What to do if one day you notice the appearance of discharge from the penis? Should I panic or calm down and wait for it to go away on its own?
First you need to really calm down. Your body is your helper! It gives you a signal that your health is not good.
Very often, unusual discharge from the penis becomes the first, and sometimes the only, symptom of a serious illness. Therefore, a man, paying attention to his genital organ, must pay attention not only to its size, but also to the nature of the discharge.
There is no need to “diagnose” the disease yourself and self-medicate! Your attempts at self-medication will not bring recovery, but will only distort the symptoms of the disease and lead to the loss of time - precious in some serious diseases, and the disease will return with renewed vigor.
The field of urology is quite vast. At Alan Clinic we will help you get rid of many urological diseases.
When is penis discharge contagious?
Sometimes discharge from the penis is contagious.
In other cases, they cannot lead to infection of the sexual partner.
If there is discharge from the penis, this may be due to a large number of reasons.
The main ones:
- STDs (venereal infections);
- nonspecific inflammatory processes;
- allergic reactions;
- traumatic injuries to the urethra;
- oncological pathologies (manifested by discharge only in an advanced stage, when other symptoms become obvious);
- prostate diseases (including benign hyperplasia);
- neurogenic dysfunctions of the pelvic organs.
Do not forget that the discharge can also be physiological.
For example, during sexual arousal, pre-ejaculate is released.
Almost all pathologies are not transmitted during sex.
Only discharge caused by an STD is contagious.
But these reasons are the most common.
Especially if there are accompanying symptoms:
- burning;
- unpleasant odor of discharge;
- dysuria;
- dyspareunia;
- rash, etc.
Prevention
There are a number of preventive recommendations. First of all, you should take care of your personal intimate hygiene. A negligent attitude can result in the development of many dangerous diseases. It is necessary to wash the head of the genital organ daily with laundry soap, removing accumulated smegma from the surface. The procedure should be performed twice a day (morning and evening). To avoid contracting sexually transmitted diseases, you should use contraception when having sexual intercourse with an unfamiliar partner. In addition, it is necessary to undergo a comprehensive medical examination at least once a year, which will help to promptly identify and eliminate possible health problems.
Discharge from the penis due to gonorrhea
The first thing the doctor will think about when this symptom is detected is a gonococcal infection.
In the classic version, copious white discharge appears from the penis.
This is a consequence of the reaction of incomplete phagocytosis.
Gonococci are protected from leukocytes and maintain vital activity even inside cells.
Copious white discharge from the penis appears within 2-3 days after infection.
Less commonly, the incubation period lasts up to 1 week.
Symptoms are usually severe and occur acutely.
This forces men to immediately seek medical help.
But if the symptoms are mild and the patient does not go to the doctor, the disease can become chronic.
There is a risk of damage to:
- testicles;
- prostate;
- vas deferens.
The formation of abscesses in the genitourinary system is possible.
In rare cases, gonococcal infection becomes disseminated.
This happens if the pathogen enters the blood.
This form of the disease is dangerous, since the inflammatory process involves joints, internal organs, and the brain.
Discharge from the penis due to gardnerella
Gardnerella is not a pathogen of sexually transmitted diseases.
However, their ability to be sexually transmitted has been proven.
They usually do not cause inflammatory reactions in men.
Because gardnerella lives in the female reproductive system.
They are not suitable for the male body.
But in isolated cases they can cause inflammation of the distal urethra and head of the penis.
Transparent discharge appears from the penis.
An unpleasant odor occurs.
Grayish deposits may appear.
The disease is characterized by a benign course.
Sometimes it goes away on its own after a while.
But in other cases, gardnerellosis leads to the development of severe anaerobic balanoposthitis.
Erosion appears on the penis.
There is a risk of developing phimosis or the transition of inflammation to a gangrenous form.
White mucus on penis
Mucus does not always flow from the urethra. Sometimes it can collect on the head of the penis. The reasons for this are both physiological and pathological.
If there are no other symptoms other than mucus on the penis, it is most likely smegma. It is the secretion of the sebaceous glands and dead epithelial cells. In uncircumcised men, smegma often accumulates under the foreskin.
Its color is usually white. Smegma should be regularly removed through hygiene procedures. Because it can become a nutrient substrate for microorganisms.
As a result, inflammatory processes are possible. Smegma contains a large amount of fat.
Most of it is formed during high sexual activity. This is a consequence of increased testosterone production. It is this hormone that regulates the activity of the sebaceous glands.
After age 25, testosterone levels begin to decline. The sebaceous glands produce less secretion. Accordingly, the amount of smegma decreases. It does not appear in old age.
Read also STDs
Discharge from the penis due to candidiasis
Candida is an opportunistic fungus.
They may be part of the resident microflora of the genitourinary tract.
Usually found on the penis in small quantities.
But sometimes they can cause inflammation.
There are two reasons for this:
- infection from a woman suffering from vulvovaginal candidiasis through sexual intercourse;
- endogenous infection that develops due to excessive growth of the fungus against the background of predisposing factors.
Predisposing factors may be:
- insufficient genital hygiene;
- diabetes;
- HIV;
- immunodeficiencies;
- maceration of the skin, including due to discharge caused by other pathogens.
Discharge from the penis with candidiasis is thick and white.
Usually they are not abundant.
Appear in the form of raids.
They can be easily removed.
Red spots are found under the plaque.
Less often, erosions and cracks open there.
Discharge from the penis due to chlamydia
The urethra remains the favorite location for chlamydia in men.
This disease may be indicated by clear discharge from the penis.
Chlamydia is an intracellular parasite.
It provokes scarring processes in the body.
It spreads quite quickly to neighboring organs.
It can affect the testicles, their epididymis, prostate gland, and seminal vesicles.
Chlamydia is the most common cause of infertility in men.
It develops mainly as a result of scarring in the vas deferens and epididymis.
Sperm lose the ability to freely enter the urethra during ejaculation.
Therefore, this form of infertility is characterized by azoospermia - the absence of sperm in the ejaculate.
Chlamydia is the most common cause of Reiter's disease among all sexually transmitted infections.
This pathology is manifested by acute inflammation of the joints.
The skin, eyes, and tendons are also affected.
The disease can last for months.
It also persists after chlamydia is cured.
What urethral discharge is considered not a pathology?
Almost every representative of the stronger half of humanity has encountered similar phenomena. There was concern: the appearance of clear, odorless mucus-like discharge - what could this mean in men?
The urethra consists of ducts, and the foreskin contains tysonium glands that secrete smegma. The latter is a special segment of mucous consistency. The volume of smegma decreases with age. Normally, smegma is white or yellow in color and contains bacterial elements.
All male representatives secrete the following physiological fluids from the urethra:
- urine. Normally, urin is a transparent liquid of a yellowish color and almost odorless;
- secretion of the prostate. This viscous liquid is characterized by a whitish color and has a specific odor;
- ejaculate. Normal sperm is mucous and grayish-white in color.
In addition, the following are considered natural:
- Sperm. It is usually released during sexual contact. However, at a young age it can occur without sexual intercourse. The guy most often experiences wet dreams in the morning.
- Urethrorrhea. Colorless discharge in small quantities is characterized by a mucous consistency. They are secreted to protect the inner surface of the urethra and improve the passage of sperm. Urethrorrhea occurs with strong arousal.
- Prostatorrhea or defecation. With the first, there is a slight release of prostate secretion after the process of urination. And the second occurs as a result of tension in the muscles of the abdominal wall during defecation.
However, not in all situations the above discharge is considered the norm. It is important to monitor their color, volume, and frequency of appearance.
Discharge from the penis with ureaplasmosis and mycoplasmosis
There are other infections that affect the urethra.
These include urogenital mycoplasmosis or ureaplasmosis.
These pathogens are classified as bacteria.
They are very small in size and cannot be detected by microscopy.
Often bacteria do not cause inflammation if their number is small.
But as soon as pathogens increase their population, signs of urethritis appear.
The release of clear liquid from the penis begins.
Dysuria occurs.
Mycoplasmas are the second most common cause of Reiter's disease among all sexually transmitted infections.
It causes about 15% of cases of this pathology.
Urogenital mycoplasmas can colonize the prostate.
They themselves do not cause prostate symptoms.
But if gram-negative flora is added, severe inflammation may begin.
A complication is the formation of a prostate abscess.
In this case, the patient requires surgical treatment.
Discharge from the penis with nonspecific urethritis
Sometimes inflammation is a consequence of a nonspecific infection.
It can be caused by various bacteria:
- staphylococci;
- Proteus;
- coli;
- streptococci and others.
Purulent discharge from the penis.
Lymph nodes are often enlarged.
There is redness and pain inside the urethra.
With a strong inflammatory process, general symptoms are also possible.
Subfebrile body temperature appears.
Patients complain of muscle pain and malaise.
Nonspecific infections are very dangerous.
If purulent discharge appears from the penis, bacteria can spread to the bladder, kidneys, and prostate.
Gram-negative flora is especially dangerous.
It causes severe inflammation with abscess formation.
Associated symptoms
Excretory processes accompanied by an unpleasant odor or the appearance of other symptoms may indicate the presence of sexually transmitted or inflammatory diseases. You can suspect trichomoniasis, chlamydia, ureaplasmosis, pyelonephritis, cystitis, prostatitis, balanoposthitis, gonorrhea or urethritis.
Associated symptoms:
- difficulty urinating,
- feeling of incomplete emptying of the bladder,
- the appearance of pain syndrome,
- unpleasant smell,
- the appearance of pus and blood,
- itching and burning in the urethra, on the head or in the foreskin,
- erectile disfunction.
If you experience difficulty urinating, lack of sexual desire, increased urge to go to the toilet and a feeling of incomplete emptying, prostatitis can be suspected. Pain, burning and itching are common symptoms characteristic of any disease. The smell indicates the proliferation of microorganisms on the mucous membrane of the penis.
Discharge from the penis after a smear
To diagnose infections of the urogenital tract, smears are often taken from men.
They are taken from the urethra.
You can use a regular cotton swab for this.
But if the study is carried out using PCR, then a probe can be used.
It looks like a brush.
The doctor places it in the urethra and rotates it several times.
This is required to collect epithelial cells from the walls of the urethra.
The result of trauma to the urethra may be minor discharge.
They are transparent and not plentiful.
You may experience pain that gets worse with urination.
This is not a sign of pathology.
Just a normal inflammatory reaction in response to traumatic irritation.
It goes away quite quickly.
You should be wary only if yellow discharge appears from the penis.
This may be evidence of the addition of an infectious component of inflammation.
Bloody discharge
Blood impurities are formed during urethritis:
- gonorrhea;
- trichomoniasis;
- candidiasis
In hematospermia, semen secretions with blood clots are recorded. In urological practice, there are two forms of defining this process - false and true hematospermia.
- False is understood as the mixing of blood with sperm at the moment when it passes through the urethra.
- With the true type, blood penetrates into the ejaculate before it passes through the urination channel.
Hematospermia is accompanied by the following symptoms:
- pain during ejaculation;
- severe burning sensation when urinating.
Discharge from the penis with prostatitis
Inflammation of the prostate gland can be acute or chronic.
In chronic cases, there is usually no discharge from the penis.
In acute forms of pathology they appear.
This may be yellow discharge from the penis.
Inflammation of the prostate in acute form is most often caused by gram-negative flora.
It enters the prostate gland:
- ascending from the urethra;
- hematogenous or lymphogenous route from other parts of the body in the body.
Inflammation of the prostate also manifests itself with other symptoms:
- pain in the perineum;
- difficulty urinating;
- general intoxication syndrome.
The pathology is quite dangerous.
In its natural course, it can become more complicated.
Purulent melting of prostate tissue occurs.
Abscesses form.
Gangrenous forms of inflammation are possible.
They threaten not only the health, but also the life of a man.
Therefore, if yellow discharge appears from the penis, you should consult a doctor and get examined.
Timely treatment of prostatitis will allow:
- avoid complications;
- be treated with medications without resorting to the help of surgeons;
- get rid of severe symptoms faster.
Without inflammatory process
Usually occur due to injury, pathologies of a neurological nature or oncology.
- Spermatorrhea is a serious disease accompanied by frequent release of seminal fluid that is not associated with sexual activity. It is a consequence of loss of tone in the vas deferens, which may be caused by neurological pathology or diseases of the spine.
- Prostatorrhea . It may be a variant of the norm or indicate the development of prostatitis or adenoma - only a doctor will tell you about this.
- Brown discharge with blood or purulent clots often indicates oncological processes .
Colorless discharge
Clear discharge accompanies chlamydia, ureaplasmosis, trichomoniasis, and gonorrhea.
With chlamydia and ureaplasmosis, they are observed in the chronic phase of the disease. During exacerbations, the growth of leukocytes is recorded, which is manifested by a color change to yellow or yellow-green. There may be no other symptoms (pain, discomfort).
Trichomoniasis and gonorrhea at the initial stage are accompanied by colorless discharge with mucus.
Yellow discharge
Yellow discharge indicates sexually transmitted diseases.
With gonorrhea, there is a rotten smell and pain when urinating. The classic manifestation is the occurrence of discharge in combination with itching.
Trichomoniasis can be asymptomatic. The characteristic clinical picture, in addition to discharge with pus, includes pain and itching, a constant desire to go to the toilet, and a feeling of heaviness in the lower abdomen.
Discharge from the penis with balanoposthitis
In men, cases of inflammation of the head of the penis often occur.
There is discharge on its surface.
It can be mucous or purulent.
It all depends on what pathogen caused the pathology.
Most often these are candida fungi or nonspecific bacterial flora.
The disease manifests itself:
- red spots;
- erosions;
- foul odor;
- swelling of the penis;
- painful sexual intercourse.
Tests for discharge from the penis
It is impossible to determine the causes of discharge from the penis by eye.
Even if they are characteristic and lead the doctor to think about certain infections, laboratory confirmation is still required.
It is based on identifying the pathogen in the discharge.
Its detection is carried out using various methods.
Most often used:
- microscopy;
- PCR;
- sowing tank
Microscopy of the discharge allows one to identify a number of pathogens.
The most common fungi found are candida or gonococcus.
With candidiasis, pseudomycelium is visualized and budding fungal cells are detected.
In gonorrhea, bean-shaped diplococci are found, arranged in pairs.
Some of them are located inside white blood cells.
Such bacteria stain negatively according to Gram.
Occasionally, trichomonas may be detected in a native smear in men.
They are identified by their characteristic jerking movements and the presence of flagella.
The second stage of the examination is PCR.
The molecular diagnostic technique allows you to identify any pathogen with high accuracy.
PCR is based on identifying the DNA of bacteria, fungi, viruses or protozoa.
If a nonspecific inflammation is suspected, bacteriological culture is often performed.
Smears are taken before starting antibiotic therapy.
But antibiotics are often prescribed immediately, without waiting for test results.
They arrive only after a few days, because it takes time for colonies to grow on the nutrient medium.
Subsequently, their sensitivity to antibiotics is assessed.
If necessary, the doctor can change the antibiotic regimen.
This is necessary in cases where it turns out that the isolated bacteria have low sensitivity to the previously prescribed drug.
Topical diagnostics are also carried out.
The doctor must know which structures and organs are involved in the inflammatory process.
Ultrasound and cystoscopy are performed.
A three-glass urine sample is prescribed.
A microscopic examination of prostate secretion is performed.
A general urine test is given.
Diagnosis and treatment
A diagnosis can be made only after laboratory and instrumental examination. Initially, doctors recognize the patients’ complaints, conduct an examination and determine the nature of the discharge. Possible diagnostic methods include:
- Examination of the head, perineum and foreskin to determine changes, the presence of mechanical damage, inflammation and the nature of plaque.
- Palpation of lymph nodes to assess their condition.
- Massage the prostate to examine it, and the resulting secretions are sent to the laboratory for examination under a microscope. Before the procedure begins, the patient must not urinate for 2-3 hours.
- A smear must be submitted for analysis to determine pathogens. It must be taken no earlier than 3 days after using local preparations against fungi and bacteria. Before the test, you should not urinate for 3 hours or wash your penis.
- Blood donation for general clinical picture and sugar.
- Submission of urine for a detailed examination.
- Ultrasound of the prostate and kidneys.
- CT and urography.
If the inflammatory process is severe and accompanied by severe symptoms, then the patient is prescribed antibiotics until the results are obtained. In case of heavy discharge with blood, the man is hospitalized to stop the bleeding. If cancer is suspected, doctors do a biopsy.
Treatment depends on the specific type of pathogen and is determined individually for each patient. Most diseases are treated by using broad-spectrum antibiotics. Specific drugs are prescribed after determining the pathogen and its susceptibility to the active substances.
In case of infection with intracellular bacteria, the patient is prescribed an antibacterial drug, which can enter the DNA of the infection and destroy it from the inside. For fungal infections, therapy is carried out with external antifungal agents; tablets can also be used. The course of treatment is selected individually, sometimes supplemented with painkillers or anti-inflammatory drugs.
If a man has an accumulation of smegma, he will need to perform a number of simple procedures:
- In the morning and evening, perform penile hygiene using soap or other means.
- Apply Tetracycline ointment to the head to prevent inflammation.
- Wash the foreskin with a light solution of potassium permanganate or Miramistin.
There is no need to take tablets orally if there is no severe inflammation. Local antibacterial agents are suitable to remove bacterial infections:
- Cream Baneocin.
- Levomekol.
- Tetracycline ointment.
- Metrogil.
It is permissible to make lotions based on a solution of Chlorhexidine or Miramistin. For severe swelling and redness of the foreskin, the antibiotic Azithromycin or Tsiprolet is prescribed. To eliminate fungi, antimycotic drugs are recommended:
- Pimafucin.
- Clotrimazole.
- Candide.
The head is treated with medications 2-3 times a day. To strengthen the immune system, take immunomodulators and vitamin complexes. If antibiotics are prescribed, you should immediately buy probiotics and prebiotics to complement them, which will restore the microflora. The diet must be adjusted, excluding:
- Sour.
- Spicy.
- Salty.
- Smoked.
- Roast.
If a fungus is diagnosed, then you need to give up baked goods, sugar and carbohydrates. The menu is balanced and high in calories so that the body can fight the disease.
At the initial stage of development of diseases with white discharge on the head of the penis, you can use traditional medicine. They will help speed up the healing process and remove characteristic symptoms. It is recommended to use herbal infusions and decoctions, and for white plaque it is best to use:
- Oak bark.
- Calendula.
- Bird cherry.
- Alternately.
- Chamomile.
Ready-made liquids are consumed internally or applied externally. In addition, the immune system is strengthened, but use all recipes only after prior consultation with a doctor. Self-treatment can lead to negative consequences and a general deterioration of the condition.
Treatment for discharge from the penis
The treatment regimen depends primarily on the isolated microorganisms.
If the discharge from the penis is caused by gonorrhea, ceftriaxone is prescribed.
In cases where the cause is Candida fungi, therapy is carried out:
- local - clotrimazole;
- systemically - fluconazole.
If chlamydia is detected, doxycycline or josamycin is prescribed.
If trichomonas are detected, metronidazole is used.
The same drug or clindamycin is used in the treatment of gardnerellosis.
Nonspecific inflammatory processes can be treated with different drugs.
The choice depends on which flora is isolated: gram-positive or negative.
Antibiogram data are also taken into account.
Local therapy becomes an addition to systemic treatment.
Antiseptic baths are used.
They are inserted into the urethra.
Washing is carried out 2 times a week.