Discharge from the genitals can bother not only girls, but also men. Men have normal discharge that is odorless. Their source is the urethra. In women, the discharge is called leucorrhoea. If you notice an unhealthy discharge in yourself, immediately contact a urologist for a face-to-face appointment.
Norm or pathology?
The urethra is the male urethra. From there they appear from time to time. There is such a thing as urethrorrhea. It can be physiological or libidinal. A clear shadow discharge appears from the urethral outlet. This happens in the morning, right after waking up, or when a man is sexually aroused.
Urethrorrhea can be more pronounced or weak. The lubricant that is released during arousal contains spermatozoa. Therefore, if you still do not want to have children, it is worth protecting yourself even by pre-stroking the genitals. In men, ejaculation helps sperm move through the urethra and into and out of the partner's vagina. After all, the environment there is acidic and it is harmful for sperm life.
Prostorrhea of defecation can be the second cause of discharge in boys and men. When a man pushes, he has a discharge on top of his penis that is odorless and colorless. They can sometimes have white-gray inserts. Their consistency is viscous. It is a secretion from the prostate and seminal vesicles. The appearance is possible when emptying the bladder. Then it is called a mixing prostorea. 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 is from the male genital organs. It contains the secret of the sebaceous glands of the head of the penis and the foreskin. If a man has washed, changed his underwear and does not wear someone else's underwear, then this discharge will be washed away. And they will not be the center of attention. If the hygiene is not so good, quite a lot of smegma can accumulate. Pathological flora will multiply and develop there, because the genitals and underwear will have an unpleasant smell.
sperm
Semen - discharge that contains a lot of sperm (spermatozoa). Sperm is released during ejaculation, that is, at the moment of peak pleasure during sexual intercourse of a different nature. Also, in dreams, men and boys sometimes see wet dreams, then sperm is also released from the penis.
Wet dreams usually occur during puberty. This is 2-5 cases per month. But with changes in hormone balance, there may be wet dreams even several times a week. If sperm does not come out of the penis during orgasm, it is called "". This is a disease caused by a violation of vascular muscle tone. Basically, this happens with brain diseases or chronic inflammation in the ducts.
Pathological discharge
Physiological secretions, which are usually found in boys and men, are described above. Here we discuss discharges related to health problems. Men with urethritis mainly suffer from pathological discharge from the urethra. This is an inflammatory process that develops in the urethra. Infection or non-infectious factors can provoke urethritis.
Infection can be specific or non-specific. Specific is mainly trichomoniasis or gonorrhea. And non-specific urethritis can be caused by such pathogens:
- Mycoplasma
- Ureaplasma
- Chlamydia
- Herpes
- Staphylococcus bacteria
- Streptococcus
Non-infectious causes of urethritis and related discharge from the genital tract:
- Injury, narrowing of the urethra
- Irritation by chemicals
- Mechanical damage to the mucous membrane
- Allergen influence
Discharge from the genital tract in men can be different in color and transparency. It depends on how active the inflammation is, at what stage, what kind of flora is caused. The composition of the secretion from the penis includes:
- mucus
- liquid
- Cells of different origins
If there is a lot of febrile component, then the discharge becomes cloudy, which the man himself can visually observe. If epithelial cells appear in the secretion in large numbers, then the secretion thickens and acquires 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
- Unpleasant sensations appear on the penis and in the perineal area: burning, itching, sometimes pain.
- More secretions when emptying the bladder
- Reddish spots on the tip of the penis and inside the forehead
- White discharge other than urination
- Pain during sex (head and skin)
- A sexual partner (wife, girlfriend) complains of discomfort before pain during sexual intercourse
- The partner has a white discharge of a cloudy consistency
The second possible cause of white discharge in men is ureaplasmosis, chlamydia, mycoplasmosis. It can also be inflammation of the prostate gland, the symptoms of which are:
- Frequent urge to urinate
- Discomfort during bowel movements
- Burning in perineum and urethra
- Intermittent and difficult emptying of the bladder
- 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 contact your 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 will be no symptoms. If the symptoms are still there, then, among other things, there will be:
- Discomfort in the perineum
- A feeling of 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 (not disease) secretion of men. If you do not wash regularly, at least once a day, then smegma accumulates, bacteria multiply in it, which causes a not very pleasant smell. These smells can vary from person to person.
If you follow the rules of hygiene and the unpleasant smell still remains, the doctor may suspect a metabolic disorder. In such cases, the most common cause is diabetes. Smegma is distinguished by a sufficiently large amount, because the laundry will be wet.
Infections also cause foul-smelling discharge in men. Basically, the 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 in men has a sour smell, urogenital candidiasis is likely to develop.
If the discharge from the genitals has a fishy smell, the man probably has gardnerellosis. The same pathogen causes the disease in women. yearBut these are very rare cases, the disease is much more common in women. Gardnerella is conditionally pathogenic flora. It multiplies under the influence of certain factors. Factors in the development of gardnerellosis:
- Promiscuous sex life
- Tight synthetic underwear (made from unnatural materials)
- Long courses of antibiotics or immunosuppressants
- A spermicidal condom
- Inflammation of the urinary tract
- reduced immunity
Bleeding in men
The main reason is infection. The discharge may be entirely bloody or contain streaks of blood. If the infection has multiplied in the urethra, then you will notice such a symptom in yourself, but not necessarily. Urethritis is mainly caused by Candida, Trichomonas or gonorrhea infection in such cases. The stronger the inflammation, the more blood is released.
The second probable cause is medical manipulations that were carried out carelessly. The urethra is damaged, so blood is released. Procedures that can damage the urethra:
- Catheter placement
- Catheter removal
- Boujenage
- taking a smear
- Cystoscopy
Excretion with blood occurs simultaneously. It should be noted that in this case scarlet blood, without clotting, stops quickly.
The next reason for bloody discharge from the penis is the discharge of calculus, sand. They are excreted from the kidneys or bladder and pass through the urethra. Microliths are hard, they damage the mucous membrane and walls of blood vessels, which becomes 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 going to the toilet is called gross hematuria. Then symptoms such as increased blood pressure, edema develop simultaneously.
There can also be an even more serious cause of bloody discharge in boys and men - cancer. Malignant tumors can be such organs:
- Testicular
- penis
- Prostate and a. Sh.
The blood will then turn brown or dark and there will be blood clots in the secretions.
Isolation of blood with sperm
Such discharge is called "hematospermia". This can be true or false. If the hematospermia is false, then the blood mixes with the sperm as it passes through the urethra. If this pathology is true, then blood is mixed with sperm even before passing through the urethra.
Hematospermia is manifested by such signs (clinical picture):
- Urinary disorders
- Pain during ejaculation
- Discomfort and back pain
- Pain and/or swelling in the genitals
- high body temperature
Causes of sperm bleeding:
- Long sexual abstinence
- Excessively active sexual life (during coitus, blood vessel walls break)
- Varicose veins of pelvic organs
- Stones in the testicles and vas deferens
- Malignant and benign growths in the genitals
- Biopsy
- Genital surgery
Physiological secretion
Physiological discharge from the urethral outlet testifies to a man's health, which is observed in the following cases:
Libidinal or physiological urethrorrhea
This condition occurs when a clear discharge appears on the top of the penis during sexual arousal or in the morning, immediately after sleeping. Their number is different in different men and is directly related to the severity of sexual arousal. But in any case, it is important to remember that such discharge, when aroused, contains a small amount of spermatozoa, therefore, if they enter the partner's genital organ, he has a risk of getting pregnant. The function of the described secretion is to ensure the passage of spermatozoa through the female urethra and vagina, where there is an acidic environment that is harmful to the "gums", and their introduction into the uterine cavity and tubes in a viable form. for egg fertilization.
Defecation room
During increased intra-abdominal pressure (when straining), clear, odorless discharge with possible gray-white streaks may appear on the tip of the penis. Such discharge is viscous and consists of a mixture of prostate secretions and seminal vesicles. Similar discharge can appear at the end of urination, in which case they talk about micturition prostatia. In exceptional cases, such discharge also appears with strong cough. They are not considered an organic pathology, but only indicate a violation of the autonomous regulation of the functioning of the genital organs.
I heard
Smegma (preputial lubrication) is a secret that consists of 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 cause inconvenience, because they are mechanically washed off with water. But if hygiene is neglected, mucus accumulates and microorganisms multiply in it, which is a source of unpleasant odor.
Sperm release
Semen, which contains a large number of spermatozoa, is 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 several times a month, or 1-3 times a week (hormonal changes).
In some cases, spermatorrhea, i. e. the flow of sperm from the urethra without intercourse or orgasm, indicates a pathology when the tone of the muscular layer of the blood vessel is disturbed in the presence of chronic inflammation or brain diseases.
Pathological discharge
All other secretions that are beyond physiological are pathological and indicate primarily 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.
- Non-specific infectious urethritis is caused by opportunistic bacteria, viruses and fungi:
- chlamydial urethritis;
- Ureaplasma and mycoplasmic urethritis;
- Candida 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 mucous membrane of the urethra
- 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 discharge consists of fluid, mucus and various cells.
- Muddy - if there are a large number of cells, then the discharge has a cloudy color.
- Gray or thick - with an excess of epithelial cells in the secretion, they become gray and thick.
- Yellow, green or yellowish-green - when there are a large number of leukocytes in the secretion, they turn yellow and even green, they are also called purulent discharge.
It should be noted that the nature of discharge changes over time with the same pathology.
white discharge
White discharge in men is caused by several reasons. First of all, candidiasis should be excluded (see ). The following symptoms are observed during this disease:
- There is an unpleasant smell of sour bread or yeast in the head of the penis;
- 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 noted on the inner surface of the head and atrium;
- there is pain during intercourse, discomfort is felt in the head and anus area;
- White discharge is observed not only during urination;
- The partner complains of itching and burning, pain during sexual intercourse, has a scratchy discharge.
transparent indicators
- Chlamydia, ureaplasmosis - transparent mucous discharge is possible with chlamydial or ureaplasmal urethritis in the chronic stage of the disease. With the exacerbation of the process in the secretion, the number of leukocytes increases and they acquire a greenish or yellowish color.
- Trichomoniasis, gonorrhea - as well as clear, copious discharge with a large amount of mucus, which is observed during the day, is possible in the initial stage of infection with trichomonas or gonococcus. In the case of chlamydia (urethaplasmosis) there are often no subjective sensations (pain, itching, burning) and clear discharge appears after prolonged urination.
Yellow discharge
Purulent discharge, which includes disintegrated urethral epithelium, a significant number of leukocytes, and urethral mucus, is yellowish or greenish. Yellow discharge or green discharge is a characteristic sign of sexually transmitted diseases.
- Gonorrhea - the discharge is thick and has an unpleasant rotten smell, is observed 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 suffers from a frequent and irresistible urge to urinate, a feeling of heaviness in the lower abdomen and discomfort in the perineum.
Discharge with smell
Violation of hygiene
Especially the unpleasant smell of the perineum and penis can be noticed if intimate hygiene conditions are not observed:
- Smegma is an excellent breeding ground for microorganisms that multiply and die, producing an unpleasant odor if you do not regularly wash the external genitalia well.
- In addition, smegma may have an unpleasant odor in case of metabolic disorders. At the same time, the secretion of smegma is so intense that it stains 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 appears throughout the day.
The sour smell of secretions is a pathognomonic symptom of urogenital candidiasis. Infection with fungi of the genus Candida causes a cheesy or milky white discharge (see ).
It is also possible to smell the discharge of fish, which is inherent in gardnerellosis, which is quite typical for women (the so-called bacterial vaginosis), while the development of this disease in men is quite meaningless. Gardnerella belongs to conditionally pathogenic microorganisms and begins to multiply actively 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
Bloody discharge or discharge with streaks of blood is often observed with infectious lesions of the urethra. Mixing blood characterizes gonorrhea, trichomonas or candidal urethritis. Moreover, the amount of blood is directly related to the intensity of inflammation.
Blood is often observed in chronic urethritis (the mucous membrane of the urethra is loose and reacts with contact bleeding to the slightest irritation, including when passing through the urethra).
Medical manipulations
Another reason for this is trauma to the urethra during medical procedures. One-step bleeding can be observed in case of rough bougenage, insertion and removal of catheter, cystoscopy or smear taking. They differ in that scarlet blood does not have clots and the bleeding itself stops very quickly.
Passage of stones and 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 microliths damages the mucous membrane and vessel walls, which causes bleeding. In this case, 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, a triad of symptoms appears: gross hematuria, edema, increased blood pressure.
Isolation of blood with sperm
We should not forget such a symptom as discharge (hematospermia). There is false and true hematospermia. With false blood, it is mixed with sperm as it passes through the urethra. And true blood enters the ejaculate before it passes through the urethra. Hematospermia is accompanied by the following symptoms:
- pain during ejaculation;
- Urinary disorder;
- 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:
- an overly active sex life or vice versa,
- Long-term sexual abstinence, and during sexual intercourse, rupture of the vascular walls occurs in the tissues of the genital organs.
- A previous surgery or biopsy can also cause blood in the semen
- Hematospermia is manifested by benign and malignant neoplasms of the genitals.
- 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 includes secretions that are the result of the activity of the gonads, including the result of sexual arousal.
Such discharge from the penis is a clear viscous liquid and their presence does not cause any discomfort in men. In a healthy man, physiological discharge on the head of the penis is normal and quite common. Discharge remaining on the head is pathological in men and is usually accompanied by a specific infection.