Treatment of white discharge from the urethra in men

Before proceeding to eliminate the cause of the appearance of white discharge in men, it is necessary to undergo a comprehensive diagnosis. After the doctor identifies the nosology and establishes the type of pathogen, a therapy plan is drawn up.

The main goals of treatment:

• Relief of clinical symptoms.
• Reducing the frequency of relapses.
• Prevention of development of complications.
• Reducing the risk of sexual partner infection.
• Improving the quality of life of the patient.

Most diseases are treated with broad-spectrum antibiotics. After determining the sensitivity of the microflora, the patient is prescribed a drug to which the pathogen is less resistant.

If intracellular bacteria became the cause of white exudate from the penis, then the man is prescribed medications that can penetrate into cellular structures to fight parasites. For fungal infections, antifungal drugs are used, both for external and internal use. If the discharge occurs with severe pain, then non-steroidal anti-inflammatory drugs and painkillers are used.

Also, the therapy may include physiotherapy procedures aimed at stimulating local immunity. Vitamins and minerals are taken to increase the body's defenses. Particular attention is paid to preventive measures, the main purpose of which is to prevent the recurrence of the problem or its complications.

Drug treatment

The method of treating white discharge in men directly depends on the cause of their origin. Only after establishing the factors for the appearance of pathological exudate, the doctor draws up a treatment plan and prescribes medications.

In most cases, drug therapy involves taking antibacterial drugs. They are prescribed for diseases transmitted during sexual intercourse, various infections.

Azithromycin

A broad-spectrum antibiotic from the macrolide group. Creates high concentrations in the lesion, has bactericidal properties.

• Indications for use: infectious diseases caused by microorganisms sensitive to the drug. Urinary tract infections, gonorrheal and non-gonorrheal urethritis, infections of the lower and upper respiratory tract, ENT organs, Lyme disease.
• Method of application: before prescribing the drug, an analysis is carried out for the sensitivity of microflora. In acute infections of the urogenital tract, take 1 g once a day. The duration of treatment is determined by the attending physician.
• Side effects: transient increase in liver enzymes, nausea, vomiting, flatulence.
• Contraindications: hypersensitivity to macrolide antibiotics, severe renal and hepatic dysfunction, pregnancy and lactation.

Release form: tablets of 0.5 and 0.125 g of azithromycin, capsules of 250 mg.

Amoxiclav

Combined antibacterial agent. Contains an active ingredient from the group of penicillins with a wide spectrum of action.

• Indications for use: urogenital and gynecological infections, mixed infections, pneumonia, gonorrhea, skin and soft tissue infections, bone and joint infections, otitis media, sinusitis, prevention of purulent-septic complications in the postoperative period.
• How to use: orally, before meals. The maximum daily dosage for adults is 6000 mg. The duration of therapy is 5-14 days.
• Side effects: disorders of the digestive system, skin rashes, urticaria, headaches, confusion, an increase in liver function tests. It is also possible to develop hematuria and interstitial nephritis.
• Contraindications: intolerance to the components of the drug, hepatitis, cholestatic jaundice. In case of overdose, more pronounced adverse reactions occur, treatment is symptomatic.

Presentation: 250 mg tablets, 2X 125/500 mg tablets, Quiktab tablets, powder for oral suspension, powder for solution for intravenous administration.

Ceftriaxone

Third generation cephalosporin antibiotic. It has bactericidal properties, is active against gram-positive and gram-negative microorganisms.

• Indications for use: infectious diseases caused by bacteria sensitive to the drug. Infections of the genitourinary organs, gynecological infections, infections of the ENT organs, upper and lower respiratory tract. Lyme disease, bacterial meningitis, typhoid fever.
• Method of application: intravenously and intramuscularly. The dosage and duration of treatment is determined by the attending physician, individually for each patient.
• Side effects: nausea, vomiting, diarrhea, cholestatic jaundice, hepatitis, allergic reactions, pain at the injection site, phlebitis.
• Contraindications: hypersensitivity to cephalosporins, penicillins, renal and hepatic failure.
• Overdose: prolonged use of the drug may cause changes in the blood picture. Treatment is symptomatic.

Release form: powder for solution for injections of 0.5, 1 and 2 g in vials.

Ofloxacin

A broad-spectrum antibacterial agent from the group of fluoroquinolones. Affects mainly gram-negative bacteria. Has bactericidal properties.

• Indications for use: infectious diseases of the urinary tract, abdominal cavity, kidneys, inflammation of the prostate gland, gonorrhea. Infections of the respiratory tract, ENT organs, skin and soft tissues.
• Method of application: inside 0.2 g 2 times a day. The course of treatment is 7-10 days.
• Side effects: allergic reactions, stool disorders, insomnia, headaches, anxiety, thrombocytopenia, impaired perception of taste and smell, photosensitivity.
• Contraindications: intolerance to quinolones, epilepsy, children and adolescents.

Release form: tablets of 0.2 g, 10 pieces per pack.

Erythromycin

Antimicrobial agent, is active against gram-positive and gram-negative microorganisms. It is better tolerated than penicillins, so it can be used to treat patients allergic to penicillin.

• Indications for use: infectious diseases of the lungs, organs of the genitourinary system, osteomyelitis, syphilis, bronchiectasis. The ointment is used for infected wounds, pustular skin lesions, bedsores.
• Method of application: inside 0.25 g every 4-6 hours, if the disease is severe, then take 0.5 g. The ointment is applied in a thin layer to the affected tissues, 2-3 times a day. The duration of treatment is determined by the attending physician.
• Side effects: nausea, vomiting, diarrhea, liver dysfunction, allergic reactions.
• Contraindications: individual intolerance to the active components of the drug, severe liver dysfunction, history of allergic reactions.

Release form: tablets of 0.1 and 0.25 g, enteric capsules of 0.1 and 0.25 g, 1% ointment.

If there are signs of an inflammatory process or bacteria that cause inflammation are identified, then anti-inflammatory drugs, NSAIDs are indicated.

1. Doxycycline is a semi-synthetic broad-spectrum tetracycline antibiotic. Has bacteriostatic properties. It is used for urinary tract infections, acute and chronic prostatitis, epididymitis. The drug is effective in the treatment of chlamydia, mycoplasmosis, syphilis, gonorrhea and other infectious and inflammatory diseases.
2. Piroxicam has anti-inflammatory, antipyretic and analgesic properties. Reduces pain of moderate intensity. It is used for acute infectious and inflammatory diseases of the genitourinary system, upper respiratory tract. It is effective for articular syndrome, neuralgia, myalgia, traumatic inflammation of soft tissues and the musculoskeletal system.
3. Indomethacin is a strong inhibitor of prostaglandin biosynthesis, has pronounced analgesic properties. It is used for inflammation of the prostate gland and bladder, arthritis, thrombophlebitis, nephrotic syndrome, neuralgia, myalgia, rheumatism.

With fungal invasions and microbes, antimicrobial drugs and agents for local treatment are used, that is, the treatment of the affected organ.

1. Metronidazole is an antimicrobial and antiprotozoal agent. It is used for infections of the abdominal cavity, pelvic organs. The drug is effective in the treatment of trichomoniasis, balantidiasis, bone and joint infections, infections of the central nervous system. It is also prescribed for the prevention of postoperative complications, with gastritis, duodenal ulcer.
2. Miconazole - acts on dermatomyets, yeasts and pathogenic fungi. It has a bactericidal effect on certain gram-positive bacteria. It is prescribed for blastomycetosis of the genitourinary organs, fungal balanitis, mycosis of the scalp, superficial and systemic mycoses.
3. Ketoconazole is an antifungal drug, the mechanism of action of which is based on a violation of the biosynthesis of ergosterol, triglycerides and phospholipids, which are necessary for the formation of the cell membrane of fungi. It is used for superficial and systemic mycoses, fungal infections of the genitourinary and internal organs. Effective as a prophylactic against fungal infections with reduced immunological resistance.
4. Clotrimazole is an antifungal agent from the group of imidazole derivatives. It has a wide spectrum of action, affects almost all pathogenic fungi. It is used for urogenital candidiasis, blastomycetes, dermatomyositis, mold fungi, skin mycoses with the addition of a secondary infection.

For diseases of the urinary system, uroseptics are taken. Medicines have antiseptic and antimicrobial properties, have a beneficial effect on the urethra and other body structures.

1. Oxacillin is a narrow-spectrum beta-lactam antibiotic from the penicillin class. It is effective against penicillinase-forming staphylococci that are resistant to benzylpeniillin and phenoxymethylpenicillin. It is used for inflammation of the bladder and renal pelvis, osteomyelitis, abscesses, septicemia, pneumonia, cholecystitis, postoperative wound infections.
2. Levomycetin is an antimicrobial agent with a wide spectrum of action against gram-positive and gram-negative microorganisms. It has pronounced bacteriostatic properties, in high concentrations it exhibits a bactericidal effect. Drug resistance develops slowly. It is prescribed for the treatment of diseases caused by microorganisms sensitive to levomycetin. The medicine is effective for chlamydia, meningitis, trachoma, infectious diseases of the abdominal cavity and respiratory tract.
3. Ampicillin is a semi-synthetic broad-spectrum antibacterial agent. Affects gram-positive microorganisms, which are not affected by benzylpenicillin. It is used to treat urinary tract infections caused by Escherichia coli, Proteus, Enterococcus or mixed infection, as it is excreted unchanged in high concentrations in urine. Effective in the treatment of gonorrhea. It is also prescribed for pneumonia, bronchopneumonia, tonsillitis, cholecystitis, intestinal infections, sepsis.
4. Monural is a broad-spectrum antibacterial agent with the active ingredient fosfomycin. Shows bactericidal activity against most gram-positive and gram-negative bacteria. It is used for nonspecific bacterial urethritis, bacterial acute cystitis. Effective as a prophylactic at the risk of developing bacterial infections after diagnostic transurethral manipulations and surgical interventions. It is also used for infections of the urinary system of bacterial origin in the postoperative period.
5. Cystone is a drug with anti-inflammatory and diuretic properties. Contains plant extracts that determine the effect of the drug. It is used in the complex therapy of diseases of the urinary system of infectious etiology: nonspecific urethritis, cystitis, pyelitis. It is used for litholysis of stones formed by uric acid and urates. It is also prescribed as a preventive postoperative agent to prevent the formation of stones in the urinary tract.

If pathological symptoms occur with a pronounced acute pain syndrome, then the administration of painkillers and antispasmodics is indicated. Medicines relax the smooth muscles of the urethra and contribute to its sanitation.

1. Papaverine is an alkaloid, myotropic antispasmodic. Reduces tone and reduces the contractile activity of smooth muscles. It has a vasodilating and antispasmodic effect. It is prescribed for spasms of the urinary tract, renal colic, spasms of the abdominal organs, spasms of peripheral, coronary and cerebral vessels.
2. No-shpa - has a pronounced antispasmodic (relieving spasms) effect. It is used for urolithiasis and cholelithiasis, spasms of the stomach and intestines, spastic constipation, spasms of peripheral vessels and angina pectoris. The drug is taken orally, intramuscularly, intravenously, intraarterially. The dosage and duration of therapy is determined by the attending physician.
3. Ketonal - contains the active ingredient ketoprofen from the NSAID group. It has analgesic, anti-inflammatory and antipyretic properties. The mechanism of action of the drug is based on blocking prostaglandins E2, inhibition of bradykinin synthesis and suppression of cyclooxygenase activity. It is used for pain syndrome in the organs of the genitourinary system, arthritis, gout, algomenorrhea, tendonitis, bursitis, spondyloarthritis, after injuries and surgical interventions.
4. Drotaverine is a drug with a pronounced antispasmodic activity against the smooth muscles of the urogenital and biliary system, the gastrointestinal tract, and the smooth muscle layer of the vessels. The mechanism of action of the drug is based on a change in the potential of cell membranes and their permeability. It is used to relieve spasms and eliminate spastic pain. It is prescribed to relieve spasm of smooth muscles in proctitis, pyelitis, cystitis, urethrolithiasis and nephrolithiasis. It is effective for spasms of smooth muscles of the cardial and pyloric sections of the stomach, intestinal colic, ulcerative lesions of the digestive tract.

In addition to taking the above medicines, patients are prescribed washing the genitals with herbal decoctions and infusions, which have antiseptic and wound healing properties. Physiotherapeutic procedures, for example, electrophoresis and warming applications, also have a therapeutic effect.

Vitamins

Deficiency of nutrients in the body negatively affects the state of the immune system, reduces its protective properties. And this may be one of the possible reasons for the appearance of white exudate from the penis in men.

To maintain immunity and speed up the healing process, it is recommended to take the following drugs:

• Vitamin A - stimulates the production of testosterone (male hormone), which has a beneficial effect on the potency and quality of seminal fluid. Retinol is found in carrots, eggs, dairy products, fish, offal.
• Vitamins of group B - B1 is necessary for metabolic processes, B2 takes part in the transfer of oxygen molecules to tissues, stimulating metabolism. B6 is necessary for the normal functioning of the brain, during stress and other factors that negatively affect the central nervous system. B9 is the main element on which the quality of sperm depends. Also, folic acid is involved in the synthesis of DNA and RNA molecules, improves the structure of spermatozoa. B12 stimulates metabolic processes and controls the process of cell division.
• Vitamin C - has antioxidant properties, fights the negative effects of stress factors on the body. Ascorbic acid is especially important for men with nicotine and alcohol addiction. Vitamin maintains a healthy state of blood vessels, prevents the development of pathologies from the cardiovascular system, improves the condition of the skin, joints and cartilage.
• Vitamin D is essential for the absorption of calcium, magnesium and phosphorus. Supports the functions of the heart muscle and brain.
• Vitamin E - stimulates the production of testosterone, affects sexual functions. Prevents fragility of blood vessels, slows down the aging process, removes cholesterol.
• Vitamin H - takes part in carbohydrate-fat metabolism, improves the structure of the dermis, nails and hair.
• Vitamin N - affects the functioning of the thyroid gland, supports the healthy functioning of the liver, hearing and vision. Thanks to its antioxidant properties, it protects the body from radiation and heavy metals.
• Vitamin PP - takes part in the redox processes of the body. Without nicotinic acid, hormones such as estrogen, testosterone, insulin, cortisone, thyroxine, progesterone cannot be formed.

In order for vitamins to bring maximum benefit, the age of the man should be taken into account:

1. 20-40 years old - retinol, B vitamins, tocopherol, PP, ascorbic acid, as well as lecithin, vitamin N and essential phospholipids.
2. 40-55 years old - for men of this age, antioxidant substances and drugs that support the health of the cardiovascular system are important. Vitamin A, C, E, B is recommended.

3. Over 55 years old - at this age, the ability to produce vitamin D decreases, so you should take care of additional sources of its intake. To slow down the aging process and maintain the health of the reproductive system, vitamins A, E, C, B12, N are needed.

In addition to vitamins, minerals should also enter the male body: zinc, calcium, copper, chromium, magnesium, selenium, potassium, iron, iodine. Useful micro and macro elements, vitamins and minerals should be taken only for medical purposes.

Physiotherapy treatment

Ancillary treatment methods for the appearance of pathological discharge from the genital organs include physiotherapy. It is indicated if an unpleasant symptom is caused by inflammatory processes in the body (urethritis, cystitis, pyelonephritis, prostate inflammation, etc.).

Useful properties of physiotherapy:

• Destroys pathogenic flora.
• Promotes relaxation of the muscles of the urethra.
• Starts local immune processes.
• Reduces the activity of the inflammatory process.
• Reduces / relieves painful symptoms.

The main types of physiotherapy procedures:

1. Electrophoresis with the use of antibacterial drugs and drugs with uroantiseptic properties. Medicines are administered by means of an electric current, due to which the concentration of the active substance in the lesion increases by 1.5-2 times.
2. Laser therapy with infrared radiation - during the procedure, the beam is directed to the anterior abdominal wall of the urethra. Intracavitary laser irradiation is also possible. The treatment course consists of ten procedures, the duration of which is 3-5 minutes.
3. UHF therapy - relieves spasms of the muscles of the genital organs, is effective in chronic inflammatory processes in the urethra and in advanced diseases of the genitourinary system, that is, secondary immunodeficiency.
4. Thermomagnetic therapy - warming up areas of inflammation, sanitation of the urogenital area, increasing the effectiveness of drug therapy.
5. Ozone therapy - destroys pathogens, viruses and bacteria.
6. Intravenous laser irradiation of blood - removes swelling from tissues, has an antibacterial effect, anesthetizes. This method of physiotherapy is especially effective in the allergic form of urethritis.

Despite all the beneficial properties, physiotherapy is contraindicated in the structures (narrowing) of the urethra, as well as in the presence of malignant neoplasms.

Alternative Treatment

This variant of therapy refers to non-traditional treatment methods. Most of the remedies are based on the use of medicinal plants and various alternative medicine recipes.

• If white discharge is caused by a fungal infection, then decoctions based on chamomile and calendula are used as an auxiliary treatment method. 2 tbsp. Dry raw materials pour 500 ml of boiling water and insist for 40 minutes. The liquid is filtered and used to wash the penis 2-3 times a day.
• Baking soda has antiseptic properties. Dissolve a teaspoon of soda powder in a liter of water, and wash the affected genitals.
• Mix 10 tablespoons of lemon juice, 5 tablespoons of honey and onion juice. Take this mixture inside, 2-3 times a day. The tool helps to strengthen the immune system.
• Tea tree oil has disinfectant, antiseptic and wound-healing properties. Apply 2-3 drops of oil to the glans penis and affected foreskin.
• Eucalyptus-based compresses can be used to fight infection. Take three tablespoons of raw materials and pour 3 cups of boiling water, let it brew for 30 minutes. Strain the finished product and use for compresses.

Before using the above recipes, you should consult with your doctor and make sure there are no contraindications.

Herbal treatment

Medicinal plants are used in the treatment of many diseases, including inflammatory processes in the genitourinary system, fungal and infectious invasions. Herbal preparations are taken orally and used for external treatment of affected tissues.

• Such plants have pronounced antiseptic properties: chamomile, oak bark, plantain, sage, string. Take one of the herbs and prepare an infusion from it (1 tablespoon of dry raw materials per 100 ml of boiling water). As soon as the liquid has cooled, it should be filtered and used for applications, compresses and washing the affected organ. The infusion can be poured into a glass and the penis can be immersed in it with an open head. The duration of such a procedure is 10-20 minutes, 4-6 times a day for 5 days.
• If, in addition to pathological exudate, there are sores and erosions on the genitals, then a special oil will help to accelerate their healing. Take 1 tbsp. Calendula flowers and pour 80 ml of olive oil. The agent is infused for 21 days in a dark place and used to treat affected tissues.
• To cleanse the urinary tract from the bacterial flora, preparations based on bearberry leaves can be used. The plant has antimicrobial, anti-inflammatory and diuretic properties. 2 tbsp herbs, pour 500 ml of boiling water, after cooling, strain, and take 100 ml 2-4 times a day.
• If white discharge is associated with inflammation of the bladder or urethra, then horsetail decoctions will help. Two tablespoons herbs pour 500 ml of water and boil over low heat until boiling. After cooling, strain, and take 50-100 ml 2-3 times a day. The decoction has a diuretic, anti-inflammatory and antimicrobial effect. It also prevents the formation of stones in the genitourinary system.

Before using the above recipes, you must obtain medical permission to use them and make sure that there are no allergic reactions to the selected herbs.

Homeopathy

Another alternative method of treating pathological discharge in men is homeopathy. Most often, homeopathic remedies are used if an unpleasant symptom is caused by inflammation of the urinary tract and kidneys, activation of conditionally pathogenic flora. So, with urethritis and candidiasis, the following drugs are effective:

• Berberis - tendency to form stones, stitching pains, burning in the groin. When urinating, discomfort occurs in the hips and lower back. Urine is rich yellow or reddish in color with white impurities.
• Borax - this remedy is effective for fungal lesions of the mucosa after prolonged drug therapy. The patient often has a false urge to urinate, a feeling of hot urine, pain in the urethra.
• Cannabissativa - has a pronounced effect on the urinary and genital tract, can be used in the treatment of gonorrhea. The patient has frequent urge to urinate, burning and itching in the process, bifurcation of the urine stream. The fluid secreted by the kidneys is cloudy, with an admixture of mucopurulent flakes.
• Equisetum - has a beneficial effect on the organs of the genitourinary system. The main symptoms for the use of the drug include: pain in the kidneys, ureters and bladder. Urination does not bring relief, in urine a large amount of white impurities, mucus and protein.
• Mercuriussolubilis is a broad-spectrum drug. It is prescribed for urological inflammatory process with a tendency to suppuration. In the analysis of urine, an increased number of leukocytes. There is abundant white mucous discharge, the urine is cloudy. When urinating, there are pain, burning, sensation of pulsation.

All of the above drugs can be taken only for medical purposes. To select an effective medicine, a homeopathic doctor studies the patient's medical history, symptoms, and other features of the body. The doctor also gives recommendations on the frequency of taking drugs and the total duration of therapy.