There are few women who know that men also have secretions. Like women, they are normal in men and have no odor. Only in women it is called "leukorrhea" and they appear from the vagina, while men flow from the urethra. Of course, any abnormal discharge indicates poor health and requires a doctor's appointment.
Physiological excretion
A man's health is indicated by physiological excretion from the urethral outlet, which is observed in the following cases:
Libido or physiological uretrorrhea
This condition is observed if there is a clear discharge during sexual intercourse or in the morning, immediately after sleep. Their number varies from man to man and is directly related to the severity of sexual arousal. But in any case, it is important to remember that such excretion, when agitated, contains a small amount of sperm, so if they enter the partner's genitals, she is at risk of becoming pregnant. The function of the described secretions is to ensure the passage of sperm through the female urethra and vagina, where there is a "gums" destructive acidic environment, and their entry into the uterine cavity and tubes for fertilization of the egg.
Damaged prostaturia
As intra-abdominal pressure increases (tightening), a clear, odorless, grayish-white streak may appear on the head of the penis. This release is viscous and consists of a mixture of prostate secretions and seminal vesicles. This discharge may appear at the end of urination, in which case they speak of a prostate of the voice. In exceptional cases, such excretion occurs with a strong cough. They are not considered organic pathologies, but only indicate a violation of the autonomous regulation of genital function.
Smegma
Smegma (penultimate lubrication) is a secret that consists of secretions from the sebaceous glands of the head of the penis and foreskin. Generally, if a man follows the rules of personal hygiene, such excretion does not cause inconvenience, as it is mechanically washed with water. But if hygiene is not observed, sludge accumulates and microorganisms multiply, which serve as a source of unpleasant odors.
Semen isolation
Sperm containing a large number of sperm are usually released during ejaculation (ejaculation) at the end of sexual intercourse or spontaneously during sleep (wet dreams). The contamination occurs in adolescent boys and occurs either several times a month or 1 to 3 weeks (hormonal changes).
In some cases, spermaturia, that is, the outflow of sperm from the urethra without sexual intercourse and orgasm, indicates a pathology in which vas deferens muscle tone is impaired in the presence of chronic inflammation or brain disease.
Abnormal release
All other secretions beyond physiological are pathological and indicate mainly inflammation of the urethra or urethritis. The causes of male urethritis are varied, they can be both infectious and non-infectious.
The causes of infection 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;
- urea plasma and mycoplasma urethritis;
- candidal urethritis or urogenital candidiasis in men;
- herpetic urethritis and others (Escherichia coli, streptococci, staphylococci).
Non-infectious inflammatory factors include:
- allergic reactions
- mechanical damage to the urethral mucosa
- urinary tract irritation with chemicals
- trauma, narrowing of the urethra.
Male secretions may vary in transparency and color. These parameters are influenced by the intensity of the inflammatory process, its stage and the etiological factor. Excretions are made up of fluid, mucus and various cells.
- Cloudy - if there is a large number of cells, then the discharge has a cloudy color.
- Gray or thick - with the predominance of epithelial cells in secretions, they become gray and thick.
- Yellow, green or yellow-green - if the secretions have a large number of white blood cells, they turn yellow and even green, they are also called purulent secretions.
It should be noted that with the same pathology, the nature of excretion changes over time.
White secretions
White excretion in men is associated with several reasons. First of all, candidiasis must be ruled out. The following symptoms are observed with this disease:
- the head of the penis smells unpleasant after sour bread or yeast;
- the head of the penis is covered with a whitish coating;
- itching, burning and even pain in the penis and perineum is noted;
- secretions appear when urinating;
- there are red spots (irritation, inflammation) on the inner surface of the head and foreskin;
- pain occurs during sexual intercourse, discomfort is felt in the head and foreskin;
- white discharge is observed not only during urination;
- partner complains of itching and burning, pain during intercourse, there is cheese secretions.
In addition to urogenital candidiasis, white discharge may be caused by chlamydia and / or ureaplasmosis and mycoplasmosis, as well as inflammation of the prostate gland, characterized by:
- Difficulty and periodic urination
- burning sensation in the perineum and urethra;
- discomfort during bowel movements;
- frequent urge to urinate;
- sexual dysfunction (decreased libido and erection, rapid ejaculation, indistinct orgasm).
It is important for men to remember that neglected prostatitis can cause not only permanent erectile dysfunction but also infertility.
Transparent choices
- Chlamydia, ureaplasmosis - transparent mucosal secretion with chlamydia or ureaplasma urethritis in chronic stages of the disease is possible. As the process intensifies, the number of leukocytes in the secretions increases and they turn greenish or yellowish in color.
- Trichomoniasis, gonorrhea - also transparent, rich secretion with a large amount of mucus, which is observed during the day, is possible in the initial stage of infection with Trichomonas or gonococci. In the case of chlamydia (ureaplasmosis), there is often no subjective sensation (pain, itching, burning) and a transparent discharge appears after prolonged urinary incontinence.
Yellow discharge
Purulent discharge, which includes urethral detached epithelium, significant numbers of white blood cells, and urethral mucus, is yellowish or greenish. Yellow discharge or a mixture of herbs is a characteristic feature of sexually transmitted diseases.
- Gonorrhea - The discharge is thick and has an unpleasant putrefactive odor, is observed during the day, and is accompanied by pain when urinating. A man should first think about a gonorrhea infection if there is a classic pair of symptoms: discharge and itching.
- Trichomoniasis - even with yellow discharge, trichomoniasis cannot be ruled out, although it is often asymptomatic. With severe symptoms of Trichomonas infection, in addition to pus-like discharge, the man is worried about heartburn and burning during urination, frequent and irresistible urge to urinate, heaviness in the lower abdomen and discomfort in the perineum.
Odor discharge
Non - compliance with hygiene rules
Unpleasant odors in the perineum and penis can be observed if the conditions of intimate hygiene are not observed:
- Smegma is an excellent soil for microorganisms, which, when multiplying and dying, cause an unpleasant odor if the external genitals are not thoroughly washed regularly.
- In addition, the skin itself may have an unpleasant odor in the case of metabolic disorders (such as diabetes in men). At the same time, the release of smegma is so intense that it is absorbed through underwear.
Infections
Odorous secretions are most commonly seen with infectious urethral damage. First of all, gonorrheal urethritis - a thick, yellow or green discharge that occurs throughout the day.
The smell of acid secretion is a symptom of the pathognomy of urogenital candidiasis. Infection with Candida fungi causes the appearance of a cheesy or milky white discharge.
It is also possible to smell fish, which is characteristic of gardnerellosis, which is more common in women (called bacterial vaginosis), and the development of this disease in men is quite silly. Gardnerella belongs to relatively pathogenic microorganisms and begins to multiply actively only under certain conditions:
- weakened immunity;
- simultaneous inflammatory processes of the genitourinary system;
- intestinal dysbiosis;
- use of condoms with spermicides;
- long-term treatment with antibiotics or immunosuppressants (cytostatics, corticosteroids);
- tight underwear of synthetic fabrics;
- sloppy sex life.
Discharges with an unpleasant odor can also be associated with diseases such as:
- balanitis (inflammation of the head of the penis)
- balanopostitis (inflammation of the inner surface of the foreskin).
But in addition to secretions (not from the urethra, but sore), these diseases are accompanied by hyperemia and itching, penile pain, ulcers and wrinkles on the head.
Blood discharge
Infections
Bloody discharge or streaks with blood streaks are common with infectious damage to the urethra. Blood disorders are common in gonorrhea, trichomoniasis or candidiasis urethritis. In addition, the amount of blood is directly related to the intensity of the inflammation.
Blood is often seen in chronic urethritis (the lining of the urethra is relaxed and responds to the slightest irritation through contact bleeding, including the passage of urine through the duct).
Medical manipulations
Another reason for this is urethral injury during medical procedures. In case of coarse boughness, catheter insertion and removal, cystoscopy or smear, spotting may occur immediately. They differ in that the blood is red, there are no clots, and the bleeding itself stops very quickly.
Transition of stones, sand
Among other things, bloody discharge may occur when small stones or sand (from the kidneys or bladder) pass through the urethra. The hard surface of microlytes damages the mucous membranes and blood vessel walls, causing bleeding. In this case, the blood is most noticeable when urinating, accompanied by pain.
Glomerulonephritis
Gross haematuria (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, hypertension.
Malignancies
One of the signs of malignancies of the genitourinary system (prostate, penile, testicular cancer and others) is the appearance of blood in a man. In this case, the blood will be brown or dark and clots may appear.
Isolation of blood with semen
We must not forget about symptoms such as the secretion of blood by semen (hematatospermia). Distinguish between false and true hematospermia. If this is false, the blood is mixed with the sperm as it passes through the urethra. And with real blood, the ejaculate enters even before it passes through the urethra. Hematatospermia is accompanied by the following symptoms:
- pain during ejaculation;
- urinary disorders;
- pain and / or swelling of the genitals (testicles and testicles);
- discomfort and pain in the lower back;
- fever.
One of the causes of hematatospermia is:
- overly active sex life or vice versa,
- prolonged sexual abstinence, while during sexual intercourse there is a rupture of blood vessel walls in the genital tissues
- previous surgery or biopsy may also cause blood to appear in the semen
- hematospermia appears in benign and malignant tumors of the genitourinary organs
- in the presence of stones in the testicles and vas deferens
- with varicose veins of the pelvic organs.