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Urethral discharge is any fluid that passes out of the urethra except urine or semen. The most common cause of abnormal urethral discharge is chlamydial and gonococcal infections. Urethral infection can spread towards the bladder and, in men, the testes or the prostate gland.
What is urethral discharge?
Discharge from the urethra, especially the pathological discharge, is the most common symptom of urethritis. Bacteria in both men and women are transmitted most often during sexual intercourse. The most common abnormal urethral discharge is gonococcal or chlamydial infections. Sometimes the infection is caused by vaginal or trichomoniasis mycoplasma. Urethral infection can spread towards the bladder and, in men, to the prostate or testicles. It is worth mentioning that it is not only infectious factors that contribute to the development of ailments. Sometimes mechanical irritation during sex or chemical irritation by some cosmetics is enough.
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The appearance of urethral secretion is an indication for a medical visit and a physical examination and a possible smear from the urethra. Thanks to these tests, it will be possible to exclude or confirm the cause of inflammation. Based on the diagnosis, the doctor will prescribe the appropriate treatment. Persistent symptoms should be consulted with a venereologist or urologist.
Symptoms of urethritis, in addition to discharge, are:
- pain and burning during micturition,
- noticeable discomfort,
- redness around the mouth of the urethra.
These symptoms are much more severe in the male sex.
If you have a problem with urethral discharge, check it with the study from the Urogenital Package for Intimate Diseases – 7 pathogens for women or men.
Urethral discharge and gonococcal urethritis
Gonococcal urethritis is characterized by:
- frequent urination
- burning and pain when passing urine,
- discharge from the urethra of abundant purulent discharge (sometimes tinted with blood),
- burning sensation in the area of the urethral mouth and its redness.
In men, these symptoms are much more severe than in women. Often the discharge of secretions in men is so abundant that the foreskin sticks to the underwear. Although there is no high fever, the patient feels irritable and generally weak.
At the beginning of the disease, only the front part of the urethra is involved. The ailment progresses when appropriate treatment is not implemented. Then the inflammation may also affect the neighboring organs (in women they are the ovaries, fallopian tubes and the end of the uterus, while in men the testes, rectum and epididymis).
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The diagnosis of gonococcal urethritis is based primarily on clinical symptoms. The profuse purulent discharge from the urethra is of particular importance. In addition, laboratory tests are performed, such as the initial urine flow test with Gram staining, or urethral or cervical culture in women.
In the treatment of gonococcal urethritis, antibiotics are used, such as:
- doxycycline,
- erythromycin,
- fluorochinolony,
- azithromycin.
Treatment should also include the patient’s sexual partners.
Discharge from the urethra – non-gonococcal inflammation
This condition is more common in contrast to gonorrhea. The most common causes are infections with atypical bacteria, that is: Chlamydia, Ureaplasma, Mycoplasma) and by the vaginal trichomoniasis and Gardenella vaginalisoraz.
It is usually responsible for chronic urethritis Chlamydiatrachomatis. Also, fungal factors and the spread of inflammation from the kidneys, prostate and bladder increase the risk of developing non-gonococcal urethritis.
Predisposing factors for urethritis:
- diabetes,
- elongation of the foreskin,
- the presence of phimosis,
- hypospadias,
- weakened immunity,
- narrowing of the urethra.
You can test for Ureaplasma infection by mail order, choosing the Medonet Market offer. If you want to carry out more extensive diagnostics, we offer a shipping urogenital package for infections of the genitourinary system.
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