Treatment of white discharge from the urethra in men

Before you begin to eliminate the cause of white discharge in men, you need to undergo a comprehensive diagnosis. After the doctor identifies the nosology and establishes the type of pathogen, a treatment plan is drawn up.

The main goals of treatment are:

• Relief of clinical symptoms.
• Reduction in the frequency of relapses.
• Prevention of complications.
• Reducing the risk of infection of a sexual partner.
• Improving the patient's quality of life.

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

If the cause of white exudate from the penis is intracellular bacteria, then the man is prescribed medications that can penetrate into cellular structures to combat 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.

The therapy may also 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 goal 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 its origin. Only after establishing the factors of the appearance of pathological exudate, the doctor makes a treatment plan and prescribes medications.

In most cases, drug therapy involves taking antibacterial drugs. They are prescribed for sexually transmitted diseases and 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. Infections of the genitourinary organs, gonorrheal and non-gonococcal urethritis, infections of the lower and upper respiratory tract, ENT organs, Lyme disease.
• Method of application: before prescribing the drug, a sensitivity test of the microflora is carried out. For 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 enzyme activity, 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 azithromycin, capsules of 250 mg.

Amoxiclav

Combined antibacterial agent. Contains an active component from the penicillin group 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, sinusitis, prevention of purulent-septic complications in the postoperative period.
• Method of administration: orally, before meals. The maximum daily dosage for adults is 6000 mg. Duration of therapy is 5-14 days.
• Side effects: gastrointestinal disorders, skin rashes, urticaria, headaches, confusion, increased liver function test parameters. Hematuria and interstitial nephritis may also develop.
• Contraindications: intolerance to the components of the drug, hepatitis, cholestatic jaundice. In case of overdose, more pronounced side effects occur, treatment is symptomatic.

Release form: tablets of 250 mg, tablets 2X of 125/500 mg, Quicktab tablets, powder for preparation of oral suspension, powder for preparation of solution for intravenous administration.

Ceftriaxone

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

• Indications for use: infectious diseases caused by bacteria sensitive to the drug. Urogenital infections, gynecological infections, ENT infections, upper and lower respiratory tract infections. Lyme disease, bacterial meningitis, typhoid fever.
• Method of administration: intravenous and intramuscular. 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 insufficiency.
• Overdose: Long-term use of the drug may cause changes in the blood picture. Treatment is symptomatic.

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

Ofloxacin

A broad-spectrum antibacterial agent from the fluoroquinolone group. Affects primarily 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.
• Directions for use: orally 0.2 g 2 times a day. The course of treatment is 7-10 days.
• Side effects: allergic reactions, bowel disorders, insomnia, headaches, anxiety, thrombocytopenia, impaired perception of taste and smell, photosensitivity.
• Contraindications: intolerance to quinolones, epilepsy, childhood and adolescence of patients.

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

Erythromycin

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

• Indications for use: infectious diseases of the lungs, genitourinary system, osteomyelitis, syphilis, bronchiectasis. The ointment is used for infected wounds, pustular skin lesions, bedsores.
• Method of application: orally 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-coated capsules of 0.1 and 0.25 g, 1% ointment.

If there are signs of an inflammatory process or bacteria causing inflammation are detected, then taking anti-inflammatory drugs and NSAIDs is indicated.

1. Doxycycline is a semi-synthetic antibiotic from the tetracycline group with a broad spectrum of action. It 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 moderate pain. 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.

In case of fungal invasions and microbes, antimicrobial drugs and topical treatments are used, that is, treatment of the affected organ.

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

1. Oxacillin is a narrow-spectrum beta-lactam antibiotic of the penicillin class. It is effective against penicillinase-producing staphylococci that are resistant to benzylpenicillin and phenoxymethylpenicillin. It is used for inflammation of the bladder and renal pelvis, osteomyelitis, abscesses, septicemia, pneumonia, cholecystitis, and postoperative wound infections.
2. Levomycetin is a broad-spectrum antimicrobial agent against gram-positive and gram-negative microorganisms. It has pronounced bacteriostatic properties and exhibits a bactericidal effect in high concentrations. Resistance to the drug develops slowly. It is prescribed for the treatment of diseases caused by microorganisms sensitive to levomycetin. The drug is effective against chlamydia, meningitis, trachoma, and infectious diseases of the abdominal cavity and respiratory tract.
3. Ampicillin is a semi-synthetic broad-spectrum antibacterial agent. It affects gram-positive microorganisms that are not affected by benzylpenicillin. It is used to treat urinary tract infections caused by E. coli, Proteus, enterococci or mixed infections, as it is excreted unchanged in high concentrations with urine. It is effective in the treatment of gonorrhea. It is also prescribed for pneumonia, bronchopneumonia, tonsillitis, cholecystitis, intestinal infections, and sepsis.
4. Monural is a broad-spectrum antibacterial agent with the active component fosfomycin. It exhibits bactericidal activity against most gram-positive and gram-negative bacteria. It is used for non-specific bacterial urethritis, bacterial acute cystitis. It is effective as a preventive measure against the risk of bacterial infections after diagnostic transurethral manipulations and surgical interventions. It is also used for urinary tract infections of bacterial genesis in the postoperative period.
5. Cystone is a medicinal product with anti-inflammatory and diuretic properties. Contains plant extracts that determine the effect of the drug. It is used in the complex therapy of urinary tract diseases of infectious etiology: non-specific urethritis, cystitis, pyelitis. It is used in the 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 pronounced acute pain syndrome, then taking painkillers and antispasmodics is indicated. The drugs relax the smooth muscles of the urethra and promote its sanitation.

1. Papaverine is an alkaloid, a myotropic antispasmodic agent. It reduces tone and decreases contractile activity of smooth muscles. It has a vasodilatory and antispasmodic effect. It is prescribed for spasms of the urinary tract, renal colic, spasms of 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. The drug is taken orally, intramuscularly, intravenously, intra-arterially. The dosage and duration of therapy is determined by the attending physician.
3. Ketonal - contains the active component 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, inhibiting the synthesis of bradykinin and suppressing the activity of cyclooxygenase. It is used for pain in the genitourinary system, arthritis, gout, algomenorrhea, tendinitis, bursitis, spondyloarthritis, after injuries and surgeries.
4. Drotaverine is a drug with pronounced antispasmodic activity against the smooth muscles of the urogenital and biliary system, gastrointestinal tract organs, and the smooth muscle layer of blood vessels. The mechanism of action of the drug is based on changes in the potential of cell membranes and their permeability. It is used to relieve spasms and eliminate spastic pain. It is prescribed to relieve smooth muscle spasms in proctitis, pyelitis, cystitis, urethrolithiasis and nephrolithiasis. It is effective in spasms of the smooth muscles of the cardiac and pyloric sections of the stomach, intestinal colic, ulcerative lesions of the gastrointestinal tract.

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

Vitamins

Deficiency of nutrients in the body has a negative impact on the immune system, reduces its protective properties. And this can be one of the possible reasons for the appearance of white exudate from the penis in men.

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

• Vitamin A – stimulates the production of testosterone (male hormone), which has a beneficial effect on potency and the quality of seminal fluid. Retinol is found in carrots, eggs, dairy products, fish, and offal.
• B vitamins – B1 is necessary for metabolic processes, B2 takes part in the transfer of oxygen molecules to tissues, stimulating metabolism. B6 is necessary for normal brain function, during stress and other factors that negatively affect the central nervous system. B9 is the main element on which the quality of sperm depends. Folic acid also takes part 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 impact of stress factors on the body. Ascorbic acid is especially important for men with nicotine and alcohol addiction. The vitamin maintains healthy blood vessels, prevents the development of cardiovascular pathologies, improves the condition of the skin, joints and cartilage.
• Vitamin D – necessary for the absorption of calcium, magnesium and phosphorus. Supports the functions of the heart muscle and brain.
• Vitamin E – stimulates testosterone production, affects sexual functions. Prevents vascular fragility, 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 thyroid gland, supports 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 oxidation-reduction 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 man’s age should be taken into account:

1. 20-40 years – 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 preparations that support the health of the cardiovascular system are important. It is recommended to take vitamins A, C, E, B.

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 necessary.

In addition to vitamins, the male body should also receive minerals: zinc, calcium, copper, chromium, magnesium, selenium, potassium, iron, iodine. Useful micro and macro elements, vitamins and minerals should be taken only as prescribed by a doctor.

Physiotherapy treatment

Physiotherapy is an auxiliary treatment method for the appearance of pathological discharge from the genitals. It is indicated if the unpleasant symptom is caused by inflammatory processes in the body (urethritis, cystitis, pyelonephritis, inflammation of the prostate gland, etc.).

Benefits of physiotherapy:

• Destroys pathogenic flora.
• Promotes relaxation of the muscles of the urethra.
• Triggers 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 medicines with uroantiseptic properties. Medicines are administered by means of 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 at 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 genital muscles, 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, sanitizing the urogenital area, increasing the effectiveness of drug therapy.
5. Ozone therapy – destroys pathogenic microorganisms, viruses and bacteria.
6. Intravenous laser irradiation of blood – removes tissue swelling, has an antibacterial effect, and relieves pain. This method of physiotherapy is especially effective in the allergic form of urethritis.

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

Folk remedies

This type of therapy is related to non-traditional treatment methods. Most of the remedies are based on the use of medicinal plants and various recipes of traditional medicine.

• If the white discharge is caused by a fungal infection, then decoctions based on chamomile and calendula are used as an auxiliary treatment method. 2 tablespoons of dry raw materials are poured with 500 ml of boiling water and infused for 40 minutes. The liquid is filtered and used to wash the genitals 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 orally, 2-3 times a day. The remedy helps strengthen the immune system.
• Tea tree oil has disinfectant, antiseptic and wound-healing properties. Apply 2-3 drops of oil to the head of the penis and the affected foreskin.
• To combat infection, you can use eucalyptus-based compresses. Take three tablespoons of raw material 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 internally and used for external treatment of affected tissues.

• The following plants have pronounced antiseptic properties: chamomile, oak bark, plantain, sage, and succession. Take one of the herbs and make an infusion from it (1 tbsp. of dry raw material per 100 ml of boiling water). As soon as the liquid cools, 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 with an open head immersed in it. The duration of this procedure is 10-20 minutes, 4-6 times a day for 5 days.
• If, in addition to pathological exudate, there are ulcers and erosions on the genital organ, then a special oil will help to speed up their healing. Take 1 tbsp. of calendula flowers and pour 80 ml of olive oil. The product is infused for 21 days in a dark place and used to treat the affected tissues.
• To cleanse the urinary tract from bacterial flora, you can use preparations based on the leaves of bearberry. The plant has antimicrobial, anti-inflammatory and diuretic properties. Pour 500 ml of boiling water over 2 tbsp of the herb, strain after cooling, and take 100 ml 2-4 times a day.
• If white discharge is associated with inflammation of the bladder or urethra, then decoctions of horsetail will help. Pour 500 ml of water over two tablespoons of the herb and simmer 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 a doctor's 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 the unpleasant symptom is caused by inflammation of the urinary tract and kidneys, activation of opportunistic flora. Thus, the following drugs are effective for urethritis and candidiasis:

• Berberis – tendency to form stones, stabbing pains, burning in the groin. Discomfort in the hips and lower back when urinating. Urine is deep yellow or reddish with white impurities.
• Borax – this remedy is effective for fungal lesions of the mucous membrane after long-term drug therapy. The patient often experiences false urges to urinate, a feeling of hot urine, pain in the urethra.
• Cannabissativa – has a pronounced effect on the urinary and genital tracts, can be used in the treatment of gonorrhea. The patient experiences frequent urges to urinate, burning and itching during the process, bifurcation of the urine stream. The fluid excreted by the kidneys is cloudy, with an admixture of mucopurulent flakes.
• Equisetum – has a beneficial effect on the genitourinary system. The main symptoms for using the drug include: pain in the kidneys, ureters and bladder. Urination does not bring relief, there is a large amount of white impurities, mucus and protein in the urine.
• Mercuriussolubilis is a broad-spectrum drug. It is prescribed for urological inflammation with a tendency to suppuration. The urine analysis shows an increased number of leukocytes. There are abundant white mucous discharges, the urine is cloudy. When urinating, there are painful sensations, burning, and a pulsating sensation.

All of the above medications can only be taken as prescribed by a doctor. To select an effective medication, a homeopathic doctor studies the patient's medical history, symptoms, and other characteristics of the body. The doctor also gives recommendations on the frequency of taking medications and the total duration of therapy.