Few women know that men are loose too. As in women, they usually occur in men and are odorless. It is called "leucorrhoea" in women only and is visible from the vagina, while men flow from the urethra. Of course, any pathological discharge indicates poor health and requires a visit to a doctor.
Physiological discharge
A man's health is manifested by a physiological discharge from the outlet of the urethra, which is observed in the following cases:
Libidous or physiological urethorrhea
This condition is noticed when a transparent discharge is seen during sexual intercourse or in the morning, immediately after sleep. Their number in men differs and is directly related to the severity of sexual arousal. But in any case, it is important to remember that such a release contains a small amount of sperm, when they are aroused, so if they get the genitals of the partner, there is a risk that she will become pregnant. The function of the secrets described is to ensure the passage of spermatozoa through a woman's urethra and vagina, where there is an acidic environment that is destructive to the "gum", and get them in viable form into the uterine cavity and tubes to fertilize the egg.
Defective prostatorrhea
During an increase in intra-abdominal pressure (while squeezing), there may be an odorless transparent discharge with gray-white streaks that may be visible on the head of the penis. Such a discharge is viscous and consists of a mixture of prostate secretions and seminal vesicles. Such a discharge may appear at the end of the urine, in which case they speak of vocal prostatorrhea. In exceptional cases, a strong cough is seen in such a discharge. They are not considered organic pathology, but represent a violation of the autonomous regulation of genital organ function.
Smegma
Smegma (preputial lubrication) is a secretion consisting of secretions from the sebaceous glands of the head of the penis and the foreskin. Usually, if a man adheres to the rules of personal hygiene, such a discharge does not create inconvenience, since it is mechanically washed with water. But if hygiene is neglected, smegma accumulates, and microorganisms multiply in it, which responds to an unpleasant odor.
Sperm isolation
Sperm, which contain large numbers of sperm, are usually released during ejaculation (ejaculation) at the end of intercourse or spontaneously, in a dream (ejaculation). Pollution occurs in adolescent boys and occurs several times a month or 1 to 3 times a week (hormonal changes).
In some cases, spermatorrhea, that is, outflow of sperm from the urethra without intercourse and orgasm, indicates pathology when the muscular layer of the vas deferens is disrupted in the presence of chronic inflammation or diseases of the brain.
Pathological discharge
All other secretions are pathology that goes beyond physiology and mainly indicate inflammation in the urethra or urethritis. The causes of urethritis in men are different, they can be contagious and non-contagious.
Causes of constructions are divided into specific and non-specific.
- Specific etiologic factors include sexually transmitted diseases such as trichomoniasis.
- Opportunistic bacteria, viruses and fungi that cause nonspecific infectious urethritis:
- 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:
- allergic reactions
- mechanical damage to the urethral mucosa
- irritation of the urethra with chemicals
- trauma, narrowing of the urethra.
Transparency and color can vary with men’s release. These parameters are influenced by the severity of the inflammatory process, its stage and its etiological factor. The secretions are created from various fluids, mucus, and cells.
- Scattered Clouds - if there are a large number of cells, the discharge is cloudy in color.
- Gray or thick - with mostly epithelial cells in the secretions, they become gray and thick.
- Yellow, green or yellow-green - when the secretions contain large numbers of leukocytes, they turn yellow and even green, 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
There are various reasons for white discharge in men. First of all, candidiasis should be excluded. With this disease, the following symptoms are noticed:
- unpleasant head odor from sour bread or yeast;
- the head of the penis is covered with a white coating;
- itching, burning and even pain in the penis and perineal region are noted;
- discharge appears when urinating;
- there are reddish spots (irritation, inflammation) on the head and inner surface of the foreskin;
- pain occurs during coitus, discomfort is felt in the head and skin;
- white discharge is noted, not only during urination;
- the party complains of itching and burning, pain during intercourse, discharge of cheese.
In addition to urogenital candidiasis, chlamydia and / or ureaplasmosis and mycoplasmosis can lead to white discharge, and also talk about inflammation of the prostate gland, which are characterized by:
- Difficulty and intermittent urination
- burning sensation in the perineum and urethra;
- discomfort during bowel movements;
- urge often to make uru;
- sexual disorders (reduced libido and erection, rapid ejaculation, vague orgasm).
It is important for men to remember that neglected prostatitis can lead not only to persistent erectile dysfunction, but also to infertility.
Transparent options
- Chlamydia, ureaplasmosis - transparent mucosal discharge can occur with chlamydial or ureaplasmic urethritis in the chronic stage of the disease. As the process worsens, the number of leukocytes in the secretions increases, and they get a green or yellow color.
- Trichomoniasis, gonorrhea - can also be a transparent, abundant discharge with a lot of mucus, which is observed during the day, at the initial stage of infection with Trichomonas or gonococci. In chlamydia (ureaplasmosis), subjective sensations (pain, itching, burning) are often absent, and a transparent discharge appears after prolonged abstinence from urine.
Yellow discharge
There is a purulent discharge, including desquamated epitheliiam of the urethra, a significant number of leukocytes and urethral mucus, yellow or greenish green. Yellow or mixed discharge with vegetables is a characteristic sign 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 consider a gonorrheal infection if there are a pair of classic symptoms: discharge and itching.
- Trichomoniasis - with yellow discharge too, trichomoniasis is not ruled out, although it is often asymptomatic. With severe symptoms of Trichomonas infection, combined with a pus-like discharge, a man is twice as anxious and clinging to urination during urination, frequent urination and irresistible urination, a feeling of heaviness in the lower abdomen and discomfort in the perineum.
Discharge with odor
Violation of hygiene
Unpleasant odor of the perineum and penis can be seen, in particular, if the conditions of personal hygiene are not adhered to:
- Smegma is an excellent breeding ground for microorganisms, which, during multiplication and death, create an unpleasant odor if you do not remove the external genitalia regularly.
- In addition, smegma itself can have an unpleasant odor in the case of metabolic disorders (for example, diabetes mellitus in men). At the same time, smegma release is so intense that it soaks through the underwear.
Infections
Smell-discharged lesions are often observed with infectious lesions of the urethra. First of all, gonorrheal urethritis should be excluded - a thick, yellow or green discharge observed during the day.
The sharp odor released is a pathological sign of urogenital candidiasis. Infection with fungi of the genus Candida induces the appearance of a white cheese or discoloration discharge.
Secret fishy odor can be found, which is an inherent feature of gardnerellosis, which is more characteristic in women (known as bacterial vaginosis), and in men, the development of this disease is rather nonsense. Gardnerella is associated with conditionally pathogenic microorganisms and begins to actively multiply under certain conditions only:
- weakening of immunity;
- concurrent inflammatory processes of the genitourinary organs;
- intestinal dysbiosis;
- use condoms with spermicides;
- long-term treatment with antibiotics or immunosuppressants (cytostatics, corticosteroids);
- tight underwear made of synthetic fabrics;
- promiscuous sex life.
In addition, discharges such as unpleasant odors can be associated with diseases such as:
- balanitis (inflammation of the head of the penis)
- balanoposthitis (inflammation of the inner surface of the skin).
But in addition to discharge (not from the urethra, but smegma), these diseases are accompanied by hypertension and itching, penis pain, and ulcers and wrinkling.
Released with blood
Infections
Discharge or bloody discharge with blood streaks is often observed with infectious lesions of the urethra. Blood admixture is characterized by gonorrheal, Trichomonas or candidal urethritis. Moreover, the amount of blood is directly related to the severity of the inflammation.
Blood is often observed in chronic urethritis (the mucous membrane of the urethra is loosened and responds to contact bleeding with minimal irritation, including passing urine through the canal).
Medical manipulations
Another cause of this is trauma to the urethra during medical procedures. In the case of taking and removing a rough bougienage, catheter, cystoscopy, or smear, spotting may occur at the same time. They differ in that the blood is scarlet, has no clots, and the bleeding itself stops very quickly.
Passage of stones, sand
Among other things, a bloody discharge can be noticed when small stones or sand (from the kidneys or bladder) pass through the urethra. The hard surface of microliths damages the mucous membrane and vascular walls, causing bleeding. In this case, blood is noticed when urinating, accompanied by pain.
Glomerulonephritis
Gross hematuria (blood in the urine, seen during urine) may present in 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 in the genitourinary system (cancer of the prostate gland, penis, testes and others) is the appearance of blood in men. In this case, the blood will be brown or dark, and clots may appear.
Isolation of blood with semen
We must not forget about such symptoms as the release of blood to sperm (hematospermia). Distinguish between false and true hematospermia. When false, blood is mixed with the semen as it passes through the urethra. And with real blood entering 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 in the genitals (testicles and scrotum);
- discomfort and pain in the lower back;
- increased body temperature.
One of the causes of hematospermia is:
- an overactive sex life or vice versa,
- prolonged sexual abstinence, and during intercourse there is rupture of the vascular walls in the tissues of the genital organs
- previous surgery or biopsy can cause blood to appear in semen
- hematospermia is seen in benign and malignant neoplasms of the genitourinary organs
- present stones in the testes and vas deferens
- with varicose veins of the pelvic organs.