinating. The secretion consists of a mixture of seminal fluid and prostate discharge; increased volume and turbidity may be signs of prostatitis.
Pathological discharge
In men, the cause of discharge from the penis can be STDs, tumors, non-specific inflammation of the urogenital organs, various injuries, medical procedures or operations.
Pathological discharge from the urethra differs from normal:
- By volume (too much or too little, maybe moderate);
- By color and transparency (from white to yellow-green, cloudy);
- By impurities (blood, pus, lumps of mucus);
- Consistency (very runny or too thick and sticky);
- With a smell (sour, rotten, fishy);
- According to the frequency of appearance (depending on the time of day, continuous or episodic release);
- In relation to urination, sexual stimulation, drinking alcohol, hot and spicy food.
The nature of the discharge depends on the causative agent of the disease, the status of the immune system, and concomitant diseases, as well as the severity and duration of inflammation (acute or chronic).
If there is a change in the amount, density or color of the discharge, or if an unpleasant odor appears, it is recommended to see a doctor and undergo a test. There is no point in self-diagnosis; it is very difficult to correctly recognize a disease based on only one symptom.
Penile discharge associated with STDs
slimy: transparent discharge, viscous and small in quantity, occurs in chronic form, or urethritis. Microscopy reveals a moderate number of leukocytes in the discharge (the norm is up to 4 cells in the field of view).
Mucopurulent: white, translucent discharge; observed in the acute phase of chlamydia, ureaplasmosis and mycoplasmosis. With chlamydia infection, they accumulate on the head of the penis, as if "sticking" to the skin.
Purulent discharge, has an unpleasant smell, is characteristic. It is sticky, thick, yellow or greenish in color, and has a foul smell. Under the microscope, epithelial cells from the urethra and many leukocytes are visible in the material.
Symptoms accompanying gonorrheal urethritis: constant and heavy discharge; especially strong when urinating.
With sexually transmitted diseases, combined infections are often observed, combining several pathogens at once. Gonorrhea and accompanied by chlamydia, mycoplasmosis and ureaplasmosis usually occur "in pairs". The symptoms of such diseases differ from the classic manifestations; urethral discharge can also take on a completely different character. Therefore, for the final diagnosis, modern analytical techniques with a high degree of reliability are used, and not the characteristics of secretions.
Non-specific (non-venereal) inflammation.
The cause of non-specific inflammation is the patient's own microflora, which is classified as opportunistic and activated only in case of problems with the body's immune defenses. Strepto- and staphylococci, genus fungi
The discharge is not associated with inflammation
Spermatorea - discharge in the form of passively flowing sperm,occurs outside of sexual intercourse or masturbation, without the feeling of orgasm. The reasons are some diseases of the nervous system, spinal injuries, chronic stress and any long-term inflammation in the genital area. Spermatorea is associated with a violation of conservation and decreased tone of the vas deferens.
hematorrhea,bloody issue. Often appears with injuries of the urethra received during
Brown discharge, with clotted blood or mucus, mixed with pus, appears with a malignant tumor originating from the prostate, urethra or bladder. Brown mucus may form during wound healing of the mucous membrane, and is released during polyposis of the urethra and/or bladder.
Prostatorrhea- secretions of the prostate gland that flow from the urethra. Occurs in chronic prostatitis, prostate adenoma, conservation disorders (
Algorithm of examination for the presence of pathological discharge from the penis
- Examination of the perineum, penis, foreskin and glands.The goal is to identify the deformation of the genital organs, traces of injuries, signs of external inflammation, discharge, rashes, etc. The discharge effect is sometimes noticeable on underwear.
- Palpation of inguinal lymph nodes, assessment of their condition: size, whether it is warmer or cooler than the surrounding tissue, painful or not, soft or firm, mobile or attached to the skin, whether there are ulcers on it.
- Digital examination of the prostate;massage the prostate through the rectum and obtain secretions for microscopic examination. Before the massage, it is advised to hold urine for 1-2 hours. With prostate adenoma, the lobes are enlarged more or less equally, a dense cord can be felt. The uneven growth and consistency are typical for malignant tumors; during palpation of the prostate, blood with clots can be removed from the urethra.
- Materials – for the microscope.When examined under a microscope, stained smears reveal blood cells, epithelium, sperm, fat inclusions, and some pathogens (Escherichia coli, gonococci, gardnerella, yeast).
An increase in the number of white blood cells characteristics of acute urethritis or severity of chronic inflammation,eosinophils – for urethritis with allergies.Red blood cell found in severe inflammation, tumors, genitourinary organ injuries, and urolithiasis.A large amount of epithelium – signs of chronic urethritis, urethral leukoplakia. When spermatorrhea is found in the smearspermatozoa , with urethrorrhea –slime , more simply -lipid grains . - General clinical blood tests,
blood for sugar - in the morning, on an empty stomach.Detailed urine analysis (morning part, right after sleep). - Ultrasound of the prostate, bladder and kidneys; CT and urography.
If the manifestations of genital inflammation are severe, then before receiving the test results, the patient is immediately prescribed broad-spectrum antibiotics. In case of heavy bleeding, hospitalization and active measures to stop the bleeding are indicated. Suspicion of a malignant tumor can only be confirmed by biopsy results; The final diagnosis is made based on histological examination.
Important:
- Discharge from the penis is only a symptom that should not be used as a guide when making a diagnosis.
- Unacceptablenon-pharmaceutical prescription. drugs, although the manifestations seem clear for certain diseases.
Normal amount of mucus
The amount of pre-ejaculation directly depends on the level of arousal of the man. Maximum concentration is achieved with strong sexual desire.The normal amount of fluid is 5 ml.
Some representatives of the stronger sex are physiologically unable to secrete lubricant. Absence of pre-ejaculation during erection reduces the ability to conceive.
A healthy pre-ejaculation has the following characteristics:
Pre-seeds carry out a cleaning function, so the consistency can change. A man may experience turbidity with repeated sexual intercourse, lack of hygiene, or before ejaculation. He will be back to normal in 1-2 days. If not, the development of a pathogenic process should be suspected.
Signs of deviation from the norm
Pathological mucus discharge in men differs from healthy in color, smell and consistency. They are almost always accompanied by unpleasant sensations.
Symptoms that indicate the deviation of the lubricant from the norm:
These signs are characteristic of the pathological process that indicates the development of the disease.
Unhealthy discharge in men is divided into types:
| type | Description |
|---|---|
| Spermatorrhea | Random leakage of sperm without reaching orgasm. The cause of the process is a decrease in the tone of the vas deferens muscle. Pathology develops as a result of chronic inflammation |
| Hematorrhea | Lubricant discharge mixed with blood. Occurs with injury to the urethral mucosa |
| leukocyte urethrorrhea | The exudative phase of the inflammatory process, as a result of thermal, mechanical, chemical or viral damage to the urethral mucosa |
| Mucopurulent | They consist of a small number of leukocytes, serous fluid and glandular secretions. This mucus is characterized by active formation at night. A man notices the discharge of pus in the morning, and yellow spots can be found on his underwear. Mucopurulent discharge appears when the urethra is damaged by bacteria: trichomonas, ureamicoplasma, chlamydia |
| Sustained | They include a large number of leukocytes, urethral epithelium, mucus and serous fluid. They have a thick consistency and an unpleasant smell. They appear in the form of drops with a yellow or greenish color. Evidence of the development of gonococcal urethritis, which is formed against the background of chlamydia and gonorrhea |
The volume of mucus released can be large or small. It can be quite difficult to spot poor lubrication. To do this, you need to press the urethra so that the fluid comes out of the opening. It dries quickly, forming a film on the membrane of the head of the penis. The viscous consistency causes the urethral sponge to stick together.
Causes of pathological discharge
Lubrication secretion that differs from the norm in most cases is caused by venereal diseases, but there are some other conditions.
Venereal disease
If pathological discharge appears with unpleasant symptoms, one should suspect the development of a sexually transmitted disease (STD). Such a disease develops under the influence of unfavorable microflora, which settles on the mucous membrane of the urethra, the external area and cavity of the genital organs, and in the glands.
What changes indicate the disease?
Various changes in pre-ejaculatory indicators are alarming. Reasons to immediately visit a specialist are:
- A change in the color of the liquid - it may be gray, with a green or yellow tint (which indicates the presence of purulent content).
- Blood stains.
- Turbidity.
- The consistency is like cottage cheese.
- Unpleasant, musty smell.
These signs indicate an inflammatory process. The following symptoms often appear:
- Pain in the lower abdomen.
- Frequency of the urge to go to the toilet.
- Heat.
- Hyperemia of the skin area.
- The appearance of purulent discharge from the urethra during rest (in the absence of sexual stimulation).
Mucus can be removed from the urethra with the development of postoperative complications during surgical operations on the prostate and other organs of the genitourinary system.
The release of clear fluid without an erection is one of the pathological symptoms, the causative agents are streptococci, staphylococci, and E. coli. The same situation is observed when infected with a sexually transmitted infection. In such cases note:
- Hyperemia of external reproductive organs.
- Itching on the penis and scrotum.
- Swelling on the bottom of the leg.
If a man notices cheesy inclusions in pre-ejaculation, he should immediately see a qualified doctor, as this indicates the presence of candidiasis. This inflammatory disease is caused by fungi of the genus Candida, which is an opportunistic microflora. Under normal conditions, they exist in the body without causing any harm. The action of negative external factors and weak immunity contribute to the rapid proliferation of fungi and their transition to the pathogenic form.
Some sperm are found in pre-ejaculate, which makes fertilization possible. Therefore, if a couple does not plan pregnancy, they should take birth control pills or protect themselves in other ways not only during sexual intercourse, but also during foreplay.
Another reason
The prostate gland plays an important role in the formation of sperm. It produces a secretion, without which the seminal fluid loses its function. When the prostate is inflamed, its production increases.
Men with chronic prostatitis may notice that when aroused, a large amount of lubricant comes out of the urethral opening. This is a prostate secretion that has a rather high resemblance to pre-ejaculation.
Excessive discharge during pleasure can appear with the development of various inflammatory processes.
The appearance of clear mucus from the urethra can be observed after probing. This liquid is formed as a protective response of the body to the resulting microtrauma on the surface of the mucous membrane.
A large amount of clear discharge during ejaculation may indicate the development of infertility.
To diagnose pathology, not only the visual properties of the fluid are taken into account, but also its biological composition. The man needs to see a doctor for an examination.