Few women know that men also have urine. It occurs in men as well as in women and is odorless. Only in women is it called "leukorrhea" and they come out of the vagina, while in men it comes out of the urethra. Of course, any pathological discharge indicates poor health and requires medical attention.
Physiological discharge
The health of a man is confirmed by the physiological output of the urethra observed in the following cases:
Libidal or physiological urethrorea
This condition occurs when a clear discharge occurs during sexual desire or in the morning, as soon as you fall asleep. Their number varies in different men and is directly related to the severity of sexual desires. In any case, it is important to keep in mind that this category contains a small amount of sperm when stimulated, so there is a risk of pregnancy if they touch the partner's genitals. The function of the described secretions is to ensure that sperm pass through the woman's urethra and vagina, where there is an acidic environment that destroys the "gum" and releases them into the uterine cavity and fallopian tubes in a viable state. to fertilize the egg.
Damaged prostate
With increased abdominal pressure (tension), a clear odorless discharge with possible gray-white streaks may form at the top of the penis. This discharge consists of a mixture of viscous and prostate secretions and seminal vesicles. This discharge can occur at the end of urination, in which case they refer to the vocal prostate. In exceptional cases, such discharge is accompanied by a severe cough. They are not considered organic pathology, but only indicate the autonomic regulation of the genitals.
Smegma
Smegma (pre-lubrication) is a secretion consisting of the sebaceous glands of the head of the penis and the foreskin. Usually, if a man follows the rules of personal hygiene, such a discharge will not cause discomfort, because it is washed mechanically with water. When hygiene is neglected, however, smegma accumulates, microorganisms multiply, and serve as a source of unpleasant odors.
Sperm isolation
Sperm, which contains a large number of sperm, is usually released at the end of sexual intercourse or during ejaculation (ejaculation) or spontaneously, during sleep (wet dreams). Contamination occurs in adolescents and occurs several times a month or 1-3 times a week (hormonal changes).
In some cases, spermatoregia, that is, the discharge of sperm from the urethra without sexual intercourse and orgasm, indicates a pathology in which the tone of the vascular muscle is disturbed in the presence of chronic inflammation or brain disease.
Pathological discharge
All other secretions that exceed physiological limits are pathological 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.
- Particularly etiological factors include sexually transmitted diseases such as trichomoniasis.
- Specific infectious urethritis is caused by opportunistic bacteria, viruses and fungi:
- chlamydial urethritis;
- ureaplasma and mycoplasmal urethritis;
- candidal urethritis or urogenital candidiasis in men;
- herpetic urethritis and others (Escherichia coli, streptococcus, staphylococcus).
Non-infectious inflammatory factors include:
- allergic reactions
- Mechanical damage to the urethral mucosa
- chemical stimulation of the urethra
- trauma, narrowing of the urethra.
Male discharge may vary in transparency and color. These parameters are influenced by the intensity of the inflammatory process, its stage and etiological factors. Secretions are formed from fluid, mucus, and various cells.
- Cloudy - if the number of cells is large, the discharge has a cloudy color.
- Gray or thick - epithelial cells predominate in secretion and become gray and thick.
- Yellow, green or yellow-green - When there is a large number of leukocytes in the secretion, they turn yellow or even green, also called purulent secretion.
It should be noted that the nature of leakage with the same pathology changes over time.
White discharge
The appearance of white discharge in men is due to several reasons. First of all, candidiasis should be removed. This disease has the following symptoms:
- the head of the penis smells 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 area;
- urination occurs during urination;
- there are red spots (irritation, inflammation) on the scalp and inner surface;
- The pain occurs in coitus, discomfort in the head and forearms;
- white discharge is observed, not only during urination;
- The partner complains of itching and burning, pain during sex, cheese leaks.
In addition to urogenital candidiasis, white discharge can be caused by chlamydia and / or ureaplasmosis and mycoplasmosis, as well as inflammation of the prostate gland:
- Difficulty and regular urination
- burning sensation in the perineum and urethra;
- discomfort in bowel movements;
- frequent urination;
- sexually transmitted diseases (decreased libido and erection, rapid ejaculation, vague orgasm).
It is important for men to keep in mind that prostatitis can lead to persistent potential erectile dysfunction, but also infertility.
Open choices
- Chlamydia, ureaplasmosis - in the chronic stage of the disease may be clear mucous discharge with chlamydial or ureaplasmic urethritis. As the process progresses, the number of leukocytes in the secretion increases and they turn green or yellow.
- Trichomoniasis, gonorrhea - in the early stages of infection with trichomoniasis or gonococci, there may be a clear, abundant mucous discharge observed during the day. Currently, chlamydia (ureaplasmosis), subjective sensations are rare (pain, itching, burning), clear urination occurs after prolonged urination.
Yellow flow
The desquamated epithelium of the urethra has a purulent yellow or green color that contains a significant portion of leukocytes and urethral mucus. Yellow discharge or mixing with green herbs is a characteristic sign of sexually transmitted diseases.
- Gonorrhea - 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 think about gonorrhea infection if there are a classic pair of symptoms: runny nose and itching.
- Trichomoniasis - also with yellow discharge, trichomoniasis is not eliminated, but it passes without symptoms. With severe symptoms of Trichomonas infection, in addition to pus-like discharge, men worry about burning and itching during urination, frequent and irreversible urges to urinate, a feeling of heaviness in the lower abdomen, and discomfort in the perineum.
Smell release
Violation of hygiene
Unpleasant odors of the perineum and genitals, especially if the conditions of intimate hygiene are not observed, can be observed:
- Smegma is an excellent breeding ground for microorganisms, which multiply and die, creating an unpleasant odor if you do not wash your genitals regularly.
- In addition, smegma itself can have an unpleasant odor when the metabolism is disturbed (for example, diabetes in men). At the same time, the output of smegma is so strong that it is absorbed through the underwear.
Infections
Odorless discharge is often associated with infectious lesions of the urethra. First, gonorrheal urethritis should be removed - a thick, yellow or green discharge is observed throughout the day.
Sour odor is a pathognomonic sign of urogenital candidiasis. Infection with fungi of the genus Candida causes a white discharge from the cheese or milk.
The fishy odor of secretion, which is more common in women than in gardnerellosis (also known as bacterial vaginosis), is possible, but in men, the progression of the disease is unreasonable. Gardnerella belongs to the conditionally pathogenic microorganisms and begins to actively reproduce only under certain conditions:
- deterioration of immunity;
- inflammatory processes of the genital organs;
- intestinal dysbiosis;
- use of spermicides and condoms;
- long-term treatment with antibiotics or immunosuppressants (cytostatics, corticosteroids);
- underwear made of synthetic fabrics;
- sexual life.
Also, discharge with an unpleasant odor can occur with the following diseases:
- balanitis (inflammation of the head of the penis)
- balanoposthitis (inflammation of the inner surface of the skin).
However, in addition to discharge (smegma, not from the urethra), these diseases are accompanied by redness and itching, pain in the penis, ulcers and wrinkles on the head.
Bleeding with blood
Infections
Bleeding or hemorrhage is most often associated with an infectious lesion of the urethra. Blood clots are common in gonorrhea, trichomoniasis, or candidal urethritis. Moreover, the volume of blood is directly related to the intensity of inflammation.
Bleeding is common in chronic urethritis (the mucous membrane of the urethra loosens and responds to minor irritation, including contact blood with the passage of urine through the duct).
Medical manipulations
Another reason is trauma to the urethra during medical procedures. Spots may appear suddenly during severe boogie, catheter insertion and removal, cystoscopy, or ointment. They are characterized by a dark red color, no clotting, and a very rapid cessation of bleeding.
The passage of stone and sand
Among other things, bleeding can be seen when small stones or sand (from the kidneys or bladder) pass through the urethra. The hard surface of the microliths destroys the mucous membranes and the walls of the arteries, leading to bleeding. In this case, blood is most often seen in urination, which is accompanied by the disease.
Glomerulonephritis
Thrombosis is also possible in the presence of hematuria (blood in the urine, seen during urination) and glomerulonephritis. In this case, there is a triad of symptoms: severe hematuria, swelling, high blood pressure.
Malignant tumors
One of the symptoms of malignant tumors of the genitourinary system (cancer of the prostate, penis, testicles, etc. ) is the formation of blood in men. In this case, the blood will be brown or dark and may clot.
Isolation of sperm and blood
We must not forget a symptom such as hematospermia. Distinguish between false and true hematospermia. When it is false, blood mixes with the sperm as it passes through the urethra. And real blood enters the ejaculate without passing through the urethra. Hematospermia is accompanied by the following symptoms:
- pain during ejaculation;
- urinary disorders;
- pain and / or swelling of the genitals (testicles and scotum);
- discomfort and pain in the lower back;
- increase in body temperature.
One of the causes of hematospermia:
- very active sex life or vice versa
- having sex during the rupture of the vascular wall in the tissues of the genitals,
- A previous operation or biopsy can also cause blood to form inside the semen
- Hematospermia occurs in benign and malignant neoplasms of the urinary tract
- When there are stones in the testicles and vas deferens
- With varicose enlargement of the pelvic organs.