Discharge from the genitals can disturb not only girls, but also men. Males have normal secretions that are odorless. Their source is the urethra. In women, the discharge is called leucorrhoea. If you notice unhealthy discharge in yourself, see a urologist immediately.
Norm or pathology?
The urethra is the male urethra. From there they appear from time to time. There is such a thing as urethrhoea. It can be physiological or libidinal. There is a clear discharge from the outlet of the urethra. It happens in the morning, right after waking up or when a man is sexually aroused.
The urine may be stronger or weaker. The lubricant released during arousal contains sperm. Therefore, if you do not want to have children yet, it is worth protecting yourself even with preliminary caresses of the genitals. Male secretions help sperm pass through the urethra and into and out of the partner's vagina. After all, the environment there is acidic, which harms the sperm's life.
Prolapse may be the second cause of discharge in boys and men. When a man pushes, he has a discharge on the glans that 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 after emptying the bladder. Then it is called a micaceous spacer. In extremely rare cases, a man notices such secretions after coughing. It is not a disease but a disorder that can be cured.
Another type of male genital discharge isIt contains the secret of the sebaceous glands of the glans penis and foreskin. If a man washes, changes his underwear and does not wear strangers, then these secretions will be washed away. And they won't 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 smell unpleasant.
Sperm
Semen - secretions that contain a lot of semen (sperm). Sperm is released during ejaculation, which is the moment of greatest pleasure during other types of sexual intercourse. Also, in a dream, men and boys sometimes have wet dreams, then sperm is released from the penis.
Wet dreams usually occur during puberty. These are 2-5 cases per month. However, due to changes in the hormonal balance, wet dreams can occur even several times a week. If sperm does not come out of the penis during orgasm, it is called "". It is a disease caused by a violation of muscle tone in the blood vessels. Basically, this happens with brain diseases or chronic inflammation of the ducts.
Pathological discharge
Physiological discharges that are common 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 disturbs men with urethritis. 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 the following pathogens:
- mycoplasma
- ureaplasma
- chlamydia
- herpes
- Staphylococcus aureus
- streptococcus
Non-infectious causes of urethritis and associated genital discharge:
- injury, urethral stricture
- irritation with chemicals
- mechanical damage to the mucous membrane
- influence of allergens
Male discharge from the genital tract can be of different colors and transparency. It depends on how active the inflammation is, what its stage is, what flora is caused. The composition of the secretion from the penis includes:
- mucus
- liquid
- cells of different origins
If there is a lot of the component of the latter name, then the discharge becomes cloudy, which the person himself can visually observe. If a lot of epithelial cells appear in the discharge, then the discharge 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
- there are unpleasant sensations on the penis and perineum: burning, itching, sometimes pain
- more discharge when emptying the bladder
- pink spots on the tip of the penis and inside the foreskin
- white discharge sometimes except when urinating
- pain during intercourse (on the head and foreskin)
- sexual partner (wife, girlfriend) complains of discomfort to pain during sexual intercourse
- the partner has a white discharge with an acidic consistency
The second possible cause of white discharge in men is ureaplasmosis, chlamydia, mycoplasmosis. It can also be inflammation of the prostate, the symptoms of which are:
- frequent urge to urinate
- discomfort during defecation
- burning in perineum and urethra
- intermittent and difficult emptying of the bladder
- sexual disorders
If prostatitis is not treated, the erection will disappear, and it will also be impossible to get pregnant in the future. Therefore, if you experience one or more of the above symptoms, contact your doctor immediately for a face-to-face consultation.
Trichomoniasis can cause yellow discharge in men. However, in most cases, the disease is latent, that is, there will be no symptoms. If there are still symptoms, then there will be, among others:
- discomfort in the perineum
- a feeling of heaviness in the lower abdomen
- frequent and strong urge to urinate
- burning and stinging when urinating
Release with smell
The first possible reason (and the most harmless) is a violation of hygiene. As mentioned above, smegma is a normal (non-disease) male secretion. If you don't 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 still persists, the doctor may suspect a metabolic disorder. In such cases, the most common cause is diabetes. Smegma will be released in a sufficiently large amount because the laundry will be wet.
Infections also cause odorous discharge in men. Basically, the pathological process takes place in the urethra. A doctor may suspect urethritis caused by a gonorrhea infection. The nature of the discharge is described above. If the secretions from the penis of men smell sour, it is likely that urogenital candidiasis develops.
If the discharge from the genitals smells like fish, the man most likely has gardnerellosis. The same pathogen causes a disease in women calledBut these are very rare cases, this disease is much more common in women. Gardnerella is a conditionally pathogenic flora. It reproduces under the influence of certain factors. Factors in the development of Gardnerellosis:
- carefree sex life
- tight synthetic underwear (made from unnatural materials)
- Long courses of antibiotics or immunosuppressants
- spermicidal condoms
- inflammation of the urinary tract
- reduced immunity
Bloody discharge in men
The main cause is infection. The discharge may be completely bloody or streaked with blood. If the infection multiplies in the urethra, then you will notice such a symptom in yourself, but not necessarily. Urethritis in such cases is usually caused by Candida, Trichomonas or gonorrhea infection. The stronger the inflammation, the more blood is released.
The second likely reason is careless medical manipulations. The urethra is affected, causing blood to be released. Procedures that may damage the urethra:
- catheter placement
- catheter removal
- bougienage
- taking a smear
- cystoscopy
Distributions with blood are simultaneous. It should be noted that in this case red blood without clots stops quickly.
The passage of stone stones, sand is another cause of bloody discharge from the penis. They are excreted from the kidneys or bladder and pass through the urethra. Microliths are hard, damage the mucous membrane and blood vessel walls, which becomes a direct cause of bleeding. There are also pain sensations.
It also causes blood-tinged discharge in some cases. Blood in the urine that a person sees when going to the toilet is called gross hematuria. Then, symptoms such as increased blood pressure and swelling develop in parallel.
There can be an even more serious cause of bloody discharge in boys and men - cancer. Malignant tumors can be in the following organs:
- testicles
- penis
- prostate etc.
Then the blood will be brown or dark and the discharge will contain blood clots.
Blood discharge with semen
Such secretions are called "hematospermia". This can be true and false. If hematospermia is false, blood is mixed with sperm when it passes through the urethra. If this pathology is true, then blood is mixed with sperm before passing through the urethra.
Hematospermia is manifested by the following 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 (blood vessel walls rupture during intercourse)
- varicose veins of pelvic organs
- stones in the testicles and blood vessels
- malignant and benign formations in the urogenital organs
- biopsy
- genital surgery
Physiological secretions
A man's health is evidenced by physiological discharge from the urethral opening, which is observed in the following cases:
Libidinal or physiological urethrhoea
This condition occurs when a clear discharge appears on the head of the penis during sexual excitement or in the morning, immediately after sleep. Their number varies between men and is directly related to the severity of sexual arousal. However, in any case, it is important to remember that such secretions, when excited, contain a small amount of sperm, so if they enter the partner's genitals, she risks pregnancy. The function of the described secretions is to ensure the entry of spermatozoa through the woman's urethra and vagina, where there is an acidic environment harmful to the "gums", and their viable entry into the uterine cavity and tubes for fertilization of the egg.
Defecation becomes more frequent
With increased intra-abdominal pressure (tension), a clear, 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 secretions and seminal vesicles. Similar secretions can also appear after urination, in which case they talk about urinary incontinence. In exceptional cases, such secretions also appear 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 genitals.
Smegma
Smegma (foreskin lubrication) is a secretion made up of secretions from the glans and foreskin. As a rule, if a man follows the rules of personal hygiene, such discharges do not cause inconvenience, because they are mechanically washed off with water. But if hygiene is not followed, smegma accumulates, microorganisms multiply in it, which is the source of unpleasant odor.
semen 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 seen in teenage boys and occur several times a month or 1-3 times a week (hormonal changes).
In some cases, spermatorrhea, which is the outflow of sperm from the urethra without sexual intercourse and orgasm, indicates a pathology when the tone of the vascular muscle layer is disturbed, in the presence of chronic inflammation or brain diseases.
Pathological discharge
All other discharges, which are not only physiological, are pathologies and primarily indicate 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, including
- Non-specific infectious urethritis is caused by opportunistic bacteria, viruses and fungi:
- chlamydial urethritis;
- ureaplasma and mycoplasmic urethritis;
- candidal urethritis or urogenital candidiasis in men;
- herpetic urethritis and others (E. coli, streptococci, staphylococci).
Non-infectious inflammatory factors include:
- allergic reactions
- mechanical damage to the urethral mucosa
- chemical irritation of the urethra
- injury, urethral stricture.
Male secretions can vary in transparency and color. These parameters are influenced by the intensity of the inflammatory process, its stage and etiological factor. Discharges are made up of fluids, mucus and various cells.
- Dirty - if there are many cells, then the discharge is cloudy in color.
- Gray or thick - when the discharge is dominated by epithelial cells, it becomes gray and thickens.
- Yellow, green or yellow-green – When the discharge contains a lot of leukocytes, it turns yellow and even green, also known as 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 occurs for several reasons. First of all, candidiasis should be eliminated (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 occurs during urination;
- pink spots (irritation, inflammation) are noticeable on the head and inner surface of the foreskin;
- pain is felt during intercourse, discomfort is felt in the head and foreskin area;
- white discharge is observed not only during urination;
- the partner complains of itching and burning, pain during intercourse, has clotted secretions.
Clear accents
- Chlamydia, ureaplasmosis - with chlamydial or ureaplasmic urethritis in the chronic stage of the disease, clear mucous discharge is possible. When the process in the secretion is aggravated, the number of leukocytes increases, they acquire a greenish or yellowish color.
- Trichomonosis, gonorrhea - also clear, abundant discharge with a large amount of mucus, which is observed during the day, is possible in the initial stage of trichomonas or gonococcal infection. With chlamydia (ureaplasmosis), subjective sensations are often absent (pain, itching, burning), and clear discharge appears after prolonged urination.
yellow discharge
Purulent discharge, which includes desquamated urethral epithelium, numerous leukocytes, and urethral mucus, is yellowish or greenish in color. Yellow or green discharge is a characteristic symptom of sexually transmitted diseases.
- Gonorrhea - the discharge is thick and has an unpleasant rotten smell, observed during the day and 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.
- Trichomonosis - also with yellow discharge, trichomonosis is not ruled out, although it is often asymptomatic. With clear symptoms of trichomonosis, in addition to purulent discharge, 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.
Release with smell
Violation of hygiene
If the conditions of intimate hygiene are not observed, an unpleasant smell from the perineum and penis may appear:
- Smegma is an excellent medium for the reproduction of microorganisms, which, as they multiply and die, create an unpleasant odor if you do not regularly wash the external genitalia.
- In addition, with metabolic disorders, the smegma itself can have an unpleasant odor. At the same time, the release of smegma is so intense that it soaks through the underwear.
infections
Discharge with a smell is usually observed in the case of an infectious lesion of the urethra. First of all, gonorrhoeal 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 produces a salty or milky white discharge (see
A fishy smell of secretions is also possible, which is characteristic of gardnerellosis (called bacterial vaginosis), which is quite characteristic of women, and the development of this disease in men is quite nonsense. Gardnerella belongs to conditionally pathogenic microorganisms and begins to multiply actively 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;
- carefree sex life.
Discharge with blood
infections
In the presence of an infectious lesion of the urethra, bloody discharge or discharge with streaks of blood is often observed. Blood impurity is characteristic of gonorrhea, trichomonosis or candidal urethritis. In addition, 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 relaxes and reacts with contact bleeding to the slightest irritation, including the outflow of urine through the channel).
Medical manipulations
Another cause is trauma to the urethra during medical procedures. In the case of rough bougainvillea, insertion and removal of a catheter, cystoscopy, or taking a smear, single-stage bleeding may be observed. They differ in that red blood does not have clots, and the bleeding itself stops very quickly.
Stone, sand culvert
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 microliths damages the mucous membrane and blood vessel walls, causing bleeding. In this case, blood is most noticeable during urination, which is accompanied by pain.
Glomerulonephritis
With glomerulonephritis, gross hematuria is also possible. In this case, there is a triad of symptoms: gross hematuria, edema, increased blood pressure.
Blood discharge with semen
We must not forget about such a symptom as discharge (hematospermia). There is false and true hematospermia. With fake blood, it is mixed with sperm as it passes through the urethra. And real blood enters the ejaculate even before it passes through the urethra. Hematospermia is accompanied by the following symptoms:
- pain during ejaculation;
- urination disorders;
- pain and/or swelling of 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, and the walls of blood vessels in the tissues of the genital organs rupture during intercourse
- a previous surgery or biopsy can also cause blood in the semen
- hematospermia occurs with benign and malignant tumors of the urogenital organs
- in the presence of stones in the testicles and blood vessels
- 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 secretions from the penis are a clear viscous liquid and their presence does not cause discomfort to a person. Physiological discharge on the head of the penis in a healthy man is normal and quite common. The remaining secretions on the head in men are pathological in nature and, as a rule, are accompanied by some kind of infection.