Accurate diagnosis and treatment of genital secretions in men

In this section, we discuss genital secretions in men, which may be the question of many users. What are the symptoms of these discharges? Why do these discharges occur?

Genital discharge is the abnormal loss of fluid from the urethra at the tip of the penis, which is neither urine nor semen.

This is a sign of a sexually transmitted disease and requires accurate diagnosis and treatment, which is usually done by specialists in a specialized clinic.

What are the symptoms?

These secretions vary in quantity from very little to intense and in color from clear to yellow or green. Its time varies from only in the morning to throughout the day.

These discharges are usually accompanied by other symptoms such as:

• Burning during urination

• Constant need to urinate

• Urgent need to urinate at night

• Acne in the genital area that can be painful and itchy

• Swelling of the lymph nodes in the groin area

What is the cause of these secretions?

The common causes of these secretions are:

Gonococcal urethritis

Non-gonococcal or non-specific urethritis

Gonococcal urethritis (gonorrhea):

Gonorrhea is caused by Neisseria gonorrhoeae.

Incubation period: It usually takes two to five days from infection to the onset of symptoms. Without treatment, the symptoms of urethritis and purulent discharge will peak within two weeks.

signs: Discharge occurs in 95% of men and in 75% of cases it is purulent, in 25% of cases it is white and dark, and in 5% it is clear. New urine can make the discharge appear less purulent. As the infection begins to resolve, the discharge changes from purulent to mucoid.

the transfer: It is transmitted through sexual intercourse, including oral sex. Without treatment, the infection may persist for months.

Difficulties: Rarely, it may spread from the urethra to the epididymis (sperm storage tube connected to the testicles) and cause infertility. An anal infection is common when the infection is transmitted from the anus through sexual intercourse. Blood stream infection occurs in less than one percent of patients and causes arthritis of the knees, wrists, and hands in addition to fever, chills, and skin lesions, usually pustules and pustules on the hands and feet.

Non-gonococcal or non-specific urethritis (NSU):

NSU is the most common form of genital discharge affecting a large number of people worldwide each year.

The number of patients has increased even more in the last three years. Men between 20 and 35 years are more affected by this problem.

Different organisms can cause this syndrome:

Chlamydia trachomatis (25 to 60%)

Mycoplasma genitalia (up to 25%)

Ureaplasma urea (15 to 25 percent)

Trichomonas vaginalis (17%)

Genital herpes (rarely)

There are no specific tests to diagnose all of these infections, so the cause of NSU may not be known.

In some patients, no sexual intercourse has occurred and the cause of the symptoms are detergents and soaps. But there is no concrete evidence to support this theory.

How is the diagnosis made?

Genital discharge is diagnosed by finding white blood cells in a urethral swab or fasting urine sample.

The infectious organism may be identified by these samples.

In the best case, the patient should be examined in a clinic for sexually transmitted diseases to test the sample because transferring the sample to a hospital laboratory can lead to a wrong diagnosis.

The color and consistency of the discharge does not help to distinguish NSU from gonorrhea.

Gonococcal urethritis or gonorrhea is diagnosed in 98% of men by microscopic examination of secretions taken from urethral swabs.

Other infections are more difficult to diagnose. Between 6 and 11 percent of sexually active men carry chlamydia in their urethra without having any symptoms.

The use of more accurate tests, such as polymerase chain reaction and ligase chain reaction, allow a more accurate diagnosis, especially in patients who have no symptoms, especially if they have sex with women whose disease is confirmed. But usually these tests are not performed in STD clinics.

How is genital discharge treated?

Gonococcal urethritis

One of several types of antibiotics is given as a single dose:

Ceftriaxone 250 mg by intramuscular injection

Cefixime 400 mg (cefixime) orally

Ciprofloxacin 500 mg (ciprofloxacin) orally

Ofloxacin 400 mg (ofloxacin) orally

In addition, doxycycline 100 mg (doxycycline) twice a day for a week is also usually prescribed if chlamydia is present. The sexual partner will receive the same treatment.

Typical antibiotic treatment includes doxycycline 100 mg twice daily for one week or a single dose of azithromycin 1 g if the infection is due to chlamydia.

The sexual partner should receive the same treatment. Patients should be re-examined after two weeks due to the serious risk of re-infection due to non-compliance with the treatment by the sexual partner.

Check relationships

It is necessary to diagnose and treat sexual intercourse of men with gonococcal urethritis and NSU, preferably in a specialized venereal disease clinic.

Without sexual intercourse treatment, the possibility of re-infection and treatment failure will be very high.

A pregnant partner or someone who may be pregnant should not use erythromycin or tetracycline antibiotics (including doxycycline).

Conventional treatment for NSU fails in 25% of cases. Longer courses of antibiotics have also not been beneficial, and the person usually gets re-infection from an untreated sexual partner.

It is very important to understand that getting NSU again can cause a lot of emotional stress on people and relationships, and it is very important that both parties in the relationship have a complete understanding of the nature of this problem and disease.

Leave a Reply

Your email address will not be published. Required fields are marked *

Back to top button