Glandular Discharge: Is It a Sign of STD? - Urology

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Glans issues


I once had to drive urgently and used a bag to collect my urine.
I later noticed that there was a yellow, thread-like substance mixed in with the urine.
After a few more times of urinating into a cup, I found that substance again.
Additionally, sometimes I notice a yellow, pus-like discharge from the glans, but other times it doesn't occur.
This has been worrying me, and I'm concerned that I might have a sexually transmitted infection (STI).
Can you help me understand what this might be? Thank you.

Huang, 20~29 year old female. Ask Date: 2005/09/27

Dr. Chen Xiuyi reply Urology


Hello: Based on your description, the presence of purulent discharge from the urethra and yellowish strands in the urine should rule out the possibility of chronic urethritis and even chronic prostatitis.
You should seek treatment at a urology outpatient clinic.
Sincerely, Dr.
Chen Hsiu-Yi, Urology.

Reply Date: 2005/09/27

More Info


Understanding glandular discharge, especially when it presents as a yellowish substance in urine or from the glans, can indeed be concerning and may raise questions about sexually transmitted diseases (STDs). Based on your description, there are several potential explanations for the symptoms you are experiencing, and it is important to approach this matter with a clear understanding of the possible causes.

Firstly, the presence of yellow strands in your urine could be due to a variety of factors. One common cause is the presence of mucus, which can sometimes appear in urine and may be mistaken for something more serious. Mucus is produced by the lining of the urinary tract and can be a normal finding, especially if you have been dehydrated or if there is irritation in the urinary tract.

However, the yellow discharge from the glans, particularly if it resembles pus, is more concerning and could indicate an infection. One of the most common infections that can cause such symptoms is urethritis, which is inflammation of the urethra. Urethritis can be caused by various pathogens, including bacteria such as Neisseria gonorrhoeae (which causes gonorrhea) and Chlamydia trachomatis (which causes chlamydia). Both of these are STDs and can lead to similar symptoms, including discharge, pain during urination, and sometimes even abdominal pain.

In addition to STDs, other non-sexually transmitted infections could also cause similar symptoms. For instance, a urinary tract infection (UTI) can lead to changes in urine appearance and may cause discomfort or discharge. Prostatitis, an inflammation of the prostate gland, can also lead to discharge and urinary symptoms.

It is crucial to note that the intermittent nature of your symptoms—sometimes present and sometimes absent—does not rule out an infection. Many infections can have fluctuating symptoms, and it is essential to get a proper evaluation to determine the underlying cause.

Given your concerns, it is highly recommended that you seek medical attention. A healthcare provider can perform a thorough examination, including a urinalysis and possibly cultures to identify any infectious agents. They may also recommend testing for STDs, especially if you have had unprotected sexual encounters or if you have other risk factors.

In conclusion, while the symptoms you describe could be indicative of an STD, they could also be due to other non-sexual infections or even normal physiological variations. The best course of action is to consult with a healthcare professional who can provide a definitive diagnosis and appropriate treatment if necessary. Early intervention is key in managing any potential infections and preventing complications. Remember, it is always better to address health concerns sooner rather than later, especially when it comes to sexually transmitted infections.

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