Discharge from the genitals can bother not only girls, but also men. Men have normal vaginal discharge that is odorless. The source is the urethra. In women, vaginal discharge is called vaginal discharge. If you have noticed an unhealthy vaginal discharge in you, immediately go for a face-to-face appointment with a urologist.
Norm or pathology?
The urethra is the male urethra. From there, they appear from time to time. There is something called urethrorrhoea. It can be physiological or libidinal. From the urethral outlet, a transparent discharge appears. It happens in the morning, right after waking up, or when a man is sexually aroused.
Urethrorrhoea may be more pronounced or weaker. The lubricant released during arousal contains spermatozoa. Therefore, if you do not want to have children yet, it is worth protecting yourself even with the initial caress of 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 sperm.
Prostorrhea bowel movements can be the second cause of vaginal discharge in boys and men. When a man pushes, he has a fluid on the head of the penis that is odorless and colorless. They sometimes have white-gray inclusions. Their consistency is thick. It is a secretion from the prostate and seminal vesicles. Appearance is possible on completion of bladder emptying. Then called mictional prostorrhea. In very 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 vaginal discharge from the male genitalia is. This includes the secret of the sebaceous glands of the head of the penis and the foreskin. If a man washes, changes underwear and does not wear other people's underwear, then this secretion will be washed. And they will not be the center of attention. If the cleanliness is not so good, there may be accumulation of a large amount of smegma. Pathological flora will multiply and develop there, because the genitals and underwear will smell bad.
Sperm
Sperm - vaginal discharge, in which there is a lot of smermia (spermatozoa). Sperm are released during ejaculation, that is, at the peak of pleasure during sexual intercourse of a different nature. In addition, in dreams, men and boys sometimes have wet dreams, then sperm also comes out of the penis.
Wet dreams occur mainly during puberty. This is 2-5 cases per month. But with changes in the hormonal balance, there may be wet dreams even a few times a week. If sperm does not flow out of the penis at the time of orgasm, it is called "". This is a disease caused by a violation of muscle tone in the vas deferens. Basically, it occurs in brain disease or chronic inflammation of the tract.
Pathological vaginal discharge
The physiological secretions normally found in males and males are described above. Here we will look at vaginal discharge that is associated with health problems. Basically, pathological discharge from the urethra bothers men with urethritis. This is an inflammatory process that develops in the urethra. Infectious or non-infectious factors can trigger urethritis.
Infection can be either specific or non-specific. Specific, especially trichomoniasis or gonorrhea. And nonspecific urethritis can be provoked by such pathogens:
- mycoplasma
- ureaplasma
- chlamydia
- herpes
- Staphylococcus aureus
- streptococci
Causes of non-infectious urethritis and discharge from the genital tract:
- injury, urethral narrowing
- irritation with chemicals
- mechanical damage to the mucous membrane
- allergen effect
Stool from the genital tract in men can differ in color, as well as in transparency. It depends on how active the inflammation is, at what stage it is, what kind of flora is caused. The composition of the secretions of the penis includes:
- mucus
- fluid
- different origin cells
If there are many last-named components, then the discharge becomes cloudy, which the man himself can visually observe. If epithelial cells appear in the secretions in large numbers, then the secretions thicken and acquire a gray color.
Symptoms of candidiasis:
- white patches on the head of the penis
- the head of the penis has an unpleasant odor, reminiscent of yeast or sour bread
- there are unpleasant sensations in the penis and in the perineal area: burning, itching, sometimes pain
- more secretions when emptying the bladder
- red spots on the tip of the penis and inside the foreskin
- white discharge when other than urinating
- pain during sex (in the head and in the foreskin)
- sexual partners (wife, daughter) complain of discomfort to pain during intercourse
- partner has a white liquid with a thickened consistency
The second possible cause of vaginal 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 the perineum and urethra
- intermittent and difficult bladder emptying
- sexual harassment
If prostatitis is not treated, then the erection will be lost, and it is also impossible to conceive children in the future. Therefore, if one or more of the above symptoms appear, immediately consult a doctor for a face-to-face 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 others, such as:
- discomfort in the perineum
- feeling of heaviness in the lower abdomen
- frequent and excessive urge to urinate
- burning and burning when urinating
Discharge with smell
The first possible (and the least dangerous) reason is a violation of hygiene. As noted above, smegma is a normal (painless) male secretion. If you do not wash regularly, at least once a day, then smegma accumulates, bacteria multiply in it, provoke a not very pleasant smell. This scent can vary from person to person.
If you follow the rules of hygiene, and the unpleasant odor persists, your doctor may suspect a metabolic disorder. In such cases, the most common cause is diabetes mellitus. Smegma will stand out in considerable amounts, as the laundry will get wet.
The infection also causes a foul-smelling discharge in men. Basically, the pathological process occurs in the urethra. A doctor may suspect urethritis is caused by a gonorrhea infection. The nature of the release is described above. If the discharge from the penis smells sour in men, urogenital candidiasis is most likely to develop.
If the discharge smells like fish, the man most likely has gardnerellosis. The same pathogen in women causes the so-called disease. But this is a very rare case, 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:
- free sex life
- tight synthetic underwear (made from non-natural materials)
- long-term antibiotics or immunosuppressants
- spermicide condom
- urinary tract inflammation
- decreased immunity
Bleeding in men
The main cause is infection. The discharge can be completely bloody or include streaks of blood. If the infection multiplies in the urethra, then you will notice such symptoms in yourself, but not necessarily. Urethritis is mainly caused by infection with Candida, Trichomonas or gonorrhea. The stronger the inflammation, the more blood is released.
Possible reason number two is indiscriminate medical manipulation. The urethra is injured, and therefore blood is released. Procedures that can damage the urethra:
- catheter placement
- catheter removal
- bougienage
- take a swab
- cystoscopy
Allocation with blood is simultaneous. It should be noted that in this case, the red blood, without clots, quickly stops.
Part of the stone, sand is the next cause of bleeding from the penis. They are secreted from the kidneys or bladder and pass through the urethra. Microliths are hard, they injure the mucous membranes and walls of blood vessels, which become the direct cause of bleeding. There is also a sensation of pain.
It also provokes, in some cases, discharge with blood inclusions. The blood in the urine that a man sees when he goes to the toilet is called gross hematuria. Then in parallel develop symptoms such as increased blood pressure, swelling.
There may also be a more serious cause of bleeding in men and men - cancer. Malignant tumors can be from such organs:
- testicles
- penis
- prostate, etc.
The blood will then turn brown or dark, and blood clots will appear in the secretions.
Isolation of blood with semen
Such discharge is called "hematospermia". It can be right and wrong. If the hematospermia is false, then the blood mixes with the semen during its passage through the urethra. If this pathology is correct, then the blood mixes with the sperm even before it passes through the urethra.
Hematospermia is manifested by such signs (clinical picture):
- urination disorder
- 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
- an overactive sex life (during coitus, the walls of the blood vessels tear)
- varicose veins in the pelvic organs
- stones in the testicles and vas deferens
- malignant and benign formations in the genitourinary organs
- biopsy
- sex surgery
Physiological secretion
The health of a man is evidenced by a physiological discharge from the urethral outlet, which is observed in the following cases:
Libidinous or physiological urethrorrhoea
This condition occurs when a clear fluid 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 excited, contain a small amount of sperm, therefore, if they enter the genitals of a partner, he risks getting pregnant. The function of the described secretion is to ensure the passage of spermatozoa through the urethra and vagina of a woman, in which there is an acidic environment that damages the "gums", and introduces them in a suitable form into the uterine cavity and ducts. for fertilization of the egg.
defecate prostorrhea
During increased intra-abdominal pressure (during straining), a transparent and odorless fluid with possible white-gray streaks may appear on the head of the penis. The secretions are thick and consist of a mixture of prostatic secretions and seminal vesicles. A similar discharge can also appear at the end of urination, in which case they speak of micturating prostorrhea. In exceptional cases, such a discharge also appears with a strong cough. They are not considered an organic pathology, but only indicate a violation of the autonomic regulation of the functioning of the genital organs.
Smegma
Smegma (preputial lubrication) is a secret consisting of secretions from the sebaceous glands of the head of the penis and foreskin. Usually, if a man adheres to the rules of personal hygiene, such disposal does not cause discomfort, as it is mechanically washed with water. But if hygiene is neglected, smegma accumulates, and microorganisms multiply in it, which serve as a source of unpleasant odors.
semen excretion
Sperm, which contain large numbers of spermatozoa, are usually released during ejaculation (ejaculation) at the end of sexual intercourse or spontaneously, in dreams (pollution). Wet dreams are observed in teenage boys and occur several times a month, or 1 - 3 per week (hormonal changes).
In some cases, spermatorrhea, that is, the outflow of sperm from the urethra without sexual intercourse 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 disease.
Pathological vaginal discharge
All other secretions that go beyond the physiological are pathological and mainly indicate urethral inflammation or urethritis. different, both can be infectious and non-infectious.
Causes of infection are divided into specific and non-specific.
- Specific etiological factors include sexually transmitted diseases, these and.
- Nonspecific infectious urethritis caused by opportunistic bacteria, viruses and fungi:
- chlamydial urethritis;
- ureaplasma and mycoplasma urethritis;
- candidal urethritis or urogenital candidiasis in men;
- herpetic and other urethritis (E. coli, streptococci, staphylococci).
Non-infectious inflammatory factors include:
- allergic reaction
- mechanical damage to the urethral mucosa
- irritation of the urethra by chemicals
- injury, urethral narrowing.
Men's discharge can vary in transparency and color. This parameter is influenced by the intensity of the inflammatory process, its stage and aetiological factors. Secretions are made up of fluid, mucus and various cells.
- Muddy - if there are a lot of cells, then the discharge is cloudy.
- Gray or thick - with a predominance of epithelial cells in the secretions, they become gray in color and become thick.
- Yellow, green or yellow-green - when a large number of leukocytes are contained in the secretions, they become yellow and even green in color, they are also called purulent discharge.
It should be noted that with the same pathology, the nature of the discharge changes over time.
vaginal discharge
Vaginal discharge in men is caused by several reasons. First of all, candidiasis must be ruled out (see). With this disease, the following symptoms are observed:
- the head of the penis smells bad from sour bread or yeast;
- the head of the penis is covered with a whitish layer;
- there is itching, burning and even pain in the penis and perineum;
- discharge when urinating;
- reddish spots (irritation, inflammation) are noted on the head and inner surface of the foreskin;
- there is pain during intercourse, discomfort is felt in the area of \u200b\u200bthe head and foreskin;
- vaginal discharge is noted not only during urination;
- partner complains of itching and burning, pain during intercourse, thickened discharge.
Transparent highlight
- Chlamydia, ureaplasmosis - the release of transparent mucus is possible with chlamydial urethritis or ureaplasma in the chronic stage of the disease. With an exacerbation of the secretory process, the number of leukocytes increases, and they acquire a greenish or yellowish color.
- Trichomoniasis, gonorrhea - also transparent, abundant discharge with a large amount of mucus, which is observed during the day, may occur in the early stages of infection with Trichomonas or gonococci. In the case of chlamydia (ureaplasmosis), subjective sensations are often absent (pain, itching, burning), and clear fluid appears after prolonged urination.
yellow discharge
Purulent discharge, which includes urethral desquamated epithelium, large numbers of leukocytes and urethral mucus, is yellowish or greenish in color. Yellow discharge or with a mixture of greenery is a typical sign of sexually transmitted diseases.
- Gonorrhea - thick vaginal discharge and has an unpleasant foul odor, observed during the day and accompanied by pain when urinating. A man should first think of 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 is disturbed by the frequent and unbearable urge to urinate, a feeling of heaviness in the lower abdomen and discomfort in the perineum.
Discharge with smell
Hygiene violation
An unpleasant odor of the perineum and penis can especially be observed if intimate hygiene conditions are not observed:
- Smegma is an excellent breeding ground for microorganisms which, multiply and die, create an unpleasant odor if you do not wash the external genitals thoroughly.
- In addition, smegma itself may have an unpleasant odor in case of metabolic disorders. At the same time, the release of smegma is so strong that it penetrates the underwear.
infection
Odorless discharge is most often observed with infectious lesions of the urethra. First of all, gonorrheal urethritis should be excluded - a thick, yellow or green discharge that occurs throughout the day.
The sour smell of discharge is a pathognomonic symptom of urogenital candidiasis. Fungal infection of the genus Candida provokes the appearance of a milky white or cheesy discharge (see).
A fishy smell from the liquid is also possible, which is inherent in gardnerellosis, which is characteristic of women (the so-called bacterial vaginosis), and in men the development of the disease is rather implausible. Gardnerella belongs to conditionally pathogenic microorganisms and begins to actively reproduce only under certain conditions:
- weakened immune system;
- concomitant inflammatory processes in 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;
- free sex life.
Come out with blood
infection
Bloody discharge or bloody discharge with streaks of blood is often observed with infectious lesions of the urethra. Mixed blood is characteristic of gonorrhea, trichomonas or candidal urethritis. In addition, the amount of blood is directly related to the intensity of inflammation.
Often, blood is observed in chronic urethritis (the mucous membrane of the urethra is loosened and responds to bleeding in contact with minor irritations, including the passage of urine through the canal).
Medical manipulation
Another reason for this is trauma to the urethra during medical procedures. In cases of rough bougienage, catheter insertion and removal, cystoscopy or smear removal, single-stage bleeding may be observed. They differ in that red blood does not have clots, and the bleeding itself stops very quickly.
Part of stone, 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 walls of blood vessels, causing 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, there is a triad of symptoms: gross hematuria, edema, increased blood pressure.
Isolation of blood with semen
We should not forget about symptoms such as discharge (hematospermia). There are false and true hematospermia. With fake blood, it is mixed with semen during its passage through the urethra. And with true 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 (testes and scrotum);
- back pain and discomfort;
- increase in body temperature.
One of the causes of hematospermia is:
- an overactive sex life or vice versa,
- Prolonged sexual abstinence, while during sexual intercourse there is a rupture of the walls of blood vessels in the tissues of the genital organs
- Previous surgery or biopsy can also cause blood in the semen
- Hematospermia presents with both benign and malignant neoplasms of the genitourinary organs
- with stones in the testes and vas deferens
- with varicose veins in the pelvic organs.
As you know, discharge from the male penis can be both physiological and pathological. Physiological includes secretions that are the result of gonadal activity, including the result of sexual stimulation.
Such discharge from the penis is a clear viscous liquid and does not cause discomfort to men with its presence. Physiological discharge on the head of the penis in healthy men is normal and quite common. Residual discharge on the head in men is pathological and, as a rule, is accompanied by a certain infection.