Separation from the genitals can disturb not only girls, but also men. Men have a normal odorless discharge. Their source is the urethra. In women, the discharge is called leucorrhoea. If you have noticed an unhealthy secretion in yourself, urgently go to a personal 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 appears a discharge with a transparent shade. This happens in the morning, immediately after waking up or when the man is sexually aroused.
Urethrorrhea can be more pronounced or weaker. The lubricant that is released during arousal contains sperm. Therefore, if you still do not want to have children, it is worth protecting yourself even with preliminary caresses on the genitals. Secretions in men help sperm move 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.
Bowel incontinence can be the second cause of discharge in boys and men. When a man ejaculates, he has a discharge on the head of the penis that is odorless and colorless. Sometimes they can have white-gray inclusions. Their consistency is viscous. These are secretions from the prostate and seminal vesicles. Occurrence is possible when emptying the bladder is complete. Then it is called a micturition space. 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 male genitalia is. It involves the secretion of the sebaceous glands of the head of the penis and the foreskin. If a person washes, changes underwear and does not wear foreign underwear, then these secretions will be washed away. And they won't 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 will smell unpleasant.
sperm
Semen - discharge in which there is a lot of semen (sperm). Sperm are released during ejaculation, that is, at the moment of peak pleasure during intercourse of a different nature. Also, in sleep, men and boys sometimes have wet dreams, then sperm are also released from the penis.
Wet dreams mainly occur during puberty. That's 2-5 cases per month. But with changes in the balance of hormones, there may be wet dreams even several times a week. If the sperm does not flow from the penis during orgasm, it is called "". This is a disease caused by a violation of the muscle tone of the vas deferens. Basically, this happens in diseases of the brain or chronic inflammation in the channels.
Pathological discharge
Physiological secretions commonly found in boys and men are described above. Here we will look at leaks that are related to health problems. In general, pathological discharge from the urethra worries men with urethritis. This is an inflammatory process that develops in the urethra. Infection or non-infectious factors can provoke urethritis.
Infection can be both specific and non-specific. It is mainly trichomoniasis or gonorrhea that is specific. And non-specific urethritis can be caused by such pathogens:
- mycoplasma
- ureaplasma
- chlamydia
- herpes
- Staphylococcus aureus
- streptococcus
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
- 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 flora is caused. The composition of secretions from the penis includes:
- mucus
- liquid
- cells of different origins
If there is a lot of the last listed component, 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 hue.
Symptoms of candidiasis:
- white spots on the head of the penis
- the head of the penis has an unpleasant smell, reminiscent of yeast or sourdough bread
- there are unpleasant sensations 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 foreskin
- white discharge at times other than urination
- pain during sex (head and foreskin)
- the sexual partner (wife, girlfriend) complains of discomfort to pain during sexual intercourse
- the partner has a white discharge with a cheesy 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
- frequent 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 consult a doctor for a personal consultation.
Trichomoniasis can cause a 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 other things, such of them:
- discomfort in the perineum
- a feeling of heaviness in the lower abdomen
- frequent and irresistible urge to urinate
- burning and stinging when urinating
Odorous discharge
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 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. Smegma will stand out in 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 gonorrheal infection. The nature of the disposal is described above. If the discharge from the penis smells sour in men, it is most likely that urogenital candidiasis develops.
If the discharge from the genitals smells like fish, the man most likely has gardnerellosis. The same pathogen in women causes a disease calledBut these are very rare cases, the disease is much more common in women. Gardnerella is an opportunistic flora. It multiplies when exposed to certain factors. Factors for the development of gardnerellosis:
- promiscuous sex life
- tight synthetic underwear (made from unnatural materials)
- long courses of antibiotics or immunosuppressants
- spermicidal condoms
- inflammation of the urinary tract
- lowered immunity
Bleeding in men
The main cause is infection. The discharge may be entirely 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 gonorrheal infection. The stronger the inflammation, the more blood is released.
Probable reason number two is negligently performed medical manipulations. The urethra is injured and blood is coming out due to this. Procedures that can damage the urethra:
- catheter placement
- catheter removal
- bougie
- taking a swab
- cystoscopy
The separation of blood is simultaneous. It should be noted that in this case scarlet blood, without clots, quickly stops.
The passage of calculus, sand is the next cause of bloody discharge from the penis. They are excreted by the kidneys or bladder and pass through the urethra. Microliths are hard, damage the mucosa and walls of blood vessels, which becomes a direct cause of bleeding. There are also sensations of pain.
It also provokes, in some cases, discharge with blood inclusions. Blood in the urine that a person sees when going to the toilet is called gross hematuria. Then symptoms such as increased blood pressure, swelling develop in parallel.
There can be an even more serious reason for bleeding in boys and men - cancer. Malignant tumors can be on such organs:
- the testicles
- penis
- prostate etc.
The blood will then be brown or dark and there will be blood clots in the discharge.
Isolation of blood with sperm
Such discharge is called "hematospermia". It can be true or 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 is mixed with 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 of the genitals
- high body temperature
Causes of bleeding with semen:
- prolonged sexual abstinence
- too active sexual life (during coitus the walls of the 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
A man's health is evidenced by the physiological discharge from the urethral outlet, which is observed in the following cases:
Libidinous or physiological urethrorhoea
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 strength of sexual arousal. But in any case, it is important to remember that such discharges, when excited, contain a small amount of sperm, 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 vagina of the woman, where there is an acidic environment that is harmful to the "gums", and to introduce them in a viable form into the uterine cavity and the tubes for fertilization of the ovum.
Prostorrhea during defecation
With 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. A similar discharge can also appear at the end of urination, in which case it is called micturition space. In exceptional cases, such a discharge also occurs 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 that consists of secretions from the sebaceous glands of the head of the penis and the foreskin. Usually, if a person observes the rules of personal hygiene, such discharges do not cause inconvenience, since they are mechanically washed away with water. But if hygiene is neglected, smegma accumulates and microorganisms multiply in it, which serves as a source of unpleasant odor.
discharge of seminal fluid
Semen, which contains a large number of spermatozoa, is usually released during ejaculation (ejaculation) at the end of intercourse or spontaneously, in sleep (pollution). Wet dreams are seen in adolescent boys and occur either several times a month or 1-3 per week (hormonal changes).
In some cases, spermatorrhoea, i. e. the outflow of sperm from the urethra without sexual contact and orgasm, indicates a pathology when the tone of the muscle layer of the vas deferens is disturbed in the presence of chronic inflammation or brain diseases.
Pathological discharge
All other secretions that exceed the physiological ones are pathologies and mainly 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, 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, 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. 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 dense - with a predominance of epithelial cells in the secretions, they become gray in color and become dense.
- Yellow, green or yellow-green - when the secretions contain a large number of leukocytes, they become 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 is due to several reasons. First of all, candidiasis should be ruled out (see). The following symptoms are observed in this disease:
- the head of the penis smells unpleasantly like sourdough 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 in the perineum;
- discharge appears during urination;
- reddish spots (irritation, inflammation) are noticeable 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 noted not only during urination;
- the partner complains of itching and burning, pain during sexual intercourse, there is a cut discharge.
Transparent accents
- Chlamydia, ureaplasmosis - a transparent mucous discharge is possible with chlamydial or ureaplasma urethritis in the chronic stage of the disease. When the process is aggravated, the number of leukocytes in the secretions increases and they acquire a greenish or yellowish color.
- Trichomoniasis, gonorrhea - also transparent, abundant secretions 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 a clear discharge appears after prolonged urination.
yellow discharge
The purulent discharge, which includes desquamated urethral epithelium, a significant number of leukocytes, and urethral mucus, is yellowish or greenish. Yellow or green-tinged discharge is 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 gonorrhea infection if he has 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 is disturbed by a frequent and irresistible urge to urinate, a feeling of heaviness in the lower abdomen and discomfort in the perineum.
Odorous discharge
Violation of hygiene
An unpleasant smell from the perineum and especially the penis can be observed if the conditions for intimate hygiene are not observed:
- Smegma is an excellent breeding ground for microorganisms, which, multiplying and dying, create an unpleasant smell if you do not regularly wash the external genitalia.
- In addition, the 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 seeps through the underwear.
infections
Odorous discharge 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 provokes the appearance of cheesy or milky white discharge (see).
A fishy smell of discharge is also possible, which is inherent in gardnerellosis, which is more characteristic of women (called bacterial vaginosis), and in men the development of this disease is rather stupid. 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 dysbiosis;
- use of condoms with spermicides;
- long-term treatment with antibiotics or immunosuppressants (cytostatics, corticosteroids);
- tight underwear made of synthetic fabrics;
- promiscuous sex life.
Blood discharge
infections
A bloody or streaked discharge is often seen with an infectious urethral lesion. An admixture of blood is characteristic of gonorrheal, trichomonad 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 lining of the urethra is loose 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. One-stage bleeding may be observed during rough bulging, insertion and removal of the catheter, cystoscopy, or taking a smear. They differ in that scarlet blood does not clot, and the bleeding itself stops very quickly.
Crossing 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
In the presence of glomerulonephritis, gross hematuria is also possible. 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 is false and true hematospermia. In fake blood, it mixes with seminal fluid during its passage through the urethra. And with real blood, it 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:
- too 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
- previous surgery or biopsy can also cause blood in the semen
- hematospermia occurs in 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. 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 do not cause discomfort to the man with their presence. Physiological discharge from the head of the penis in a healthy man is normal and quite common. The rest of the discharge of the head in men is pathological in nature and, as a rule, is accompanied by a certain infection.