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What causes whitish discharge from penis?

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Posted on Mon, 25 May 2015
Question: Four days ago, I had a small white discharge from my penis. It was a one time discharge. Is this something I should be concerned about?
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Answered by Dr. Muhammad Sareer Khalil (37 minutes later)
Brief Answer:
Not likely to be an STD

Detailed Answer:
Hello and Welcome

I appreciate your concern

Pertaining to a one time discharge, I would not necessary conclude towards an STD. The most common worry is that of gonorrhea in case of a whitish discharge from the penis. Gonorrhea is accompanied by burning and painful urination with irritation sensation in urethra combined with persistent discharge that doesn't subside till treatment is initiated. The diagnosis gonorrhea is by gram staining followed by culture and sensitivity testing of the urine. The PCR or Polymerase chain reaction test is a highly sensitive test for detecting gonorrhea. If its this single episode then based on clinical clues and history , I would not go for hefty workup. If the discharge recurs or there is associated urethral irritation then PCR can be advised. Azithromycin can be given empirically to treat for Gonorrhea and if there is associated itching /irritation of urethra then antifungals should also be added for candida cover in consult with your doctor.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

Dr. M.S. Khalil
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Muhammad Sareer Khalil (1 hour later)
I did have some pain on urrination at the same time, but it has now totally gone
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Answered by Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
explained

Detailed Answer:
Hello again,

If you are asymptomatic at the moment then a simple urine routine exam would be enough to probe that single episode of white discharge and urination discomfort. STD workup would be over kill at this juncture.

Let me know if you have any query

Thanks.

Dr. M.S. Khalil
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
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Answered by
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Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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What causes whitish discharge from penis?

Brief Answer: Not likely to be an STD Detailed Answer: Hello and Welcome I appreciate your concern Pertaining to a one time discharge, I would not necessary conclude towards an STD. The most common worry is that of gonorrhea in case of a whitish discharge from the penis. Gonorrhea is accompanied by burning and painful urination with irritation sensation in urethra combined with persistent discharge that doesn't subside till treatment is initiated. The diagnosis gonorrhea is by gram staining followed by culture and sensitivity testing of the urine. The PCR or Polymerase chain reaction test is a highly sensitive test for detecting gonorrhea. If its this single episode then based on clinical clues and history , I would not go for hefty workup. If the discharge recurs or there is associated urethral irritation then PCR can be advised. Azithromycin can be given empirically to treat for Gonorrhea and if there is associated itching /irritation of urethra then antifungals should also be added for candida cover in consult with your doctor. Wishing you best of health Thanks Please consult your doctor before deciding on any further course of action. Dr. M.S. Khalil