What are the initial symptoms of male reproductive tract infections?
Nov 29, 2025
Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
Early symptoms of male reproductive tract infections typically include urethral irritation, abnormal urethral orifice, changes in genital skin, altered secretions, and discomfort during urination. After pathogens invade the urethral mucosa, they often cause frequent urination, urgency, a sensation of incomplete bladder emptying, and a noticeable increase in urinary frequency—particularly requiring multiple nighttime awakenings to urinate—though each voided volume is small, sometimes accompanied by mild urethral pricking pain.
Early symptoms of male reproductive tract infections generally include urethral irritation, abnormal urethral opening, changes in genital skin, altered secretions, and discomfort during urination. Specific details are as follows:
1. Urethral irritation: After pathogens invade the urethral mucosa, frequent urination, urgency, and a sensation of incomplete voiding commonly occur. The frequency of urination increases significantly—especially at night, requiring multiple trips to the bathroom—though each volume is small, often accompanied by mild stinging or pain in the urethra.
2. Abnormal urethral opening: Redness and swelling may appear at the urethral opening, with slightly raised edges that are painful upon touch. In the morning, a small amount of discharge—possibly white or light yellow—may be observed adhering to the opening.
3. Genital skin changes: In early infection, genital skin may become red and mildly itchy. Small flakes of skin may form after scratching, and some areas may develop tiny, pinhead-sized red papules.
4. Changes in secretions: Altered characteristics of urethral discharge are an important warning sign. Discharge may change from clear mucus to purulent or bloody. When abundant, it may soak through underwear and sometimes emit a fishy or foul odor.
5. Urinary discomfort: A burning sensation in the urethra—similar to the feeling of hot water passing through—may occur during urination. In severe cases, the pain may radiate to the base of the penis or perineum, and a persistent sensation of incomplete bladder emptying may remain after urination.
Maintain cleanliness and dryness of the genital area daily by washing with warm water and thoroughly drying afterward; avoid using irritating cleansers. Wear loose-fitting cotton underwear, change frequently, and air-dry in sunlight. Practice proper hygiene before and after sexual activity, and use condoms to reduce infection risk. Seek immediate medical attention from a urology or dermatology and sexually transmitted diseases clinic if symptoms persist for more than three days or if systemic symptoms such as fever or chills develop.
