Genital discharge is mainly detected by men during or after urination. You need to be able to distinguish between normal physiological discharge and pathological discharge, which are often the first signs of a disease in the genitals. The nature of the discharge allows us to determine the cause of the disease and make a preliminary diagnosis.
Types of pathological discharge in men
Pathological discharge is caused by diseases of the genitals and organs adjacent to it. Pathological factors, characterized by various causes, cause damage to the urethra, which leads to the discharge of discharge. This process is called leukocyte urethritis (urethritis). Pathological factors can be infectious, chemical or mechanical.
Mucous discharge
- Such discharge consists of serous effusion, urinary tract mucus, and a small number of leukocytes. They have the appearance of a translucent milky white liquid.
- Such discharge can serve as a sign of trichomoniasis, chlamydia and ureaplasmosis. These diseases are rarely accompanied by pain, soreness and itching. Basically, their manifestation is limited to mucous discharge when urination is finished.
Purulent discharge
- Their appearance is considered a symptom of infectious urethritis. Purulent discharge consists of cells of damaged epithelium in the genitals and mucus in the urethra. They have an increased concentration of white blood cells. Purulent discharge looks like a thick liquid that is completely yellow or slightly green.
- Such discharge is often accompanied by pain, pain, itching, burning during urination and is usually profuse. Most often these are symptoms of trichomoniasis and gonorrhea.
White discharge
When white discharge appears, one should observe its consistency.
White discharge with a cheesy taste. Basically, such discharge indicates male candidiasis (thrush) and is rare. The cause of candidiasis can be chemotherapy or antibiotic therapy, as well as a decrease in immunity; it is not sexually transmitted.White discharge with a foamy consistency. Such discharge often becomes a sign of trichomoniasis and can also indicate chronic prostatitis. If the cause is prostatitis, the discharge is often accompanied by a decrease or loss of strength and difficulty urinating.
Analysis
No matter what the pathological discharge looks like, one must consult a urologist. Only a doctor can correctly diagnose the disease and choose a treatment; it is useless to analyze him yourself. To determine the exact cause of the discharge, samples are usually taken for nutrient culture and bacterial testing. Additional diagnostic tools depend on the suspected disease; this could be urology, CT scan, ultrasound.
Treatment
The treatment plan depends on the symptoms of the person's discharge.
STD. In this case, both parties must undergo treatment. As a rule, this is an antibacterial treatment, judiciously combined with immunosuppressive drugs. Sometimes local treatment is also added (physical therapy, prostate massage, placing a drug in the urethra), as well as a special diet. The specific program depends on the type of STD.Dry. In most cases, male candidiasis is eliminated by topical treatment, but in more advanced cases, systemic medications are needed. In addition, it is necessary to take drugs that strengthen the patient's immunity and a special diet.
Discharge from the penis
Discharge from the penis is considered normal if it does not cause discomfort or other negative symptoms. Otherwise, they are symptoms of various sexually transmitted diseases or diseases of the genitals and other body structures.
How to distinguish a normal state from a pathology?
| Sign up | Norm | Deviation |
|---|---|---|
| Time of publication, frequency | Before, during or after intercourse, during stimulation | Regardless of intimacy, after sleep, after urination, defecation, sometimes continuous dripping |
| Smell | Characteristic (egg white or chestnut) or odorless | Rotten, sour, sad, fishy, etc. s. etc. |
| Color, consistency | Transparent or whitish, the consistency often resembles crude protein, sometimes sticky, viscous | Curly, thick, white, greenish, brown, mixed with clots and pus. May be transparent in case of viral disease |
| Additional symptoms | No | Itching, burning, redness, pain |
When is penile discharge normal?
A healthy adult does not have a strong discharge of any kind at rest. However, in some cases this is the norm:
- Precum. When it is aroused, a sticky, colorless substance is released - a lubricant to create a favorable environment that promotes the normal migration of sperm. A doctor will suspect a problem if there are complaints of a large amount of ejaculation with little sexual stimulation.
- Ejaculation. We are not talking about ejaculation in the form of a satisfying finale to sex, but about the residue that sometimes comes out after intimacy. It is usually a few drops of a whitish or colorless liquid.
- Ejaculation in wet dreams. It is involuntary ejaculation due to sexual overstimulation and increased levels of testosterone. Often happens in a dream.
- Smegma is the secretion of glands located in the area of the petals of the foreskin.. Acts as a protective fluid and lubricant for the penis. It doesn't dry out, doesn't swell and doesn't hurt because of it. The amount of smegma is small, almost invisible on underwear. However, with hormonal changes, it increases; if the imbalance is not related to pathology, this is also normal.
A large amount of smegma can enter the urethra, where it accumulates and "fades" and forms agitated flakes, as with thrush. This is also considered normal with conditions: if adequate hygiene is observed, the problem disappears.
When is discharge a symptom of disease?
If a man notices abnormal discharge from the penis, he should contact a doctor. It is difficult to determine the disease independently without medical education and diagnostic equipment.
The most common pathologies associated with the appearance or change of fluid secreted from the penis are sexually transmitted diseases, inflammatory processes and disorders of the functioning of the muscular structures and the central nervous system.
Venereal diseases
Sexual infection is initially asymptomatic, the gestation period is from 7 to 21 days, sometimes 6 months. Discharge occurs when infected with the following diseases:
- Hepatitis;
- HIV;
- Gonorrhea;
- Chlamydia;
- Trichomoniasis;
- Candidiasis;
- Ureaplasmosis;
- Human papillomavirus;
- Mycoplasmosis;
- AIDS.
Chlamydia, ureaplasmosis, mycoplasmosis first cause a clear, viscous discharge. The only sign of pathology is the lack of reasons for the natural appearance of fluid. Further pathology leads to changes in the color and consistency of the secreted liquid - it becomes translucent, mucous, reminiscent of pus.
Gonorrhea is characterized by foul-smelling greenish or brown substances. Accompanied by severe pain and itching.
Hepatitis often causes a small amount of fluid to leak out, it settles on the head of the penis and when it dries, a white skin forms. A characteristic additional symptom is cloudiness and darkening of the urine.
Candidiasis is accompanied by the appearance of cheese-shaped plugs, but they are significantly fewer than in the case of female "thrushes". There is itching, burning and redness of the head.
Trichomoniasis presents with stretchy, translucent mucus, pain and itching during frequent urination. The urethra swells, the area around it becomes red and swollen.
Inflammatory process
Diseases that cause discharge from the penis are not always sexually transmitted. Sometimes the problem occurs against the background of the spread of infection that occurs after contact with contact or is transmitted by airborne droplets.
Bacteria, viruses and fungi in large quantities cause an inflammatory reaction. Abnormal discharge occurs due to inflammation of the urethra, spermatic cords, tubercles, prostate, foreskin and other parts of the reproductive system.
The type of release depends on the microorganism that caused the disease. For example, bacteria almost immediately cause the appearance of pus: the mucus is foul-smelling and has an unpleasant color.
Changes in sperm volume and quality
If semen flows without prior stimulation and subsequent orgasm, this is a pathology. Doctors diagnose sperm disease. The reasons lie in muscle diseases and problems in the central nervous system. Occurs more often in old age or with advanced prostatitis, prostate adenoma.
Discharge with blood - erythrocytopenia, appears with malignant tumors of the urethra, penile cancer, trauma. Sometimes the result of stones passing through the urinary tract.
Analysis
Urologists, after listening to the patient's complaints and collecting anemia, examine the genitals. In this case, experts simultaneously take prostate juice through rectal massage. Further laboratory tests are required:
- Blood analysis;
- Prostatic secretion;
- Analysis of urine;
- Sperm.
It is important to evaluate the graduation itself. To do this, they undergo a microscopic examination. It is this method that allows you to identify the main source of the problem - bacteria, viruses, fungi.
Next, doctors move on to device analysis:
- Ultrasound examination of pelvic organs, penis, groin;
- Dopplerography;
- Radiography;
- MRI;
- CT;
- Cystoscopy;
- Urethroscopy;
- Scintigraphy.
If tumors are found during the examination, the diagnosticians take a needle.
Treatment
Treatment options depend on the diagnosis. First of all, doctors prescribe drugs that are appropriate to eliminate the pathogenic microflora:
- Antibiotics;
- Antiviral;
- Antifungal.
Urologists mainly prescribe oral medications, which sometimes require intravenous or intramuscular administration.
In addition, treatment with antihistamines and painkillers is needed to relieve symptoms. Topical medications - anti-itch creams, gels, ointments - help get rid of itching.
Patients are shown sitz baths with sedatives, painkillers or anti-inflammatory drugs. Washing after each urination will help prevent the spread of infection.
If the problem lies in disorders of the central nervous system or endocrine diseases, doctors call in highly specialized specialists.
Additional treatments
Genital problems should be treated comprehensively. In addition to medication, doctors choose:
- rectal prostate massage;
- Therapeutic massage of the lumbar spine;
- exercise therapy;
- Physiotherapy;
- Area massage.
Such methods restore natural metabolism and prevent stagnation. The urologist prescribes a special diet that helps strengthen men's health. It is necessary to take vitamin complexes: vitamin C, E, A, group B.
Prevention
In most cases, the cause of discharge from the penis is sexually transmitted diseases. Therefore, the most effective preventive measure is the careful selection of sexual partners and the use of barrier contraception.
Urologists also advise following some rules:
- Living an active lifestyle.
- Monitor your own health and go for preventive examinations.
- Treat pathology in a timely manner.
- Wear loose underwear and pants.
- Avoid frequent changes of roommates.
- Watch your diet. Diet should contain vitamins, micro- and macronutrients that are necessary for a person: selenium, zinc, magnesium, calcium.