The onset of female libido is accompanied by the release of lubrication and swelling of the mammary glands. However, not everyone knows what stands out among the representatives of the stronger sex during excitement. During sex, men are able to produce not only seminal fluid, but also a special lubricant that facilitates the gliding of the penis during friction.
If there is no lubrication when men are excited, this is a symptom of a certain pathology related to the reproductive system. The release of this fluid prevents injury to the male genital organ during penetration into the vagina.
There are many glands and cells in the body that secrete mucus, but in addition to physiological reasons, the secretion of mucus in men can be related to diseases, primarily Urogenital system or inflammatory diseases of the male genital organs, as well as some diseases. intestinal pathologies.
Men secrete mucus when they are excited
Physiological involves the secretion of mucus when men are aroused. When the male genital organ is in an erect state, a special mucous secretion is produced by a pair of small exocrine glands - bulbourethral or cupper. They are located below the prostate - in the depths of the muscles of the urogenital diaphragm (diaphragma urogenitale), at the base of the penis, with access to the urethra passing inside it.
The mucous secretion of these glands - a colorless clear liquid with a viscous consistency - is preejaculate, which is the preliminary ejaculate that enters the urethra before sperm are released into it (ejaculate or ejaculate).
This liquid contains glycosaminoglycans (mucus), L-fructose, various enzymes, but the most important thing is its alkaline reaction (pH>7, 2). The function of the secretion of Cooper's glands is to neutralize traces of acidic urine in the urethra, because an acidic environment is unfavorable for spermatozoa. The vagina is also usually acidic (pH = 4. 0-4. 2), so male mucus secretion during arousal alkalizes the vaginal environment - for better sperm survival.
The amount of pre-ejaculate varies among different men (up to 4-5 ml), and for some it is not produced at all, therefore, according to specialists, its "norm" has not been determined.
Mucus secretion in men can be increased by increasing the mucus secretion production of Littre's urethral glands located in the epithelium of the inner membrane along the entire length of the urethra. However, their main function is to produce mucus that protects the urethra from acidic urine.
Is it possible to get pregnant from lubrication for men? Preejaculate contains some of the chemicals found in semen, such as the lysosomal enzyme acid phosphatase. But at the same time, she lacks such a sperm marker as the enzyme gamma-glutamyl transferase.
The question of the probability of pregnancy from pre-ejaculate fluid is being studied, but there is no definitive answer yet. According to the Human Fertility magazine, from 2011 to 2016A group of British doctors found very little sperm in 40% of pre-ejaculatory samples, but single motile sperm were recorded in 37%. So don't rule out getting pregnant from pre-ejaculate.
Mucus discharge from the urethra in men
Pathological discharge of mucus from the urethra in men can occur in many diseases. The main causes of mucus discharge from the urethra in men are related to 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 bacteria Escherichia coli, Enterobacter spp. , Klebsiella spp. And infectious urethritis caused by streptococci and staphylococci often develops after bladder catheterization or due to violations of basic hygiene rules.
Clinical statistics show that more than half of the cases of urethritis are related to chlamydia; up to 25% - with mycoplasma; 15-20% - with ureaplasma; about 17% - with Trichomonas. Less than 5% have mycotic (candidal) urethritis. Gonorrhea and urethral lesions with gonococci are found in men aged 22-37 in approximately 420 cases per 100, 000.
Risk factors for the development of urethritis, which is accompanied by discharge of various intensity: sexually active age, looseness during sexual intercourse and disregard for their safety.
The prevalence of cystitis in men is estimated to be 0. 8%. , it is ten times lower than in women, but its symptoms are the same in patients: mucus in the urine or mucous-bloody secretions are combined with rather painful (burning), but not abundant. urination and frequent urination.
Similar symptoms of mucus discharge in men with the formation of stones in the bladder, which many mature men experience. In addition, as noted by urologists, often the narrowing of the urethral canal, squeezed by the hypertrophied prostate gland, contributes to urine stagnation and the formation of stones.
In men, white mucus can be released - when there is an admixture of pus in bacterial chronic prostatitis, which accounts for no more than 10% of all cases (the most common causative agents are Escherichia coli, Pseudomonas aeruginosa, Klebsiella spp. ). By the way, about 12% of men who visit a doctor do not experience any symptoms of prostatitis, but their semen contains impurities of pus, and according to the results of a blood test, the level of leukocytes increases.
Non-purulent milky mucus may be secreted in prostatitis, an abnormal secretion of the prostate with its atony, associated either with excessive sexual activity or with nonbacterial chronic male prostatitis.
Mucus discharge from the anus in men
In the case of infections or frequent irritation of the digestive tract, the secretory cells of the inner lining of the intestine begin to produce an excess amount of mucus, which is released through the rectum.
The main diseases in men in which mucus is released from the anus are ulcerative colitis and proctitis.
In case of ulcerative colitis, ulcers form in the mucosa of the colon and rectum at the site of inflammatory foci. Patients complain not only of mucous discharge from the anus, but also of fatigue, loss of strength, loss of appetite and periodic bleeding from the rectum. The exact cause of ulcerative colitis is unknown, but most doctors believe that its pathogenesis is an abnormal response of the immune system to bacteria in the digestive tract. The systemic nature of ulcerative colitis is indicated by non-intestinal manifestations: joint pain; ulcers in the oral mucosa, skin and subcutaneous tissue; 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 its symptoms include: discharge of rectal mucus, bleeding, pain (localized in the lower abdomen and perineum, radiating to the lower back). and coccyx), a feeling of pressure on the intestinal walls, a frequent false urge to defecate, diarrhea and/or constipation.
Who to contact?
Urologist, proctologist.
Diagnosis of mucus secretion in men
When men discharge mucus from the urethra, the diagnosis includes anamnesis data, blood tests (general, ELISA, PCR); general, biochemical and bacteriological urine tests; smear from the urethra.
Instrumental diagnostics is performed using ultrasound of the genitourinary organs.
In the case of mucous secretions from the rectum, proctologists conduct a manual examination of it, prescribe blood, urine and stool tests, as well as take a smear from the anus for a bacterial culture.
Among the instrumental diagnostic methods, the following are used: sigmoidoscopy (rectoscopy), colonoscopy, X-ray and ultrasound of the abdominal cavity.
Differential diagnosis
Given the fact that there are several causes of the appearance of these symptoms, differential diagnosis is necessary, which is carried out using computer or magnetic resonance imaging.
Treatment of mucus discharge in men
Effective treatment of mucus secretion in men with infectious urethritis is ensured by the use of antibacterial drugs.
NSAIDs are used to treat ulcerative colitis: rectal suppositories are inserted into the rectum (1-2 suppositories) three times a day.
Treatment of proctitis depends on the cause of the inflammation. Bacterial proctitis is usually treated with antibiotics. If proctitis is caused by inflammatory bowel disease, medication or surgery may be needed to control the inflammation.
Consequences and complications
Experts call the following disease consequences and complications when mucus is released from the urethra in men:
- inflammation of seminal vesicles (vesiculitis);
- epididymitis - inflammation of the appendix (with a high probability of its obstruction);
- inflammation of the bulbourethral glands (cuperitis) and possible irreversible impairment of their function;
- impaired spermatogenesis, anorgasmia, dyspareunia, sexual dysfunction and infertility.
In addition, inflammation of the prostate is fraught with prostate adenoma or adenocarcinoma.
The most dangerous consequences of non-specific ulcerative colitis are perforation of the walls of the colon or rectum (formation of fistulas), bleeding from the intestine with heavy blood loss, development of oncology (colorectal cancer). And with a large discharge of mucus, which is accompanied by proctitis, irritation of the perianal area occurs, which can lead to skin maceration, anal fissure, itching, burning, and pain during defecation.
Prevention
Prevention of prostatitis is considered timely emptying of the bladder and intestines; an active lifestyle (including intimate relationships, but only with protected sex); compliance with personal hygiene rules; healthy food, as well as getting rid of all bad habits. However, these recommendations apply to almost any disease, so medicine has not yet proposed anything more specific to prevent prostate problems.
Prognosis
Doctors do not provide any predictions for the appearance of symptoms (and pathological discharge of mucus in men - from the urethra or anus - means symptoms) separately from the disease that causes it.
And if urethral infections can be cured by following the doctor's instructions, then ulcerative colitis sufferers can only control their whole lives, trying to avoid relapses.