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Question
Hello Dr Stephen,
I'm 22 years old male single, during the last 3 years I have noticed a white liquid coming out from my penis at the end of urination with a burning sensation after that but not for a long time. this liquid is not viscous and odorless and it is dissolved imediately  in water. sometimes I find some white traces in my underwear. I have also noticed a liquid out of my penis when a stool is passing through my rectum. I masturbate 2 times per week and sometimes I see some very little white pieces in the pre-ejaculate liquid, theses pieces looks like those that I find in my underwear. I don't know if it is an std (gonorrhea...) or something else

Thank you

Answer
Sami:

It would be extremely unlikely for you to have any STD based on the described symptoms.  The fluid is most likely just prostatic fluid and is harmless.  This is certainly the fluid noted during a bowel movement.  The small, harder white pieces could just be some of the fluid that has dried.  To be absolutely sure, check with your local physician.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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