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About Mark Behar
Expertise
Almost any question or concern about sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), gay men's health issues. There is no such thing as “d/d free” or “clean” (free of infection), so why do so many of us deceive ourselves into thinking that some people are indeed totally free from a potentially infectious disease, like HIV, herpes, hepatitis, syphilis, chlamydia, warts, gonorrhea, etc., just because they say so? Clinical laboratory tests are not perfect, and having a “negative” or “nonreactive” test does not mean that a person is free from infection. Perhaps at the moment the test was taken, the person was uninfected; or, perhaps, the test wasn’t sensitive enough to detect presence of the infection. There is really no way that anyone can determine that they are truly “disease free,” and there are over a hundred of infectious conditions that can be spread without your knowing anything. Rather than trying to “prescreen” or “serosort” a potential sex-mate with deceptive questions that are impossible to know by today’s technologies, a wiser option may be to consider everyone infected with something, and either use appropriate protective measures (“safer sex”), or accept the responsibility and conseqences of possibly “catching” something from someone who’s hotter than expected (pun intended!). There is much research that supports the contention that an HIV positive person reliably taking HIV medications, and having an undetectable viral load, presents a lower risk for transmission of HIV than people who may think or say they are HIV negative, but are not. Food for thought!

Experience
Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answer STD questions submitted to their web site. Professionally lectured at national and regional Physician Assistant and Nurse Practitioner conferences, and at national gay & lesbian health conferences on topics including HIV/AIDS, herpes, hepatitis, STDs, human papilloma virus (the cause of venereal warts), abnormal Pap smears, gay and lesbian health issues, among others.

Organizations
Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; Wisconsin Academy of Physician Assistants; American Society of Colposcopy and Cervical Pathology (ASCCP); Board of Directors, National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Publications
Journal of the American Academy of Physician Assistants (JAPA)

Education/Credentials
Physician Assistant Certified, since 1982; Masters in Physician Assistant Studies; Colposcopy Recognition Award, American Society of Colposcopy and Cervical Pathology (ASCCP);

Awards and Honors
Colposcopy Recognition Award (CRA), from the American Association of Colposcopy and Cervical Pathology; Distinguished Fellow, American Academy of Physician Assistants; Fellow, Wisconsin Academy of Physician Assistants

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI

You are here: Experts > Teens > Health for Teens > Sexually Transmitted Diseases > irritation clear discharge

Sexually Transmitted Diseases - irritation clear discharge

Expert: Mark Behar - 11/1/2009

Question
I had discharge from my penis while I was having a bowel movement. It had the consistency of saliva or semen (gooey)and may have had blood in it but do not know since it drooped into the toilet. This was about 10 days ago. That was the only time it happened. I did not think of it till i felt irritation at the head of my penis. I have not had any sexual intercourse in long time 6 yrs. I just had intercourse about 6 days ago and the girl i was with was very aggressive. I believe the irritation started after the intercourse but not sure. No pain during urination. No other discharges since then. No reddeness on the penis that i can see.

Answer
Hello Jay,
Two things come to mind:
Abnormal, due to a seually transmitted infecion caused by something like chlamydia or gonorrhea.
Normal variation, due to stool pressing on your prostate, forcing prostatic fluid through your penis during a bowel movement.

The only way of telling is with a urine test to detect chlamydia or gonorrhea, and to insure that you have no constipation, and are well hydrated.

You didn't really ask a question, but I am presuming that you are wondering why you may have these symptoms, and what could cause them.

Good luck!
--mark

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