Discharge of the genitals can disturb not only girls, but also men. Males have normal discharge that is odorless. Their source is the urethra. In women, the discharge is called leucorrhoea. If you have noticed an unhealthy discharge in yourself, urgently go to a face-to-face appointment with a urologist.
Norm or pathology?
The urethra is the male urethra. From there they appear from time to time. There is such a thing as urthrorrhea. It can be physiological or libidinal. Discharge of a transparent shade appears from the outlet of the urethra. It happens in the morning, right after waking up, or when a man is sexually aroused.
Urethrorrhea can be more pronounced or weaker. The lubricant released during ejaculation contains spermatozoa. Therefore, if you do not want to have children yet, it is worth protecting yourself, even with preliminary guys of the genitals. The secretions in men help the sperm to 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 prostorrhea can be the second cause of discharge in boys and men. When a man presses, he has a discharge on the head of the penis, which is odorless and colorless. They can sometimes have white-gray inclusions. Their consistency is viscous. These are secretions from the prostate and seminal vesicles. Appearance is possible at the completion of the emptying of the bladder. Then it is called mictorial prostorrhea. In extremely rare cases, a man notices such discharge after coughing. It is not a disease, but a disorder that can be cured.
The next type of discharge from the genitals of a man is. It includes the secret of the sebaceous glands of the head of the penis and foreskin. When a man washes, changes his underwear and does not wear someone else's underwear, these secretions are washed away. And they will not be the center of attention. If the hygiene is not so good, there can be an accumulation of quite a large amount of smegma. 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 released during ejaculation, that is, at the moment of peak pleasure during intercourse of a different nature. 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. This is 2-5 cases per month. But with changes in the balance of hormones, there can be wet dreams even several times a week. If the sperm does not flow out of the penis at the moment of orgasm, it is called "". This is a disease caused by injury to the muscle tone in the vas deferens. Basically, this happens with diseases of the brain or chronic inflammation in the channels.
Pathological discharge
The physiological secretions that are usually found in men and women are described above. Here we will look at the discharges that are associated with health problems. In principle, the pathological discharge from the urethra disturbs men with urethritis. This is an inflammatory process that develops in the urethra. An infection or non-infectious factors can provoke 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 discharge from the genital tract:
- Injury, narrowing of the urethra
- Irritation with chemicals
- mechanical damage to the mucous membrane
- Allergen influence
Discharge from the genital tract in males can be different in color, as well as in transparency. It depends on how active the inflammation is, at what stage it is, what kind of flora is caused. The composition of secretions from the penis includes:
- slime
- fluid
- Cells of various origins
If there is a lot of the last mentioned component, then the discharge becomes cloudy, which the man himself can visually observe. If epithelial cells appear in the secretions in large numbers, then 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 sour bread
- there are unpleasant sensations on the penis and in the perineal region: burning, itching, sometimes pain
- more secretions when you empty the bladder
- red spots on the top of the penis and inside the foreskin
- white discharge at times other than urination
- Pain during sex (on the head and on the foreskin)
- Sexual partner (woman, girl) complains of discomfort or pain during intercourse
- the partner has white discharge of a curdled consistency
The second possible cause of white discharge in men is ureaplasmosis, chlamydia, mycoplasmosis. It can also be an inflammation of the prostate gland, the symptoms of which are:
- frequent urge to urinate
- Discomfort during door movements
- Burning in the perineum and urethra
- intermittent and difficult bladder emptying
- sexual disorders
If prostatitis is not treated, then 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 consult 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, that is, there are no symptoms. If there are still symptoms, then among others there are such of them:
- Discomfort in the perineum
- Feeling of heaviness in the lower abdomen
- frequent and overwhelming urination
- burning and difficulty in urinating
Discharged with odor
The first possible cause (and the most harmless) is a violation of hygiene. As mentioned above, smegma is a normal (non-disease) male secretion. If you do not wash regularly, at least once a day, then smegma accumulates, bacteria multiply in it, causing not very pleasant smell. 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 such cases, the most common cause is diabetes mellitus. Smegma will stand out in a sufficiently large amount, 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 gonorrheal infection. The nature of the discharge is described above. If the discharge from the penis in men smells sour, urogenital candidiasis most likely develops.
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 non-natural materials)
- long courses of antibiotics or immunosuppressants
- Spermicidal condoms
- Inflammation of the urinary tract
- decreased 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, you will notice such a symptom in yourself, but not necessarily. Urethritis is mainly caused in such cases by candida, trichomonas or gonorrhea infection. The stronger the inflammation, the more blood is released.
Probably reason number two is medical manipulations carried out carefully. The urethra is injured, and therefore blood is released. Procedures that can damage the urethra:
- Catheter placement
- Catheter removal
- bougienage
- take a swim
- cystoscopy
Allocations with blood are simultaneous. It should be noted that in this case the scarlet blood, without clots, stops quickly.
The passage of calculi, sand is the next cause of bloody discharge from the penis. They are secreted from the kidney or bladder and pass through the urethra. Microliths are hard, they injure the mucosa and the walls of blood vessels, which is the direct cause of bleeding. There are also pain sensations.
It also provokes, in some cases, discharge with blood inclusions. Blood in the urine that a man sees when he goes to the toilet is called gross 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 boys and men - cancer. Malignant tumors can be of such organs:
- Testicles
- penis
- prostate, etc.
The blood then becomes brown or dark, and blood clots will be present in the secretions.
Isolation of blood with sperm
Such discharge is called "haematospermia". It can be right and wrong. If the hematospermia is incorrect, the blood mixes with the sperm during its passage through the urethra. If this pathology is correct, then the blood is mixed with sperm even before passing through the urethra.
Hematospermia is manifested by such signs (clinical picture):
- Urination 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 life (during coitus 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 genitourinary organs
- Biopsy
- genital surgery
Physiological secretions
The health of a man is proven by physiological discharge from the exit of the urethra, which is observed in the following cases:
Libidinous or physiological urthrorrhea
This condition occurs when a clear discharge appears on the head of the penis during sexual arousal or in the morning, right 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 spermatozoa, therefore, if they enter the partner's genitals, she has a risk of becoming pregnant. The function of the described secretions is to ensure the passage of spermatozoa through the urethra and the vagina of a woman, where there is an acidic environment that is harmful to the "gum", and enter it in a viable formand the uterine lining and tubes. for the fertilization of the egg.
Defecation prostorrhea
During an increase in intra-abdominal pressure (during 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 prostate secretion and seminal vesicles. Similar discharge can also appear at the end of urination, in which case they speak of micturatory prostorrhoea. In exceptional cases, such discharge also appears with a strong cough. They are not considered an organic pathology, but only a violation of the autonomous regulation of the functioning of the genital organs.
Smegma
Smegma (preputial grease) is a secret that consists of secretions from the sebaceous glands of the head of the penis and foreskin. Usually, if a man observes the rules of personal hygiene, such discharges do not cause any inconvenience, because they are mechanically washed with water. But if hygiene is neglected, smegma collects, and microorganisms multiply in it, which serves as the source of an unpleasant smell.
Sperm excretion
Sperm, which contains a large number of spermatozoa, is usually released during ejaculation (ejaculation) at the end of intercourse or spontaneously, in a dream (pollution). Wet dreams are observed in adolescent boys and occur either several times a month, or 1 - 3 per week (hormonal changes).
In some cases, spermatorrhea, which means the flow of sperm from the urethra without 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, which are beyond the physiological ones, are pathologies and primarily indicate inflammation of the urethra or urethritis. otherwise, 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 and.
- Nonspecific 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 factors of inflammation include:
- allergic reactions
- mechanical damage to the urethral mucosa
- Irritation of the urethra by chemicals
- 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 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 - with a bias of epithelial cells in the secretions, they become gray in color and become thick.
- Yellow, green or yellow-green - if a large number of leukocytes are contained in the secretions, they become yellow or even green in color, 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 various reasons. First of all, candidiasis should be ruled out (see). With this disease, the following symptoms are observed:
- the head of the penis 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 appears during urination;
- red spots (irritation, inflammation) are detected on the head and 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 detected not only during urination;
- the partner complains of itching and burning, pain during intercourse, has vaginal discharge.
Transparent highlights
- Chlamydia, ureaplasmosis - transparent mucous discharge is possible with chlamydia or ureaplasmic urethritis in the chronic stage of the disease. With an increase in the process and secretions, the number of leukocytes increases, and they acquire a green or yellowish color.
- Trichomoniasis, gonorrhea - also transparent, abundant discharge with a large amount of mucus observed during the day, are possible in the first stage of infection with trichomonas or gonococci. In the case of chlamydia (ureaplasmosis) subjective sensations are often absent (pain, itching, burning), and clear discharge appears after prolonged urination.
yellow discharge
Purulent discharge, which contains the desquamated epithelium of the urinary reflex, a significant number of leukocytes and urethral mucus, are yellowish or greenish. Yellow discharge or with a mixture of green are a characteristic sign of sexually transmitted diseases.
- Gonorrhea - the discharge is thick and has an unpleasant putrid smell, is observed during the day and is accompanied by pain during urination. A man should first think of a gonorrheal infection if there is a classic pair of symptoms: 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 urination, a feeling of heaviness in the lower abdomen and discomfort in the perineum.
Discharged with odor
Violation of hygiene
An unpleasant smell of the perineum and penis in particular can be observed if the conditions of intimate hygiene are not observed:
- Smegma is an excellent breeding ground for microorganisms that multiply and die creating an unpleasant odor if you do not wash the external genitalia thoroughly regularly.
- In addition, smegma itself can have an unpleasant smell in case of metabolic disorders. At the same time, the release of smegma is so intense that it permeates the underwear.
infections
Discharge with a smell is most often observed with an infectious lesion of the urethra. First of all, gonorrheal urethritis should be ruled out - thick, yellow or green discharge that occurs throughout the day.
The sour smell of secretions is a pathognomonic symptom of urogenital candidiasis. Infection with fungi of the genus Candida provokes the appearance of cheesy or milky white discharge (see).
A fishy smell of the 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 rather nonsense. Gardnerella belongs to conditionally pathogenic microorganisms and begins to actively multiply only under certain conditions:
- weakening of the immune system;
- concomitant inflammatory processes of the genitourinary 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.
Discharged with blood
infections
Bloody discharge or discharge with streaks of blood is often observed with an infectious lesion of the urethra. A mixture of blood is characteristic of gonorrheal, trichomonas or candidal urethritis. In addition, the amount of blood is directly related to the intensity of the inflammation.
Blood is often observed in chronic urethritis (the mucous membrane of the urethra is loosened and reacts with contact bleeding to the slightest irritation, including the passage of urine through the channel).
Medical manipulations
Another reason for this is trauma to the urethra during medical procedures. In the case of rough bougienage, insertion and removal of the catheter, cystoscopy or taking a smear, one-stage bleeding can be observed. They differ in that the scarlet blood does not clot, and the bleeding itself stops very quickly.
Passage of stones, sand
Among other things, discharge with blood can be observed 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, 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 sperm
We must not forget about such a symptom as discharge (hematospermia). There are false and true hematospermia. With false blood, it is mixed with sperm during its passage through the urethra. And with the right blood enters the ejaculate before it 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 reasons for hematospermia is:
- excessively active sex life or vice versa,
- prolonged sexual abstinence, during intercourse a rupture of the vascular walls and the tissues of the genital organs
- previous surgery or biopsy can also cause blood in the semen
- Hematospermia appears with benign and malignant neoplasms of the genitourinary 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. Physiologically, secretions that are the result of the activity of the gonads also include the result of sexual arousal.
Such discharges from the penis are a clear viscous liquid and do not cause discomfort in a man 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 pathological in nature and, as a rule, is accompanied by a certain infection.