Few women know that men are also exempt. As in women, they also occur normally in men and are odorless. Only in women is it called "leukorrhea" and they appear from the vagina, while men flow from the urethra. Of course, any pathological rejection indicates poor health and requires a visit to a doctor.
Normal rejection
A man's health is evidenced by a normal rejection from the urethral outlet, which is observed in the following cases:
Libido or normal urethra
This condition occurs when there is a clear discharge during sexual arousal or in the morning, immediately after sleep. Their number in different men differs and is directly related to the severity of sexual arousal. In any case, it is important to remember that such a secretion, when stimulated, contains a small amount of sperm, so if they reach the partner's genitals, she risks becoming pregnant. The function of the described secretions is to ensure the passage of sperm through the urethra and vagina of a woman, where there is an acidic environment that is destructive to the "gum" and their introduction into a viable form in the cavity and fallopian tubes for fertilizationof the egg.
Defective prostaturia
During the increase of intra-abdominal pressure (during exertion), a transparent odorless secretion with possible gray-white streaks on the head of the penis may appear. Such a discharge is viscous and consists of a mixture of prostate secretions and seminal vesicles. Such a secretion may occur at the end of urination, so they talk about vocal prostaturia. In exceptional cases, such a rejection occurs with a strong cough. They are not considered organic pathology, but only indicate a violation of the autonomic regulation of the function of the genitals.
Smegma
Smegma (preputial lubrication) is a secretion that consists of secretions from the sebaceous glands of the head of the penis and foreskin. Normally, if a man follows the rules of personal hygiene, such a rejection does not cause discomfort, since it is mechanically washed with water. But if hygiene is neglected, sebum accumulates and microorganisms multiply in it, which serves as a source of an unpleasant odor.
Sperm isolation
Sperm, which contains a large number of sperm, is normally secreted during ejaculation (ejaculation) at the end of intercourse or spontaneously, during sleep (wet dreams). Pollution occurs in adolescent boys and occurs either several times a month or 1 to 3 times a week (hormonal changes).
In some cases, sperm flow, that is, the outflow of sperm from the urethra without sexual intercourse and orgasm, indicates pathology when the tone of the muscular layer of the vas deferens is disturbed in the presence of chronic inflammation or diseases of the brain.
Pathological rejection
All other secretions than normal are abnormal and mainly indicate inflammation of the urethra or urethritis. The causes of urethritis in men are different, they can be infectious and non-infectious.
Infectious causes are divided into specific and non-specific.
- Specific etiological factors include sexually transmitted diseases such as trichomonas.
- Non-specific infectious urethritis is caused by opportunistic bacteria, viruses and fungi:
- chlamydial urethritis
- urethritis and myoplasmosis urethritis.
- candidal urethritis or urogenital candidiasis in men.
- herpetic urethritis and others (Escherichia coli, streptococci, staphylococci).
Non-infectious agents of inflammation include:
- allergic reactions
- mechanical damage to the urethral mucosa
- irritation of the urethra with chemicals
- trauma, narrowing of the urethra.
Male rejection may vary in transparency and coloration. These parameters are influenced by the intensity of the inflammatory process, its stage and the causative factor. Secretions are formed by fluid, mucus and various cells.
- Cloudy - if there are a large number of cells, then the discharge is cloudy.
- Gray or thick - with the dominance of epithelial cells in the secretions, they become gray and thick.
- Yellow, green or yellow-green - when a large number of leukocytes are contained in the secretions, 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
White discharge in men is due to several reasons. First of all, candidiasis must be ruled out. With this disease, the following symptoms are observed:
- the head of the penis smells badly of sour bread or yeast.
- the head of the penis is covered with an off-white coating.
- itching, burning and even pain in the penis and perineal area.
- urination occurs.
- there are reddish spots (irritation, inflammation) on the head and the inner surface of the foreskin.
- pain occurs during coexistence, feels discomfort in the head and foreskin.
- white discharge is observed, not only during urination.
- the partner complains of itching and burning, pain during intercourse, has cheesy discharge.
In addition to urogenital candidiasis, white discharge can be caused by chlamydia and / or ureaplasmosis and mycoplasmosis, and also talk about inflammation of the prostate gland, which is characterized by:
- Difficulty and intermittent urination
- burning sensation in the perineum and urethra.
- discomfort during bowel movements.
- frequent urge to urinate;
- sexual disorders (decreased libido and erection, rapid ejaculation, blurred 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 - clear mucous secretion is possible with chlamydial or ureaplasmic urethritis in the chronic stage of the disease. As the procedure progresses, the number of leukocytes in the secretions increases and acquires a greenish or yellowish color.
- Trichomoniasis, gonorrhea - also transparent, abundant discharge with a lot of mucus, observed during the day, is possible in the early stages of infection with hair follicles or gonococci. In the case of chlamydia (ureaplasmosis), the subjective senses are often absent (pain, itching, burning) and the transparent secretion occurs after prolonged abstinence from urination.
Yellow rejection
The purulent secretion, which includes the detached urethral epithelium, a significant number of leukocytes and urethral mucus, is yellowish or greenish. Yellow discharge or mixing with green 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 gonorrhea infection if there is a classic pair of symptoms: discharge and itching.
- Trichomoniasis - also with yellow rejection, trichomoniasis is not ruled out, although it is often asymptomatic. With severe symptoms of Trichomonas infection, in addition to pus-secretions, a man worries about burning and stinging when urinating, frequent and irresistible urges to urinate, a feeling of heaviness in the lower abdomen and discomfort in the perineum.
Odor relief
Violation of hygiene
An unpleasant odor of the perineum and penis, in particular, can be observed if personal hygiene conditions are not observed:
- Smegma is a great breeding ground for microorganisms, which, multiplying and dying, create an unpleasant odor if you do not wash the external genitalia regularly.
- In addition, the mixture itself can have an unpleasant odor in case of metabolic disorders (for example, diabetes in men). At the same time, the release of smegma is so intense that it is absorbed by the underwear.
Infections
Odor relief is most often seen with infectious urethral damage. First of all, gonorrhea urethritis should be ruled out - thick, yellow or green discharge that is observed throughout the day.
The sour smell of secretion is a pathognomonic symptom of urogenital candidiasis. Infection with fungi of the genus Candida causes the appearance of a cheesy or milky white discharge.
A foul-smelling secretion is also possible, which is inherent in gardnerella, which is more common in women (called bacterial vaginosis) and in men, the development of this disease is rather nonsense. Gardnerella belongs to conditionally pathogenic microorganisms and begins to actively multiply only under certain conditions:
- weakening of immunity;
- concomitant inflammatory processes of the urogenital organs.
- intestinal dysbiosis;
- use of condoms with spermicides;
- long-term treatment with antibiotics or immunosuppressants (cytostatics, corticosteroids).
- Tight underwear made of synthetic fabrics.
- irreverent sex life.
Also, rejection with an unpleasant odor can be with diseases such as:
- balanitis (inflammation of the head of the penis)
- balanoposthitis (inflammation of the inner surface of the foreskin).
But in addition to secretion (not from the urethra, but sebum), these diseases are accompanied by hyperemia and itching, pain in the penis and ulcers and wrinkles are found on the head.
Discharge with blood
Infections
Bloody discharge or streaky discharge with infectious urethral damage is common. Blood mixture is characteristic of gonorrhea, hair follicle or candidiasis urethritis. In addition, the amount of blood is directly related to the intensity of inflammation.
Blood is often seen in chronic urethritis (the mucous membrane of the urethra relaxes and responds with contact bleeding to the slightest irritation, including the passage of urine through the canal).
Medical manipulations
Another reason for this is trauma to the urethra during medical procedures. In case of a temporary case, insertion and removal of a catheter, cystoscopy or smear, spots may appear immediately. They differ in that the blood is red, has no clots and the bleeding itself stops very quickly.
Crossing of stones, sand
Among other things, bloody discharge 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 mucous membrane and the vascular walls, causing bleeding. In this case, the blood is more noticeable when urinating, which is accompanied by pain.
Glomerulonephritis
Gross hematuria (blood in the urine, visible when urinating) is also possible in the presence of glomerulonephritis. In this case, there is a triad of symptoms: gross hematuria, edema, increased blood pressure.
Malignant tumors
One of the signs of malignant tumors of the urogenital system (cancer of the prostate, penis, testicles 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 sperm
We must not forget such a symptom as the release of blood with sperm (hematospermia). Distinguish between false and true hematospermia. When it is false, the blood mixes with the sperm as it passes 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.
- urinary 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:
- overactive sex life or vice versa,
- prolonged sexual abstinence, while during intercourse there is a rupture of the vascular walls in the tissues of the genitals
- previous surgery or biopsy may also cause sperm to bleed
- Hematospermia occurs in benign and malignant neoplasms of the urogenital organs
- presence of stones in the testicles and vas deferens
- with varicose veins of the pelvic organs.