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Male discharge and other symptoms: itching, burning, pain
Last reviewed: 04.07.2025
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One of the main problems of modern medicine is discharge in men. The significance of this problem is that when discharge appears, it is necessary to find out the exact reason why it occurred, and also to select the appropriate treatment. Their danger is that they can be one of the symptoms of a serious disease, so modern diagnostics is the most important condition under which you can effectively get rid of complaints. It is also necessary to take into account that discharge in the male half of the population can be normal and do not require special treatment. But for this you need to be completely sure that the discharge is not pathological, which confirms the importance and significance of diagnostics, especially in the early stages.
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Symptoms
Usually both pathological and natural physiological fluid are released. Pathology can be detected by lightly pressing movements massaging the penis in the lower part. The movements should be directed towards the head. It is also important to capture the upper areas.
Discharge comes in different types.
Spermatorrhea is a spontaneous discharge that occurs as a result of decreased tone of the genitourinary system. It is quite difficult to determine exactly why they occur.
Hematorrhea most often occurs as a result of severe damage to internal organs, the genitourinary system, and also as a result of injuries. The cause may also be the ingress of a foreign body. It may be a consequence of surgical or any other instrumental intervention. Less often - high blood pressure, neoplasms.
Leukocyte erythrothrea is observed, which is an exudate that is released as a result of inflammation. Such secretions can be provoked by viruses, sensitizing substances, injuries. They differ sharply in duration, stage, composition. At first, mucus is released, then it acquires a white, milky shade. It occurs against the background of infection, intracellular parasites. If the pathological process is neglected, pus may begin to form.
Pus is formed from leukocytes, damaged epithelium, and mucus. It is initially secreted in small quantities, drop by drop. Gradually, the quantity increases, and the consistency changes. Purulent discharge can be recognized by its characteristic yellow or green hue, as well as by a specific unpleasant, sometimes even foul odor. Usually, all pathological processes spread quite quickly and are accompanied by concomitant symptoms, such as burning and painful sensations. Usually, normal discharge is not accompanied by discomfort and has no odor, and is mostly white or transparent.
[ 2 ], [ 3 ], [ 4 ], [ 5 ], [ 6 ], [ 7 ]
Discharge in men during arousal
When aroused, the male body begins to synthesize a liquid that is released from the urethra. It is usually odorless. Sometimes a slight smell of spermine can be felt. It performs a lubricating function: it lubricates the canal, promoting improved sperm flow.
Urine leakage during orgasm in men
In rare cases, a certain amount of urine appears during orgasm, which is caused by insufficient tone, decreased activity of the muscle responsible for regulating excretory processes. Urine can be excreted in small quantities, as well as in fairly large quantities. All this can be accompanied by pain, or not accompanied by any sensations. Be that as it may, a diagnosis is required. Then therapy is selected.
Stool release during orgasm in men
This is a pathology, the cause of which is quite difficult to determine without examination. But in most cases, the cause is weakness of the anal sphincter, intestinal atony, dolichosigma, which causes a decrease in intestinal tone, contractile activity, constant constipation and dilation of the rectum and sigmoid colon, fecal incontinence at the initial stage. Often this indicates problems with the rectum, small intestine.
Discharge during urination in men
There are also cases in which urination is accompanied by mucus discharge, which indicates inflammation at the initial stage. Often, such discharge can be noticed only after a night's sleep, since at this time it is more intense. During the day, it is less noticeable, since an insignificant amount is mixed with urine. Mostly white or transparent. Less often, there are bloody discharges, which indicate acute inflammation or damage, other, very diverse causes.
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Itching and discharge in men
These sensations are usually associated with cell allergization, increased sensitization or intoxication of the body. Less often - with the development of superficial skin irritation.
Male discharge with pain when urinating
A non-specific sign of any disease, both specific (infectious) and non-specific. It is impossible to determine the cause without diagnostics. Many reasons can be assumed, but without precise analysis they are all unreliable. Therefore, early diagnostics are very important, since it is possible to prevent the development of a serious, severe disease, including cancer.
Burning without discharge in men
An identification sign of non-specific inflammation developing against the background of a chronic or persistent infection. It also indicates that the body is experiencing mechanical damage, the ingress of a foreign body.
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Burning and discharge in men
Develops against the background of infection or reduced immunity. Burning indicates progression or a late stage, the development of intense irritation. Burning occurs with deep tissue damage.
Yellow discharge in men
Indicates the development of a bacterial infection, which is activated against the background of reduced immunity, dysbacteriosis. This leads to the development of various non-specific inflammations.
Purulent discharge in men
They are released as a result of the formation of pus in the urogenital organs, accompanied by an intense inflammatory process. Often, an intense purulent process is characteristic of the development of gonorrhea. The color varies from light to dark brown. The smell is often putrid.
To determine the exact cause of the pathology, it is necessary to take laboratory tests. When examining a smear, a large number of epithelial cells and leukocytes can be detected. Most often, the exact cause of the pathology can only be determined on the basis of a bacteriological or virological study. This is due to the fact that many pathogens of venereal diseases cause approximately the same picture of pathology. A combination of several microorganisms, the so-called mixed infection, is often detected. The main accompanying factors are pain.
Smelly discharge in men
Always more noticeable, since they do not always appear, but only in exceptional cases. Normal - with overexcitement, prolonged abstinence, with some physiological characteristics.
Pathological ones are distinguished by an unusual, foul, putrid smell. It appears with intensive development of bacterial microflora. It comes directly from the perineum area. This indicates inflammation, most often it is at a late stage. Some chronic diseases can smell bad. At the same time, unpleasant accompanying factors always appear, for example, burning, pain.
Curdy discharge in men
Indicates thrush, which is characterized by the development of fungal microflora, especially Candida fungi. It occurs as a result of dysbacteriosis, in which the number of microorganisms decreases sharply, and their place is colonized by pathogenic species, including fungi. Often, this condition occurs against the background of reduced immunity, dysbacteriosis, after a long illness, as a result of antibiotic treatment and chemotherapy.
Diagnosis is made by conducting a bacteriological study, during which a smear is cultured. Then the representative that became the pathogen is determined, and therapy is selected.
Bloody discharge in men
Bloodiness indicates an acute form of inflammation, intoxication, or the ingress of a foreign body. Quite often, such phenomena are observed after operations and invasive manipulations.
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Mucus discharge in men
Mucus can be secreted both during natural, physiological processes, for example, during overexcitement, and against the background of various inflammatory processes and infections. Mucus can indicate a mild inflammatory process, dysbacteriosis or opportunistic infection, as well as the initial stage of some serious disease, for example, a severe inflammatory process, and even cancer. Therefore, it is important to promptly identify the cause of the mucus and take the necessary measures.
Discharge in men without odor and itching
This may be a sign of normal discharge, or it may indicate a pathology. Without diagnostics and consultation with a doctor, it is impossible to establish the cause and prescribe treatment. This can be absolutely any reason: from overexcitement to one of the symptoms of a dangerous venereal disease or a cancerous tumor.
Green discharge in men
Green color is a sign of bacterial infection. Usually it indicates a rather high degree of bacterial intoxication, which causes intensive formation of exudate and development of the inflammatory process.
Brown discharge in men
Brown discharge is a sign of a very high degree of bacterial intoxication, which results in the formation of pus and the development of purulent-septic, inflammatory processes. Urgent treatment is required, since necrotic inflammation may begin, and the risk of infection spreading, bacteremia and sepsis increases.
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Discharge under the foreskin in men
This is a sign of balanoposthitis, a disease in which the foreskin becomes inflamed and an inflammatory process develops. Local purulent discharge is observed. Blood impurities, swelling of the head, and pain are also possible.
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Itching, redness and discharge in men
Often a sign of an inflammatory or infectious process. Less often, such phenomena are observed in allergic reactions, increased sensitization and sensitivity of the skin. There can be many reasons, without diagnostics it is impossible to determine the nature of the pathology and make a diagnosis.
Temperature and discharge in men
Temperature always indicates an acute inflammatory process and the development of infection. However, it is possible to determine in more detail the cause of the pathology and the localization of the inflammatory process only on the basis of a comprehensive examination and laboratory tests.
Smelly discharge from men
Discharges with an odor always indicate their pathological nature. Normal discharges have no odor. An exception may be spermatorrhea, which is released during intense overstimulation. They have a slight smell of sperm. The sharper the odor, the more severe the pathology.
Cloudy discharge from the urethra in men
Cloudiness may be a sign of an intense inflammatory process or the development of a bacterial infection. Less often, it may indicate the absence or irregularity of sexual activity, congestion
Fishy smelling discharge in men
This is gardnerellosis - a disease of bacterial origin. It is considered a venereal disease, but in most cases the cause of its occurrence is a violation of normal microflora, dysbacteriosis, as a result of which pathogenic microorganisms predominate. For treatment, immunomodulators and immunocorrectors are mainly used, as well as probiotics. Of the probiotics, lactic acid microorganisms are required. Specific antibacterial therapy is inappropriate.
Stringy discharge in men
This may be a sign of chlamydia, mycoplasmosis, or ureaplasmosis. All diseases are infectious, transmitted mainly sexually. For a correct diagnosis, laboratory diagnostics are required.
Glassy discharge in men
They can occur against the background of such diseases as trichomoniasis, prostatitis. They can occur as a result of difficulties in sexual life, with irregular sexual contacts.
Who to contact?
Diagnostics masculine discharge
In order to diagnose the disease, it is necessary to undergo a consultation with a urologist. First, he will receive general information about the patient, collect anamnesis of life and disease. It is important to know as many details as possible about how and when the disease first appeared, what complaints bother the patient, what measures were taken, whether there were similar cases before.
Then the doctor examines the perineum to identify areas of inflammation and rashes. The doctor also pays attention to discharge, if any, and its nature. Traces of discharge may remain on the underwear, which the doctor also pays attention to.
After this, the doctor palpates the lymph nodes in the groin area and evaluates their condition. Pays special attention to their size, density, whether they are painful, soft or dense. The temperature of the nodes and surrounding tissues is assessed. The mobility of the nodes or their adhesion to the skin, the appearance of any ulcers are assessed.
Then the doctor examines the prostate using the digital method. This method can detect neoplasms, differentiate prostate adenoma, malignant and benign neoplasms.
The doctor then collects biological material for further laboratory testing. If necessary, instrumental testing and differential diagnostics are performed.
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Tests
The material for the study is a smear from the urogenital tract. The smear is examined microscopically. For this, it is pre-stained. Epithelial components can be seen. Some pathogens of infectious diseases, in particular, some bacteria, can also be detected.
An increased white blood cell count may indicate the development of acute urethritis, as well as an exacerbation of a chronic inflammatory process. An increase in eosinophils indicates an allergy. The appearance of red blood cells in smears indicates severe inflammation. The appearance of grain may indicate spermatorrhea.
If the information is insufficient or a bacterial infection is suspected, a bacteriological culture is performed. To do this, a smear is taken, then its primary culture is performed on selective nutrient media. Incubated for several days in a thermostat, after which the largest colonies are transferred to selective nutrient media. A pure culture is obtained, then it is incubated. After the culture has grown, a series of biochemical and immunological tests are performed to identify it.
If necessary, an antibiotic sensitivity test is performed - the optimal antibiotic is selected that has the maximum effect on the pathogen, and its dosage is determined.
If a disease of viral etiology is suspected, virological and, less commonly, immunological studies are performed.
Standard clinical tests are also taken - blood, urine, stool, biochemical analysis, blood sugar. A comprehensive urine analysis and sterility analysis may be required.
Instrumental diagnostics
The main methods of instrumental examination used to establish a diagnosis are ultrasound of the prostate, bladder and kidneys, computed tomography, urography. If a malignant tumor is suspected, a biopsy is performed with the taking of a tissue sample for examination. Then further histological examination of the obtained sample is carried out.
Differential diagnosis
Differential diagnostics is based on the need to differentiate several different diseases with the same symptoms. Most often, it is necessary to differentiate different types of infectious diseases. Bacteriological and virological research methods are used for this. It is also often necessary to differentiate the consequences of injuries from inflammatory processes, as well as various neoplasms. It is always important to differentiate a malignant tumor from a benign one. This requires a biopsy with subsequent histological examination.
Complications and consequences
The consequences can be quite serious if timely treatment is not received. Often, discharge is a sign of severe venereal diseases, inflammatory processes, which without treatment only worsen and progress. The consequence can be the chronicization of the acute inflammatory process, as well as the development of malignant neoplasms, necrotic processes, generalization of infection, the development of bacteremia and sepsis. Often, the consequence is infertility.
Prevention
The main preventive measure is to abstain from casual sexual contacts. It is recommended to have regular sexual relations with one partner. Regularity and purity of sexual relations are among the most important conditions for prevention.
Maintaining a daily routine and proper nutrition is an important condition for prevention. It is necessary to exclude fatty, spicy dishes, preservatives and dyes, pickles and marinades from the diet if possible. This will help maintain the urinary system in the norm. It is necessary to protect yourself from hypothermia, overwork, and avoid stress. If necessary, include vitamin and mineral complexes in the diet. It is important to maintain the necessary level of physical activity, spend enough time in the fresh air. The food should be rich in seafood, as well as nuts and cereals.