Discharges from the genitals can bother not only girls, but also men. Men have normal discharge without odor. Their source is the urethra. In women, the discharge is called leucorrhoea. If you have noticed unhealthy secretions in yourself, urgently go to a face-to-face meeting 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 urethrorrhea. It can be physiological or libidinal. From the exit of the urethra, the discharge of a transparent shadow appears. It occurs in the morning, immediately after waking up, or when a man is sexually excited.
Urethrorrhea can be more pronounced or weaker. The lubricant released during arousal contains sperm. Therefore, if you do not want to have children yet, it is worth protecting yourself with preliminary caresses from the genitals. Secretions in men help 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 the life of the sperm.
Prostorrhoea faeces can be the second cause of discharge in boys and men. When a man pushes, he has a discharge at the head of the penis that is odorless and colorless. Sometimes they can have gray-white inclusions. Their consistency is viscous. These are secretions from the prostate and seminal vesicles. Emergence is possible at the end of emptying the bladder. Then it is called the mixing space. 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 other type of discharge from a man's genitals isIt includes the secretion of the sebaceous glands of the head of the penis and the foreskin. If a man washes, changes his underwear and does not wear someone else's underwear, then these secretions will be 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 insides will smell unpleasant.
cum
Semen - discharge, in which there is a lot of semen (spermatozoa). Sperm is released during ejaculation, i. e. at the moment of maximum pleasure during sexual intercourse of a different nature. Also, in a dream, men and boys sometimes see wet dreams, then sperm is also released from the penis.
Wet dreams mostly occur during puberty. This is 2-5 cases per month. But with changes in the balance of hormones, there may be wet dreams several times a week. If sperm does not flow from the penis at the time of orgasm, this is called "". This is a disease caused by a violation of muscle tone in the vas deferens. Basically, this happens with brain diseases or chronic inflammation in the channels.
Pathological discharge
Physiological secretions commonly found in boys and men are described above. Here we will look at discharges that are associated with health problems. Basically, pathological discharge from the urethra bothers 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 nonspecific urethritis can be caused by such pathogens:
- MYCOPLASMA
- ureaplasma
- Chlamydia
- shingles
- staphylococcus aureus
- streptococcus
Non-infectious causes of urethritis and accompanying discharge from the genital tract:
- injury, urethral stricture
- chemical irritation
- mechanical damage to the mucosa
- the influence of the allergen
Discharge from the genital tract in men can be different in color, as well as in transparency. It depends on how active the inflammation is, at what stage it is, what type of flora is caused. The composition of secretions from the penis includes:
- grime
- liquid
- cells of different origins
If there are many components with the last name, then the discharge becomes cloudy, which the person himself can observe visually. 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 in the penis and in the perineal region: burning, itching, sometimes pain
- more secretions during bladder emptying
- reddish spots on the tip of the penis and inside the foreskin
- white discharge at other times than urination
- pain during sex (head and foreskin)
- the sexual partner (woman, girl) complains of discomfort or pain during sexual intercourse
- the partner has white curd-like discharge
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 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 give birth to a child in the future. Therefore, if one or more of the above symptoms appear, consult a doctor immediately 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 there are still symptoms, then there will be, among others, such of them:
- discomfort in the perineum
- feeling of heaviness in the lower abdomen
- frequent and great urge to urinate
- burning and stinging during urination
Wind discharge
The first possible reason (and the most harmless) is the violation of hygiene. As mentioned above, smegma is a normal (not disease) male secretion. If you do not wash regularly, at least once a day, then smegma accumulates, bacteria multiply in it, provoking 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 present, the doctor may suspect a metabolic disorder. In such cases, the most common cause is diabetes mellitus. The smegma will stand out in a fairly large amount, because the clothes 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 has a sour smell in men, it is most likely that urogenital candidiasis develops.
If the discharge from the genitals smells like fish, it is very likely that the man has gardnerellosis. The same pathogen 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 life
- tight synthetic underwear (made from non-natural materials)
- long courses of antibiotics or immunosuppressants
- spermicidal condoms
- inflammation of the urinary tract
- decreased immunity
Bloody discharge in men
The main reason is infection. The discharge can be either 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. Urethritis is mainly caused in such cases by Candida, Trichomonas or gonorrhea infection. The stronger the inflammation, the more blood is released.
The number two possible reason is carelessly performed medical manipulations. The urethra is damaged, and therefore blood is released. Procedures that can damage the urethra:
- catheter placement
- catheter removal
- bougienage
- taking a swab
- cystoscopy
Blood allocations are simultaneous. It should be noted that in this case, red blood, without clotting, stops quickly.
Passage of stones, sand is another cause of bloody discharge from the penis. They are secreted by the kidneys or bladder and pass through the urethra. Microliths are hard, damage the mucosa and walls of blood vessels, which becomes the direct cause of bleeding. There is also a feeling of pain.
It also provokes, in some cases, bleeding with the inclusion of blood. Blood in the urine that a man sees when he goes to the toilet is called general hematuria. Then symptoms such as increased blood pressure, swelling develop in parallel.
There can also be an even more serious cause of bleeding in boys and men - cancer. Malignant tumors can be of such organs:
- the testicles
- the penis
- prostate etc.
The blood will then be brown or dark, and blood clots will be present in the secretions.
Isolation of blood with sperm
Such a discharge is called "hematospermia". It can be true and false. If hematospermia is false, then blood mixes with the sperm during its passage through the urethra. If this pathology is true, then the blood mixes with the sperm even before it passes 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
- overly active sex life (during coitus, blood vessel walls 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 evidenced by the physiological discharge from the urethra, which is observed in the following cases:
Urethral libidinous or physiological
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 stimulated, 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 secretions is to ensure the passage of spermatozoa through the urethra and vagina of a woman, where there is an acidic environment that is harmful to the "meats", and to introduce them in a stable form into the cavity and tubes of the uterus. for egg fertilization.
Prostorrhoea with stool
During 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 prostate secretion and seminal vesicles. Similar discharge can also appear at the end of urination, in which case they talk about minor spaces. In exceptional cases, such discharge appears even with a 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.
Smegma
Smegma (preputial lubrication) is a secretion consisting of secretions from the sebaceous glands of the head of the penis and the foreskin. Normally, if a man observes the rules of personal hygiene, such discharges do not cause discomfort, as 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 smell.
sperm excretion
Semen, which contains a large number of spermatozoa, is normally released during ejaculation (ejaculate) at the end of sexual intercourse or spontaneously, in a dream (pollution). Wet dreams are observed in teenage boys and occur either several times a month, or 1-3 times a week (hormonal changes).
In some cases, spermatorrhoea, 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 in the presence of chronic inflammation or brain diseases.
Pathological discharge
All other secretions that go beyond physiological are pathological and mainly indicate inflammation of the urethra or urethra. different, they can be infectious and non-infectious.
Infectious causes are divided into specific and non-specific.
- Specific etiological factors include diseases that are sexually transmitted, this and.
- Nonspecific infectious urethritis is caused by opportunistic bacteria, viruses, and fungi:
- chlamydial urethritis;
- ureaplasma and mycoplasma 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 from chemicals
- injury, urethral stricture.
Male discharge can vary in transparency and color. These parameters are influenced by the intensity of the inflammatory process, its stage and the etiological factor. Secretions are formed from 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 a predominance of epithelial cells in the secretions, they turn gray and become thick.
- Yellow, green or yellow-green - when a large number of leukocytes are contained in secretions, they become yellow and even green, 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 excluded (see). The following symptoms are observed with this disease:
- the head of the penis smells unpleasantly of sour bread or yeast;
- the head of the penis is covered with a white layer;
- there is itching, burning and even pain in the penis and perineum;
- discharge appears during urination;
- reddish spots (irritation, inflammation) are observed on the head and on the inner surface of the foreskin;
- there is pain during sexual intercourse, discomfort is felt in the area of the head and foreskin;
- white discharge is observed not only during urination;
- the partner complains of itching and burning, pain during sexual intercourse, curd flow.
Transparent highlights
- Chlamydia, ureaplasmosis - transparent mucous discharge is possible with chlamydial or ureaplasma urethritis in the chronic stage of the disease. With a worsening of the process in the secretions, the number of leukocytes increases, and they take on a green or yellow color.
- Trichomoniasis, gonorrhea - also transparent discharge, abundant with a large amount of mucus, which are observed during the day, are 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 appears after prolonged urination.
yellow discharge
Purulent discharge, which includes desquamated epithelium of the urethra, a significant number of leukocytes and urethral mucus, are yellow or green. Discharge yellow or with a mixture of green are 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 gonorrheal infection if he has a pair of classic 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 secretions, a man is disturbed by a frequent and irresistible urge to urinate, a feeling of heaviness in the lower abdomen and discomfort in the perineum.
Wind discharge
Violation of hygiene
An unpleasant smell of the perineum and penis in particular can be observed if the conditions of intimate hygiene are not respected:
- Smegma is an excellent breeding ground for microorganisms that, multiplying and dying, create an unpleasant odor if you do not regularly wash the external genitalia.
- In addition, smegma itself can have an unpleasant odor in case of metabolic disorders. At the same time, the release of smegma is so intense that it sinks through the intestines.
infections
Smelly discharge is most often observed with an infectious lesion of the urethra. First of all, gonorrheal urethritis should be excluded - thick, yellow or green discharge that occurs throughout the day.
The sour smell of secretions is a pathognomic symptom of urogenital candidiasis. Infection with fungi of the genus Candida provokes the appearance of white or milky secretions (see).
A fishy smell of 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 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 genitourinary organs;
- intestinal dysbacteriosis;
- the use of condoms with spermicides;
- long-term treatment with antibiotics or immunosuppressants (cytostatics, corticosteroids);
- tight underwear made of synthetic fabrics;
- promiscuous sex life.
Bloody discharge
infections
Bloody discharge or blood-streaked discharge is often seen with an infectious lesion of the urethra. A mixture of blood is characteristic of gonorrheal, trichomonas or candidal urethritis. Moreover, the amount of blood is directly related to the intensity of inflammation.
Often, blood is observed in chronic urethritis (the mucosa of the urethra loosens and responds with contact bleeding to the slightest irritation, including the passage of urine through the channel).
Medical manipulations
Another reason for these is trauma to the urethra during medical procedures. In the case of severe bougienage, insertion and removal of the catheter, cystoscopy or taking a smear, bleeding may be observed at some stage. They differ in that bright red blood does not clot, and the bleeding itself stops very quickly.
Passage of stones, sand
Among other things, bloody discharge can be observed when small stones or sand (from the kidneys or bladder) pass through the urethra. The hard surface of microliths damages the mucosa and walls of blood vessels, causing bleeding. In this case, blood is more noticeable during urination, which is accompanied by pain.
Glomerulonephritis
Heavy hematuria is also possible in the presence of glomerulonephritis. In this case, there is a trinity of symptoms: severe hematuria, edema, high 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 mixes with sperm during its passage through the urethra. And real blood enters the ejaculate even before it passes through the urethra. Hematospermia is associated with 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 causes of hematospermia is:
- Excessively active sex life or vice versa,
- prolonged sexual abstinence, while during intercourse there is rupture of the vascular walls in the tissues of the genital organs.
- Previous surgery or biopsy can also cause blood in the semen
- hematospermia occurs 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 physiological and pathological. Physiological include secretions that are the result of gonadal activity, including the result of sexual arousal.
Such discharges from the penis are a clear viscous liquid and do not cause discomfort in a man from their presence. Physiological discharge at 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 of a pathological nature and, as a rule, is accompanied by a specific infection.