There are very few women who know that men also have discharge. Like women, they occur normally in men and are odorless. Only in women this is called "leukorrhea" and they appear vaginally. are, while men ooze from the urethra. Of course, any pathological discharge indicates poor health and requires a visit to a doctor.
physical discharge
A man's health is evidenced by physical discharge from the urethral outlet, which is observed in the following cases:
libido or physiological urethra
This condition is observed when a transparent discharge appears during sexual arousal or immediately after sleeping in the morning. Their number is different in different men and it is directly related to the severity of sexual arousal. But in any caseIn the U. S. , it is important to remember that such discharge, when stimulated, contain a small amount of sperm, so if they get on the genitals of the partner, there is a risk of her becoming pregnant. The function of the described secretion is a woman. To ensure the passage of sperm through the urethra and vagina, where there is an acidic environment that is destructive to the "gums", and to get them in a viable form into the uterine cavity and tubes. for fertilization of the egg.
defective prostatoria
During an increase in intra-abdominal pressure (when straining), a transparent odorless discharge with possible gray-white stripes may appear on the head of the penis. Such discharge is viscous and contains a mixture of prostate secretion and seminal vesicles. Such discharge may appear at the end of urination, in this case they speak of a vocal prostatoria. In exceptional cases, such discharge is manifested with a strong cough. They are not considered an organic pathology, but only of the genital organs. indicate a violation of the autonomous regulation of the functioning of.
sclera
Smegma (pre-lubrication) is a secret consisting of secretions from the sebaceous glands of the head of the penis and foreskin. Normally, if a person observes the rules of personal hygiene, such discharge does not cause discomfort, becauseIt is 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.
sperm isolation
Sperm, which contains a large number of spermatozoa, is usually secreted during ejaculation (ejaculation) at the end of intercourse or spontaneously, during sleep (wet dreams). Pollution occurs in adolescent boys and occurs several times a month or even a weekHappens 1 to 3 times (hormonal changes).
In some cases, sputum, that is, the outflow of sperm from the urethra without intercourse and intercourse, indicates a pathology when the tone of the muscle layer of the vas deferens is disturbed in the presence of chronic inflammation or diseases of the brain.
pathological discharge
All other secretions that go beyond the physiological are pathologies and indicate mainly inflammation of the urethra or urethritis. The causes of urethritis in men are 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 such as trichomoniasis.
- 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 (Escherichia coli, streptococci, staphylococci).
Non-infectious factors of inflammation include:
- Allergies
- mechanical damage to the mucosa of the urethra
- Irritation of the urethra with chemicals
- Trauma, 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. Secrets are formed from fluid, mucus and various cells.
- Cloudy - if there are a large number of cells, then the discharge has a cloudy color.
- Gray or thickened - with a predominance of epithelial cells in the secretion, they become gray and coarse.
- Yellow, green or yellow-green - when the secretion contains a large number of leukocytes, they turn yellow and even green in color, they are also called purulent secretions.
It should be noted that with the same pathology, the nature of the discharge changes over time.
white discharge
White discharge in men occurs for several reasons. First of all, candidiasis should be excluded. The disease is characterized by the following symptoms:
- The head of the penis emits an unpleasant smell of sour bread or yeast;
- The head of the penis is covered with a white coating;
- Itching, burning and even pain are noted in the penis and in the perineal region;
- Discharge appears when urinating;
- Red spots (burning, swelling) occur on the scalp and the inner surface of the foreskin;
- There is pain during intercourse, discomfort is felt in the head and foreskin;
- white discharge is noted, not only during urination;
- The partner complains of itching and burning, pain during intercourse, a cheesy discharge.
In addition to urogenital candidiasis, white discharge can be caused by chlamydia and / or ureaplasmosis and mycoplasmosis, and can also talk about inflammation of the prostate gland, which is characterized by:
- Difficulty and intermittent urination
- burning in the perineum and urethra;
- discomfort during bowel movements;
- frequent urge to urinate;
- Sexual disorders (loss of libido and erection, rapid ejaculation, blurred intercourse).
It is important for men to remember that neglected prostatitis can lead not only to persistent erectile dysfunction, but also to infertility.
transparent selection
- Chlamydia, ureaplasmosis - transparent mucous discharge with chlamydial or ureaplasmic urethritis is possible in the chronic stage of the disease. With the exacerbation of the process, the number of leukocytes in the secretion increases, and they become green or yellowish.
- Trichomoniasis, gonorrhea - transparent, copious discharge with a lot of mucus, which is observed during the day, possible at the initial stage of infection with trichomonas or gonococci. In the case of chlamydia (ureaplasmosis), subjective sensations are often absent(pain, itching, burning), and transparent discharge appears after prolonged abstinence from urination.
yellow discharge
Purulent discharge, consisting of the descending epithelium of the urethra, a significant number of leukocytes and urethral mucus, yellow or greenish. Yellowish discharge or mixed with greens is a typical symptom 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. A man should first think about 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 pus-like discharge, a man is concerned about burning and stinging during urinationFrequent and irresistible urge to urinate, feeling of heaviness in the lower abdomen and discomfort in the perineum.
discharge with odor
violation of hygiene
If the conditions of intimate hygiene are not observed, an unpleasant odor of the perineum and penis in particular can be observed:
- Smegma is an excellent breeding ground for microorganisms, which multiply and die, producing an unpleasant odor if you do not regularly wash the external genital organs thoroughly.
- In addition, smegma may have an unpleasant odor in case of metabolic disorders (for example, diabetes mellitus in men). At the same time, the secretion of smegma is so intense that it becomes wet with underwear.
infections
Discharge with an odor is often observed with an infectious lesion of the urethra. First of all, gonorrheal urethritis should be excluded - thick, yellowish or greenish discharge that is observed throughout the day.
The sour smell of the discharge is a symptomatic symptom of urogenital candidiasis. Infection with fungi of the genus Candida provokes the appearance of a cheesy or milky white discharge.
It is also possible a fishy smell of secretions, which is inherent in Gardnerella, which is more characteristic of women (called bacterial vaginosis), and in men, the development of this disease is rather nonspecific. Gardnerellabelongs to conditionally pathogenic microorganismsand begins to multiply actively only under certain conditions:
- weakening of immunity;
- concomitant inflammatory processes of the genital organs;
- intestinal dysbiosis;
- use of condoms with spermicides;
- long-term treatment with antibiotics or immunosuppressants (cytostatics, corticosteroids);
- tight underwear made of synthetic fabrics;
- sensual sex life.
In addition, discharge with an unpleasant odor can accompany diseases such as:
- Balanitis (inflammation of the head of the penis)
- Balanoposthitis (inflammation of the inner surface of the foreskin).
But in addition to the discharge (not from the urethra, but smegma), these diseases are accompanied by hyperemia and itching, pain in the penis and ulcers and wrinkles on the head.
discharge with blood
infections
Bloody discharge or discharge with streaks of blood is often observed with an infectious lesion of the urethra. An admixture of blood is characteristic of gonorrhea, trichomonas or candidal urethritis. Furthermore, the amount of blood is directly related to the intensity of the inflammation.
Often, blood is seen 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 canal).
medical manipulations
Another reason for this is trauma to the urethra during medical procedures. In the case of a rough bulge, insertion and removal of a catheter, cystoscopy, or a smear, the spotting can occur all at once. They differ in thatThe blood is red in colour, does not contain clots, and the bleeding stops very quickly.
stone path, 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 the microliths damages the mucous membranes and vascular walls, causing bleeding. In this case, urinationThe blood is most noticeable when doing this, which is accompanied by pain.
glomerulonephritis
Gross hematuria (blood in the urine, visible during urination) is also possible in the presence of glomerulonephritis. In this case, there is a triad of symptoms: gross hematuria, edema, increased blood pressure.
malignant tumors
One of the symptoms of malignant tumors of the genitourinary system (cancer of the prostate gland, penis, testis and others) is the presence of blood in a man. In this case, the blood will be brown or dark, and clots may appear.
separation of blood with semen
We must not forget about a symptom such as the release of blood with sperm (hematospermia). Distinguish between false and true hematospermia. When false, blood is mixed with semen during its passage through the urethra. And real blood urethraIt enters the ejaculate before passing through it. Hematospermia is accompanied by the following symptoms:
- pain during ejaculation;
- urination disorders;
- pain and/or swelling of the genitals (testicles and scrotum);
- Discomfort and pain in the lower back;
- 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 a rupture of the vascular walls in the tissues of the genital organs
- Blood in the semen may also be visible from previous surgery or biopsy.
- Hematospermia is manifested in benign and malignant neoplasms of the genital organs
- In the presence of stones in the testis and vas deferens
- With varicose veins of the pelvic organs.