Man's health. The main organ began to disturb. Should I panic, take it into account, or just figure it out?

One of the first symptoms of diseases of the genitourinary system in a man may be discharge from the genitourinary canal, which is often detected when emptying the bladder or after this physiological process. Often, men tend to perceive discharge of a natural physiological nature as a symptom of some pathological process. Typically, discharge in men is a secret secreted in the gonads and indicates the normal state of male health. But it also happens that they actually signal the development of some kind of inflammatory process in the genitourinary system.

How to distinguish a normal condition from a pathology?

Transparent discharge in men

The transparent secretion released from the urethra due to sexual arousal is a type of non-pathological discharge - libidinal urethrorrhea. The source of discharge in this case is the urethral glands. The level of the amount of such discharge varies depending on the period of sexual abstinence and on the individual physiological characteristics of each man separately. Rarely, physiological urethrorrhea occurs at the time of defecation.

This type of discharge implies the secretion of spermatozoa capable of fertilizing an egg if they enter the woman’s genital organ during coitus. Sometimes, discharge that visually resembles physiological discharge is a symptom of a disease of the genitourinary system. If the quantity or nature of discharge deviates from the norm, the man should immediately consult a doctor.

When is discharge from the penis normal?

A healthy adult man does not have strong discharge of any kind at rest. However, in some situations this is the norm:

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1. Pre-cum . When aroused, a sticky, colorless substance is released - a lubricant to create a favorable environment conducive to the normal transportation of sperm. Doctors will suspect a problem if there are complaints of a large amount of pre-ejaculate with low sexual arousal.
2. Ejaculate . We are not talking about ejaculation in the form of an adequate finale of sexual intercourse, but about the residues that sometimes come out after intimacy. Usually this is a couple of drops of a whitish or colorless liquid.
3. Ejaculate during wet dreams . It is an involuntary ejaculation due to sexual overstimulation and an increased amount of testosterone. Often occur in a dream.
4. Smegma is the secretion of glands located in the area of ​​the petals of the foreskin . Serves as a protective liquid and lubricant for the head of the penis. It does not dry out, does not become inflamed and is not injured thanks to it. The amount of smegma is small, almost invisible on underwear. However, with hormonal changes, it increases; if the imbalance is not associated with pathology, this is also normal.

Smegma in large quantities can enter the urethra, where it accumulates and “fades”, forming curdled flakes, as with thrush. This is also considered the norm conditionally: if sufficient hygiene is observed, the problem disappears.

Discharge from the urethra in men

Discharge is a liquid that has a different color, transparency, consistency, and volume. To detect them, lightly press on the lower part of the penis. This massage should be performed moving towards the head from the pubis. First, before these actions, you should refrain from urinating for 2 - 3 hours.

Discharge from the urethra is as follows:

• Spermatorea is discharge of sperm from the urethra without achieving orgasm or sexual intercourse. The reason for this phenomenon is considered to be a decreased tone of the membrane of the muscles of the ducts that excrete the seed, during an inflammatory process of a chronic nature and pathologies of the central nervous system. Most often, when diagnosing spermatorrhea, the true causes of its occurrence are not determined.
• Hematorrhea is bloody discharge from the urethra. Most often, the cause of this phenomenon is mechanical trauma to the urethra due to the introduction of foreign bodies into it. This refers to urethroscopy or cystoscopy, during which biological material is taken from the urethra for research and its instrumental examination. Sometimes the cause of hematorrhea is arterial hypertension or malignant tumors in the penis and prostate gland.
• Leukocyte urethrorrhea. It is an exudative phase during the inflammatory process that occurs as a result of damage to the urethral mucosa by various factors (thermal, mechanical, chemical, virulent and allergens). Depending on the degree of damage to the mucous membrane, the color, quantity and duration of the discharge may vary.
• Mucopurulent discharge. They consist of serous exudate, urethral mucus and a small number of leukocytes. They appear in the form of drops of translucent liquid that has a milky white color. Such discharge signals non-gonococcal urethritis, which is often observed with the development of trichomoniasis, ureamycoplasma, and chlamydia.
• Purulent discharge. They consist of a fairly large volume of leukocytes, damaged urethral epithelium and urethral mucus. They appear in the form of drops with a thick consistency and yellow or green-yellow color. Purulent discharge is a symptom of gonococcal urethritis, which occurs due to the development of chlamydia or gonorrhea. Usually observed in parallel with a burning sensation in the urinary canal, most often during urination.

Diagnostics

Urologists, after listening to the patient's complaints and collecting anamnesis, examine the genitals. In this case, specialists simultaneously take prostate juice through rectal massage. Further laboratory tests are required:

• Blood analysis;
• Prostate secretion;
• Analysis of urine;
• Sperm.

It is important to evaluate the discharge itself. To do this, they are subjected to 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 instrumental diagnostics:

• Ultrasound of the pelvic organs, penis, scrotum;
• Dopplerography;
• Radiography;
• MRI;
• CT;
• Cystoscopy;
• Urethroscopy;
• Scintigraphy.

If neoplasms are found during the examination, diagnosticians take a puncture.

Causes of vesiculitis

The causes of vesiculitis in men are infectious and stagnant.

Vesiculitis in men may appear due to the following factors:

• interruption of sexual intercourse;
• masturbation;
• no regularity of sexual activity;
• abstinence;
• defective ejaculations;
• alcohol and nicotine;
• hypothermia often occurs;
• sedentary lifestyle;
• expansion of hemorrhoidal veins and other pelvic inflammations.

Treatment

Treatment methods depend on the diagnosis. First of all, doctors prescribe medications that are appropriate for the elimination of pathogenic microflora:

• Antibiotics;
• Antiviral;
• Antifungal.

Urologists prescribe drugs mainly orally, sometimes requiring intravenous or intramuscular administration of drugs.

Additionally, a course of antihistamines and painkillers is required to relieve symptoms. Local medications - antipruritic 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 endocrinological pathologies, doctors involve highly specialized specialists.

Associated symptoms

In the presence of diseases that are characterized by white discharge, their symptoms may have a pronounced clinical picture.

Diseases may be accompanied by itching, burning during sexual intercourse or urination (candidiasis, ureaplasmosis, mycoplasmosis, trichomoniasis), impaired urination (prostatitis), and decreased erectile function.

Sometimes symptoms do not always appear, which contributes to later detection of the disease (chlamydia).

In any case, it is necessary to conduct an examination if white discharge:

• 
  abundant;

• quite scarce, but appear regularly;
• accompanied by pain, burning, itching or other symptoms;
• general weakness appears;
• an unpleasant or specific odor appears;
• the color of secretion changes;
• urinary problems occur;
• Erectile function decreases.

Signs of diseases may not always appear immediately, or may not have a pronounced manifestation at all, so preventive measures should be carried out regularly (at least once a year) to detect a possible disease.

Video: “White coating on the penis”

Additional therapies

Problems of the genitourinary system should be treated comprehensively. In addition to medications, doctors choose:

• Rectal prostate massage;
• Therapeutic massages of the lumbar region;
• exercise therapy;
• Physiotherapy;
• Reflexology.

Such procedures 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.

Vesiculitis: diagnosis

There are several main methods for diagnosing vesiculitis:

• Rectal examination, which is basic for diagnosis.
• The secretion of the seminal vesicles is examined by catheterization.
• Vesiculography, considered traditional for diagnosis.
• Ultrasonography.
• Computed tomography and nuclear magnetic resonance are modern diagnostic methods that give a clearer picture of changes in the body. This method is much more expensive, and often the diagnosis can be made without resorting to expensive studies.

The following tests are required:

• general blood and urine analysis;
• sperm analysis.

Mandatory semen analysis

Prevention

In most cases, the cause of discharge from the penis is sexually transmitted diseases. Therefore, the most effective preventive measure is careful selection of a sexual partner and the use of barrier contraception.

Urologists also advise following a number of rules:

1. To live an active lifestyle.
2. Monitor your own health and undergo preventive examinations.
3. Treat pathologies in a timely manner.
4. Wear loose underwear and trousers.
5. Avoid frequent changes of sexual partners.
6. Watch your diet. The diet should contain vitamins, micro and macroelements necessary for a man: selenium, zinc, magnesium, calcium.

The information is provided for informational purposes only! If you have questions, we recommend scheduling a consultation with a urologist.

White discharge in men

Typically, white discharge in the form of flakes with a curd-like consistency from the male genitals appears due to candidiasis (thrush). A rather rare phenomenon, the cause of which is disturbances in the immune system resulting from chemotherapy or antibiotic therapy. It is almost impossible for a healthy man to acquire this fungal disease through sexual contact.

The foamy consistency of white discharge from the penis indicates the development of trichomoniasis, which occupies a leading position in prevalence among sexually transmitted diseases.

Chronic prostatitis may also be the cause of white discharge from the urethra. In addition to discharge, symptoms of the disease include loss of potency or a significant decrease in its level.