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Penile Discharge – Video

Penile discharge

Penile discharge is any substance (other than urine) that comes from the urinary tube, also known as the urethra.

Normal discharge includes pre-ejaculate, or pre-cum, and semen ejaculate. These are usually produced during sexual stimulation.

Abnormal discharge can range from clear to pus-like and usually produced in the presence of an infection. In males, the infection is usually due to a sexually transmitted infection.

This may be accompanied by symptoms such as pain on the passing of urine, ulcers, urinary frequency and urgency.

The most common 2 causatives STI organisms are Chlamydia and Gonorrhea, but there are a variety of other microorganisms that can cause similar symptoms. Read more: STD symtopms

Non-STI organisms that cause urinary tract infections can also present with discharge. These are usually accompanied by urinary frequency, urinary urgency and foul-smelling or cloudy urine.

Similar organisms may infect the prostate causing prostatitis which may present with discharge, fever, urinary symptoms, pelvic pain and even blood in the semen.

If there has been any instrumentation of the urethra, for example with a catheter or after a procedure at the urologist, a discharge may also be produced due to the trauma.

Balanitis

Balanitis is inflammation of the foreskin and head of the penis that can cause some discharge under the foreskin. It may present with a rash, itching or pain, a foul smell and ulcers. The inflammation may be due to infections or irritation. While it is not a true penile discharge as it does not come out of the urethra, it may be confused with true penile discharge by some people.

If you do not clean your foreskin and head of the penis regularly, a layer of dead cells and sebum may build up. This is known as smegma and may also be confused with true penile discharge. While this is not harmful, it is advised to wash this area properly so smegma does not build up as a dirty head of the penis predisposes you to balanitis.

If you do have any of the symptoms that we have mentioned, please visit us at DTAP clinic so we can evaluate your condition.

Chlamydia Symptoms & Treatment

What is Chlamydia?

Chlamydia is one of the most common bacterial sexually transmitted infections worldwide. It is caused by a bacterium called Chlamydia trachomatis. According to the US Centers for Diseases Control (CDC), Chlamydia is the most frequently reported bacterial STD in the US, with 2.86 million infections reported every year.

Who is at risk of getting Chlamydia?

Chlamydia can affect anyone who is sexually active, both males and females alike, regardless of sexual preference or orientation.
Young people may be at higher risk for various reasons, including practices like inconsistent condom usage. Young women may have a benign condition called cervical ectopy, which makes them more susceptible to getting Chlamydia.

How is Chlamydia transmitted?

Chlamydia is transmitted through sexual contact with the genitalia, anal canal or oral cavity of an infected individual – this includes through vaginal sexual intercourse, anal sexual intercourse and oral intercourse. Sexual activities involving the sharing of sex toys and contact with body fluids can also spread Chlamydia.
During childbirth, an infected mother can also transmit Chlamydia to her unborn infant, resulting in complications which are detailed below.

What are the Symptoms of Chlamydia?

Most individuals with Chlamydia DO NOT HAVE ANY SYMPTOMS. Less than 50% of both men and women with Chlamydia develop symptoms. This is also why Chlamydia is such a common bacterial STD – because asymptomatic individuals are unaware that they are infected and continue to spread it to their sexual partners.
IF symptoms do develop, they may occur anytime from days to weeks after the initial infection.

Symptoms of Chlamydia in men include:

  • Dysuria (painful urination)
  • Urgency and frequency of urination
  • Discomfort along the urethra/urine tract
  • Penile discharge which is usually clear or watery
  • Pain or swelling of the testicles may occur in a less common but serious infection called epididymoorchitis
  • Pain or discomfort in the pelvis due to prostatitis (inflammation of the prostate gland)

Chlamydia in males can result in urethritis (inflammation of the urine tract) and epididymoorchitis (inflammation of the testicles or epididymis).

Symptoms of Chlamydia in women include:

  • Abnormal vaginal discharge which may be different in colour, odour, quantity and consistency
  • Bleeding after intercouse (post coital bleeding)
  • Abnormal spotting/bleeding in between menstrual periods
  • Painful intercourse (dyspareunia)
  • Abdominal pain or fever can possibly occur during pelvic inflammatory disease (PID), where the infection spreads upwards to affect the uterus and Fallopian tubes, but the bulk of Chlamydia related PID is actually ASYMPTOMATIC

Chlamydia in females can result in vaginitis, cervicitis and pelvic inflammatory disease (involving the uterus and fallopian tubes).

Symptoms of Chlamydia infection not specific to males or females:

  • Chlamydia conjunctivitis – red, irritated eyes can occur after contact with infected fluids
  • Proctitis (inflammation of the rectum) – can give rise to rectal discomfort, discharge or pain, but most cases of rectal Chlamydia are again ASYMPTOMATIC
  • Throat chlamydia tends to be asymptomatic

What are the possible complications of a Chlamydia infection?

Women Chlamydia Complication

In untreated women, Chlamydia can lead to pelvic inflammatory disease, where the infection spreads to the uterus and fallopian tubes, resulting in chronic inflammation, scarring, potential infertility, increased risk of ectopic pregnancies (pregnancies outside of the uterus) and possible chronic pelvic pain.
Unfortunately, Chlamydia tends to cause “silent” PID without any symptoms at all.

Men Chlamydia Complication

In men, uncommon but more serious infections affecting the testicles and epididymis can occur.
Chlamydia infection increases the risk of pre-term delivery in pregnant women. Transmission of Chlamydia to the infant during childbirth can also result in severe eye infections (known as opthalmia neonatorum), or lung infections (pneumonia).

A condition called “reactive arthritis” (joint pain and swelling) can occur in both males and females.
Chlamydial infections in both males and females increases the risk of acquiring HIV.

How is a Chlamydia infection diagnosed?

The diagnosis of Chlamydia is best done using nucleic acid amplification testing (NAAT), which detects the presence of Chlamydia trachomatis DNA in a sample:

  • In men: a urine sample
  • In women: an endocervical swab
  • A throat swab or rectal swab can be used to diagnose throat or rectal Chlamydia respectively

See: Rapid Chlamydia & Gonorrhea PCR Screening (Next Day Results) is available in all our clinics in Singapore.

How is Chlamydia treated?

Chlamydia is treated with antibiotics, however, there is an increasing concern of resistance to certain antibiotics in various parts of the world.
Testing and treatment of sexual partners is also crucial and infected individuals should abstain from sexual intercourse or activity during treatment. After completion of treatment, a repeat test should also be done to confirm that the Chlamydia infection has truly been cleared.
Your doctor will be able to advise you on the specifics of treatment.

How do I minimise my risk of getting Chlamydia?

You can reduce your risk of Chlamydia through observing safe sexual practices – including consistent and correct use of barrier protection (condoms), reducing the number of sexual partners or being in a mutually monogamous relationship where you know your partner’s infection status.
Regular sexual health screening is also important, since most Chlamydia infections are asymptomatic. In fact, the US CDC recommends yearly Chlamydia screening for sexually active women under the age of 25.

If you would like to find out more about Chlamydia Testing and Treatment, come down to any of our clinics for a consultation.
Rapid Chlamydia & Gonorrhea PCR Screening (Next Day Results) is available in all our clinics in Singapore.

Stay safe, stay healthy.


Learn More about Other STDs & Other STD Symptoms


An Overview of Gonorrhoea Symptoms

Gonorrhoea symptoms in Men & Women can include discharge, painful urination and itch. Some people who are infected may not display any signs or symptoms.

What is the Cause of Gonorrhea?

Gonorrhoea is one of the most common Sexually Transmitted Infection (STI) in women.  It can cause infections in the vagina, rectum, and throat.
Gonorrhoea is known to be easily transmittable via both penetrative and oral sex. It can infect the reproductive system and less commonly, the throat or eyes. A maternal to child transmission is also possible here.
Similar to Gonorrhoea, Chlamydia is a common sexually transmitted disease caused by bacteria called Chlamydia trachomatis. Gonorrhoea is caused by the bacterium Neisseria gonorrhoeae.

In women, gonorrhoea affects the cervix and its functions 90% of the time.

via GIPHY

What are the risk factors for contracting Gonorrhea?

  • Multiple sexual partners
  • New sexual partner
  • Unprotected sex
  • Men that have sex with Men (MSM)
  • A sexual partner who has an STI
  • Having concurrent STI

What are the Gonorrhoea Symptoms:

Gonorrhoea can be a silent infection in most of the population. Often time, women and men with Gonorrhea will not display any signs and symptoms.
Gonorrhoea Symptoms & Chlamydia Symptoms can be overlaping.

The Symptoms of gonorrhoea can differ between men and women.

via GIPHY

Gonorrhoea Symptoms in women:

Gonorrhoea Symptoms in Men

  • Penile discharge – colour may vary from white, yellow, green, or occasionally blood-tinged
  • Pain when passing urine
  • Pain in the testicles – rare

Read more about what are the other causes of penile infection & foreskin infection
Depending on the nature of the sexual activity and the severity of the infection, both men and women may experience pain, itchiness or discharge from the anus. They may also have pain, swelling, irritation, or discharge from the eye or both eyes (otherwise diagnosed as conjunctivitis).

How to Treat Gonorrhoea?

As with most bacterial infections, gonorrhoea is treated with antibiotics. The first choice is a wide spectrum antibiotic. It is, however, proving to be getting more resistant to antibiotics.
Gonorrhoea is also challenging to treat because most people who have this STI also have concurrent sexually transmitted illnesses like chlamydia.

via GIPHY
Also, like with any other sexually transmitted illness, treatment must be extended to all partners, and once treatment is completed, routine testing is highly recommended in view of relapse due to the increasing resistant nature of the gonorrhoea bacteria.
Abstinence is recommended during treatment.

What are the Complications of Gonorrhoea

Rarely, untreated gonorrhoea can spread throughout the body giving rise to skin pustules, infection of the joints (fingers, ankles, knees, and toes), brain or heart valves.

Complications of Gonorrhea in Men

More commonly, in men, infections of the epididymis, prostate and urethra are noted. Gonorrhoea can cause subfertility in some patients.

Complications of Gonorrhea in Women

In women, similar to other sexually transmitted diseases, untreated gonorrhoea may cause pelvic inflammatory disease (via an ascending infection involving the uterus, fallopian tubes, and ovaries) in up to 20% of patients. With inflammation, scarring and/or multiple infections, issues of subfertility and extra-uterine pregnancy will arise.
More annoyingly is the chronic, relapsing pelvic pain. This pain is characteristically stubborn and may require multiple analgesic medications in some women.
Read more about Herpes: Everything You Need to Know!

How is Gonorrhea Test Performed?

In most cases, usually for men, a urine sample will be required for the test. However, for female patients, ideally, the doctor will need to take a sample from the cervix ( neck of the womb).
For this, patients will lie down on the examination couch with knees bent and a small plastic instrument called a speculum will be used to open the vagina, then a soft brush will be used to collect a sample from the cervix. This procedure is very quick and painless, with only some minimal
discomfort.
Depending on sexual history, gonorrhoea swab may also be taken from the throat and rectum, in both men and women.

Any preparation needed before the test?

Vaginal douching and rectal douches, as well as creams, should be avoided 1 day before the test.
For the urine test, it is best to not urinate at least 2 hours before the sample is taken.

How long will the results take?

The test is usually performed together with chlamydia screening and results will be ready by the NEXT DAY. This allows treatment to be given as soon as possible when needed.
We can provide Rapid Chlamydia and Gonorrhea STD Testing. STD Test result will be available the following day.
If you are interested in getting a Rapid STD Testing or treatment for gonorrhoea, please visit our clinics and speak to our male and female doctors.
That’s All Folks!


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  2. What are the Signs & Symptoms of HIV and AIDS?
  3. STD Symptoms
  4. What You Need To Know about HPV, Cervical Cancer, Pap Smear & HPV Vaccination
  5. Weak Erection? Erectile Dysfunction? Improv Erection with Pills
  6. 11 Causes of Dyspareunia (Pain During Intercourse)
  7. What are the Causes of Genital Ulcers, Genital Warts and Genital Blisters
  8. What is HPV Vaccination (Gardasil 9)
  9. How to Get Rid of Genital Warts?
  10. 10 Causes of abnormal Vaginal Lumps and Bumps
  11. HPV Infection & HPV Vaccination for Men who have sex with Men
  12. STD Risk for Receptive Unprotected Anal Sex in Men
  13. 7 FAQs HIV Preexposure prophylaxis (HIV PrEP)
  14. What is the Treatment for Cold Sores? What causes Cold Sores?
  15. Genital Warts: The Cauliflower-Like Lumps on the Genitals
  16. Syphilis Symptoms (Painless STD Sores & STD Rashes)