Urethral discharge

Discharge from the urethra can be caused by various diseases or infections. The most common causes are often related to sexually transmitted diseases or inflammations that affect the mucous membranes of the urethra. Early diagnosis and treatment are important to avoid complications.

• Sexually transmitted infections (STIs): Chlamydia, gonorrhea, or trichomoniasis are common causes of urethral discharge.
• Bacterial urethritis: Bacterial infections, often caused by Escherichia coli or other intestinal bacteria, can also cause discharge.
• Fungal infections: Yeasts like Candida albicans can cause discharge, especially in people with weakened immune systems.
• Irritations from chemicals: Certain soaps, perfumes, or condoms can cause an allergic or irritating reaction leading to discharge.
• Non-sexually transmitted infections: Urinary tract infections or inflammations caused by bacteria or other microorganisms can also trigger urethral discharge.

• Urethral discharge (clear, yellow, greenish, or purulent)
• Burning or pain during urination
• Itching or irritation in the genital area
• Pain in the lower abdomen or pelvic area
• Frequent urination

The diagnosis begins with a thorough medical history and physical examination. The doctor may take a swab from the urethra to identify the exact cause of the discharge. Further tests may include a urine sample or blood tests to rule out or confirm sexually transmitted infections. In some cases, an ultrasound or cystoscopy may be performed to detect structural abnormalities of the urinary tract.

The treatment depends on the cause of the discharge and can vary according to the diagnosis. In many cases, the treatment aims to eliminate the infection and alleviate the inflammation. It is important that partners are also treated to prevent reinfection.

• Antibiotics: For bacterial infections such as [Gonorrhea](t3://record?identifier=tx_news&uid=50) or Chlamydia, antibiotics are usually prescribed to combat the infection.
• Antifungal agents: For fungal infections, antifungal medications are used for treatment, which can be taken orally or applied locally.
• Avoidance of irritants: If the discharge was caused by chemical irritants or allergic reactions, these should be avoided.
• Anti-inflammatory medications: To relieve symptoms such as pain and burning during urination, anti-inflammatory medications may be prescribed.
• Treatment of sexual partners: In the case of [sexually transmitted infections](t3://record?identifier=tx_news&uid=49), it is crucial that sexual partners are also treated to prevent reinfection.

To minimize the risk of urethral discharge, it is recommended to protect against sexually transmitted infections by using condoms and conducting regular STI tests. Good hygiene practices and avoiding irritating substances in the genital area can also help prevent inflammation. At the first signs of discharge or other symptoms, a doctor should be consulted immediately to initiate timely treatment.