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White discharge in men
Last reviewed: 10.11.2022
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Not all secretions in men indicate pathology and the development of serious diseases; there is also a physiological secretion from the penis, usually transparent. Unfortunately, diseases of this area are not always manifested by obvious symptoms, so white discharge should alert. A visit to a urologist will clarify the situation and identify the problem at the initial stage, which is important not only for a man, but also for his family or sexual partner.
Epidemiology
According to statistics, more than a million people are infected with sexually transmitted infections every day in the world. So, in 2016, WHO recorded 127 million. Cases of chlamydia, 87 million. - gonorrhea, 156 million. - trichomoniasis. In the US, 8% of all urological diseases are due to prostatitis.
Causes of the white discharge in men
The appearance of white discharge in men has several reasons:
Risk factors
Contributes to the spread of sexually transmitted infections, sexually transmitted diseases, improper intimate hygiene, promiscuity, unprotected contacts.
Pathogenesis
Each of these diagnoses has its own pathogenesis. So, with candidiasis, fungi attach to the walls of the epithelium, colonize and deeply penetrate into it. Their penetration into the body in 30-40% of cases is facilitated by sexual contact with an infected partner.
Mycoplasmosis, chlamydia, gonorrhea - with a different structure of pathogenic microorganisms (with or without a cell membrane), they produce intracellular parasitism, ultimately destroying the cell, causing inflammation.
Symptoms of the white discharge in men
White discharge on underpants in men is a fairly common occurrence, which does not always indicate health problems. They accompany sexual arousal, their appearance in the morning indicates morning emission, which is quite normal for young men.
White discharge in men on the head is odorless, not causing discomfort in most cases, is physiological in nature and should not cause concern.
The first signs of trouble are signaled by white discharge with a smell. This may be an alarm bell, indicating infection with gonorrhea. In addition, there is pain in the groin, burning during urination, fever.
An unpleasant odor also appears with mycoplasmosis, chlamydia. The latter is one of the most common sexually transmitted diseases. It is often asymptomatic for a long time, and then there are white glassy discharge from the urethra in men and pain when urinating, itching, pain in the scrotum, lower back, testicles.
Mycoplasmosis gives similar symptoms: during the emptying of the bladder, leucorrhoea is released from the urethra, they are also detected in the morning, urination is difficult and rapid, pain is felt in the scrotum, extending into the anus.
If white curdled discharge appears on the head of the penis in men, having a dense concentration and a sour smell, and the process of urination is accompanied by burning, itching, soreness, then the diagnosis is predictable - candidiasis or thrush. The disease affects the head and foreskin, under which white flakes also accumulate.
For prostatitis, in addition to white discharge, pronounced clinical manifestations are characteristic in the form of fever, fever, chills, pain in the lower back, abdomen, in the anus, signs of general intoxication (general weakness, fatigue), pain during defecation and urination, cramps, sexual dysfunction. Functions.
Complications and consequences
Most of the listed diagnoses are dangerous with consequences and complications. Thus, an acute inflammatory process in the prostate gland can lead to cystitis, pyelonephritis, and general blood poisoning.
Bacterial genital infections often end in infertility. Gonorrhea is dangerous for the development of complications such as balanoposthitis, couperitis, paraurethritis, prostatitis, vezeculitis, and the formation of narrowing of the urethra. A man's sexual function may also be affected.
Diagnostics of the white discharge in men
Diagnosis of diseases accompanied by white discharge from the penis consists of a series of examinations, including a doctor's examination, tests, instrumental examination. The patient will be sent for a general analysis of urine and blood, for sugar, they will take a smear for culture, which allows to identify the pathogen and its reaction to the antibiotic. The material for bacterioscopic analysis is a secret from the prostate gland, scraping from the urethra.
An integrated approach to identifying the disease involves computed tomography, ultrasound, urography.
Differential diagnosis
Many diseases of the male genital area with white discharge have similar symptoms. The task of differential diagnosis is to determine the true cause of such a phenomenon, to establish the pathogen and direct therapeutic measures to destroy it.
Treatment of the white discharge in men
The diseases listed above are treated mainly with antibacterial drugs that have a wide spectrum of action. If intracellular bacteria are detected, an antibiotic is prescribed that can penetrate into the cell.
Fungal infections are treated with antifungal agents. Pain relievers and non-steroidal anti-inflammatory drugs may also be used.
Both internal administration of drugs and local treatment are used.
In the treatment of gonorrhea, combined antibiotic therapy is used, consisting of the following drugs: ceftriaxone intramuscularly and orally together with azithromycin or doxycycline twice a day.
Ceftriaxone is a III generation antibiotic with prolonged action, powder for solution. The injection is done once a day for 255 mg. Able to cause side effects in the form of a hypersensitivity reaction, shortness of breath, bronchospasm, headache, dizziness, diarrhea. Contraindicated during pregnancy and lactation.
Azithromycin is a broad-spectrum antibacterial agent. It is used once at a dose of 1 g. May cause nausea, vomiting, flatulence, stomach pain, diarrhea, general weakness, anxiety, convulsions, arrhythmia, tachycardia. Not prescribed for hypersensitivity to compounds
In the case of prostatitis, an antibiotic is determined that is sensitive to the microorganisms that caused it. It can be moxifloxacin, levofloxicin, minocycline, chloramphenicol.
Moxifloxacin is a drug from the group of quinolones. It is administered intravenously once a day in the form of slow infusions of 400 mg, lasting 60 minutes. After a few days, you can switch to oral pills. The course of treatment on average ranges from one to two weeks. Side effects include allergies, anemia, a state of nervous excitement, dyspepsia, gastritis. Contraindicated in children under 18 years of age, pregnant women, lactating women, people with serious disorders of cardiac activity, liver function.
Such sexually transmitted bacterial infections as mycoplasmosis, chlamydia are successfully treated mainly with erythromycin and its derivatives - macrolides, one of which is fromilid.
Fromilid is an acid-resistant antibiotic, in addition it has an immunostimulating effect. Take one tablet twice a day for 7-14 days. The drug is safe to use (has less than 1% side effects). It is especially effective in joint therapy with cyprinol.
Candidiasis in men is treated mainly with local remedies, such as Zalain-cream, Lomaxin 2%.
Zalain is a synthetic antifungal drug. It is applied in a thin layer on a cleanly washed organ in the morning and evening. The course of treatment can be up to 4 weeks. The ointment is well tolerated, in rare cases there is itching, redness, peeling.
Any pathology is easier to overcome by strengthening the immune system. Protective forces will help strengthen vitamin-mineral complexes and food products in which vitamins and minerals are balanced. For men, they should contain vitamins A, C, E, K1, group B, folic acid, biotin, iodine, calcium, magnesium, potassium, zinc, selenium, chromium, etc.
Physiotherapeutic procedures are widely used in the complex treatment of prostatitis. The need for them arises due to the fact that drugs do not penetrate well into the prostate gland, where their concentration is much weaker than in the blood serum. Such procedures as finger massage of the prostate gland, its electrical stimulation, magnetotherapy, rectal and urethral heat treatment come to the rescue.
For the treatment of chronic gonorrhea and its complications, warming and medicinal compresses, mud therapy, the use of ozocerite, paraffin, UHF, and electrophoresis for wraps have found wide application.
In other cases, physical methods are used to stimulate the processes of immunity, to conduct anti-relapse therapy.
Alternative treatments for white discharge in men involve external treatment of the head and foreskin of the penis, as well as the ingestion of drugs that increase the body's resistance.
Most often, herbs are used for this. The most suitable for washing, applications are chamomile, calendula, St. John's wort, eucalyptus, oak bark, string. It is best to prepare decoctions and infusions from their collections, which can also be taken orally. Increase immunity echinacea, ginseng.
Homeopathy will in no way replace the medical treatment of white discharge in men, but it will play its positive role in the complex treatment of diseases of the genital area, and restore the balance of beneficial microflora. Among such drugs are Natrium muriaticum, Sulfum, Kalium muriaticum, Sabal serrulyata. Appointments, methods of administration and doses can only be determined by a homeopath.
All of the above diagnoses are treated conservatively. Surgical intervention is resorted to mainly in cases where complications occur and it is necessary to restore the normal outflow of urine.
Prevention
To prevent diagnoses in men accompanied by white discharge, not so much is needed: adhere to a healthy lifestyle, observe intimate hygiene, avoid stress, overwork, hypothermia, be selective in sexual intercourse, use protective equipment when uncertain about the safety of intimacy.
Macrolide antibiotics may be used to prevent genital chlamydial infection.
Forecast
Timely and competent treatment will save a man from pathological secretions and will not give dangerous consequences.