The appearance of sexual desire in women is accompanied by the release of lubrication and swelling of the mammary glands. However, not everyone knows what is released during the heating among the representatives of the stronger sex. Men can not only produce seminal fluid during sex, but also a special lubricant that facilitates the sliding of the penis during friction.
If there is no lubrication in men when they are excited, then this is a symptom of some kind of pathology related to the reproductive system. The release of this fluid prevents injury to the male genital organ during vaginal penetration.
There are many glands and cells in the body that secrete mucus, but - in addition to physiological reasons - mucus secretion in men can be associated with diseases, especially of the genitourinary system or inflammatory diseases of the male genital organs, as well as some intestinal pathologies.
Excretion of mucus in men when excited
Physiological include the secretion of mucus in men when they are excited. When the male genital organ is in a state of erection, a special mucous secretion is produced by a pair of small exocrine glands - bulbourethral or Cooper's. They are located under the prostate - in the depth of the muscles of the urogenital membrane (diaphragma urogenitale), at the base of the penis, with access to the urethra, which passes inside.
Mucous secretion of these glands - a colorless transparent liquid with a viscous consistency - is a pre-ejaculate, which means a preliminary ejaculate that enters the urethra before the sperm enters the release (ejaculation or ejaculation).
This liquid contains glycosaminoglycans (mucilage), L-fructose, various enzymes, but above all its alkaline reaction (pH>7, 2). The function of the secretion of Cooper's glands is to neutralize the traces of acidic urine in the urethra, because the acidic environment is unfavorable for sperm. The vagina is also normally acidic (pH = 4. 0-4. 2), so the secretion of mucus in men, when it wakes up, alkalizes the vaginal environment - for better sperm survival.
The amount of pre-ejaculate in different men varies (up to 4-5 ml), and in some it is not produced at all, so, according to experts, its "norm" has not been established.
Mucus secretion in men can be increased by increasing the production of mucus by the urethral glands of Littre, which is located in the epithelium of the inner membrane along the entire length of the urethra. However, their main function is to produce mucus, which protects the urethra from acidic urine.
Is it possible to get pregnant from smear in men? Pre-ejaculate contains some of the chemicals present in semen, such as the lysosomal enzyme acid phosphatase. But at the same time, it lacks such a sperm marker as the enzyme gamma-glutamyl transferase.
The question of the probability of pregnancy from pre-ejaculate fluids is being studied, but there is still no definitive answer. According to the journal Human Fertility, studies conducted 2011-2016. A group of British doctors found very few sperm in 40% of the pre-ejaculated samples, but in 37% individual motile spermatozoa were recorded. Thus excludes the possibility of not getting pregnant from a preliminary ejaculate.
Excretion of mucus from the urethra in men
Pathological secretion of mucus in men from the urethra can occur with a number of diseases. The main causes of mucus discharge in men from the urethra are associated with urethritis (inflammation of the urethra); Cystitis (inflammation of the bladder; urolithiasis and prostatitis (inflammation of the prostate gland).
The pathogenesis of urethritis is caused by such sexually transmitted infections as Chlamydia trachomatis, Trichomonas vaginalis, Neisseria gonorrhoeae, Ureaplasma urealyticum, Mycoplasma genitalium, as well as the bacteria Escherichia coli, Enterobacteriaceae sp. Infectious urethritis, which is caused by streptococci and staphylococci, often develops after bladder catheterization or by violation of basic hygiene rules.
Clinical statistics show that more than half of the cases of inflammation of the urethra are associated with chlamydia; up to 25% - with mycoplasma; 15-20% - with ureaplasma; over 17% - with Trichomonas. Less than 5% falls on mycotic (candidiasis) urethritis. Gonorrhea and lesions of the urethra with gonococci are detected in men aged 22-37 in approximately 420 cases per 100, 000.
Risk factors for the development of urethritis, accompanied by secretions of variable intensity: sexually active age, promiscuity in sexual intercourse and neglect of their safety.
The prevalence of cystitis in men is estimated at 0. 8%, which is ten times lower than in women, but its symptoms in patients are the same: mucus in the urine or mucus-bloody discharge is combined with quite painful (burning), butbarely. Urination and frequent micturition.
Similar symptoms of mucus discharge in men in the case of the formation of stones in the bladder, which many men of mature age face. In addition, as urologists note, often the structure of the urethral canal, squeezed by the hypertrophied prostate gland, contributes to the stagnation of urine and the formation of calculi.
It is possible to release white mucus in men - if it is a mixture of pus and bacterial chronic prostatitis, which accounts for no more than 10% of all cases (the most common pathogens are Escherichia coli, Pseudomonas aeruginosa, Klebsiella spp. ). By the way, about 12% of men who went to the doctor do not experience symptoms of prostatitis, but a mixture of pus is found in the composition of their sperm, and according to the results of a blood test, an increase in the level ofLeukocytes.
Non-purulent milky mucus can be released in cases of prostorrhoea - abnormal secretion of the prostate gland with its atony, associated either with an overactive sex life or with the presence of non-bacterial chronic prostatitis in a man.
Secretion of mucus from the anus in men
With infections of the gastrointestinal tract or its frequent irritation, the Becher-secretory cells of the inner lining of the intestinal tract begin to produce an excess amount of mucus, which is released through the rectum.
The main diseases in which there is a discharge of mucus from the anus in men are ulcerative colitis and proctitis.
With ulcerative colitis, ulcers form at the site of inflammatory foci in the mucous membrane of the colon and rectum. Patients complain not only of mucus from the anus, but also of fatigue, loss of strength, loss of appetite and periodic rectal bleeding. The exact cause of ulcerative colitis is unknown, but most clinicians believe that its pathogenesis lies in an abnormal response of the immune system to bacteria in the gastrointestinal tract. The systemic nature of ulcerative colitis is indicated by manifestations that are not related to the intestines: pain in the joints; Ulcers on the mucous membrane in the mouth, on the skin and in the subcutaneous tissue; the formation of blood clots in the veins; inflammation of the gallbladder, liver, etc.
The causes of the development of proctitis - inflammation of the rectal mucosa - are usually associated with infection, and among its symptoms are: rectal mucus secretion, bleeding, pain (localized in the lower abdomen and perineum, radiating to the lower back and coccyx), a feeling of pressure on the intestinal walls, frequent false urge to defecate, diarrhea and / or constipation.
Who to contact?
Urologist, proctologist.
Diagnosis of mucus secretion in men
If mucus is discharged from the urethra in men, the diagnosis includes anamnesis data, blood tests (General, ELISA, PCR); general, biochemical and bacteriological analysis of urine; Wash from the urethra.
Instrumental diagnosis is carried out by ultrasound of the genitourinary organs.
In the case of the mucous membrane from the rectum, proctologists perform a manual examination of it, prescribe blood, urine and feces tests, and also take a swab from the anus for bacterial culture.
Among the methods of instrumental diagnosis, the following are used: sigmoidoscopy (rectoscopy), colonoscopy, X-ray and ultrasound of the abdominal cavity.
Differential diagnosis
Considering that there are several reasons for the appearance of these symptoms, differential diagnosis is necessary, which is carried out with computed or magnetic resonance imaging.
Treatment of mucus discharge in men
Effective treatment of mucus secretion in men with infectious urethritis is provided by the use of antibacterial drugs.
For the treatment of ulcerative colitis, NSAIDs are used: rectal suppositories are inserted into the rectum three times a day (1-2 suppositories).
Treatment for proctitis depends on the cause of the inflammation. Proctitis caused by bacteria is usually treated with antibiotics. If proctitis is caused by inflammatory bowel disease, medications to control the inflammation or surgery may be necessary.
Consequences and complications
Experts mention such consequences and complications of diseases in which men have mucus secretion from the urethra:
- Inflammation of the glands (vesiculitis);
- Epididymitis - inflammation of the epididymis (with a high probability of its obstruction);
- Inflammation of the bulbourethral glands (couperitis) and their possible irreversible dysfunction;
- Impaired spermatogenesis, anorgasmia, dyspareunia, sexual dysfunction and infertility.
In addition, inflammation of the prostate is accompanied by adenoma or adenocarcinoma of the prostate.
The most dangerous consequences of non-specific ulcerative colitis are perforation of the walls of the colon or rectum (with the formation of fistulas), intestinal bleeding with large blood loss and the development of oncology (colorectal cancer). And with significant mucous membranes that accompany proctitis, irritation of the perianal region occurs, which can lead to skin maceration, the appearance of an anal fissure, itching, burning and pain during defecation.
prevention
Prevention of prostatitis is considered timely release of the bladder and intestines; active lifestyle (also in intimate terms, but only with protected sex); compliance with the rules of personal hygiene; healthy food, as well as getting rid of all bad habits. However, these recommendations are suitable for almost any disease, therefore, in the matter of preventing problems with the prostate, medicine has not yet offered anything more specific.
Forecasts
Doctors do not give predictions for the development of any symptom (and the pathological secretion of mucus in men - from the urethra or anus - refers to symptoms) and isolation of the disease that causes it.
And if the infections of the urethra, which follow the doctor's prescriptions, can be cured, then ulcerative colitis patients can only control for life, and try to avoid relapse.