[Question #1854] Penis Discharge

78 months ago
Hi, I'm a 45 year old male and last night I had sex with a woman that I used to have sex with regularly.  We had sex for quite a long time but I did not ejaculate- we had been drinking, etc.  This morning I woke up with an erection and I started stroking my dick- within probably 20 seconds I had a yellow, mucus-type discharge.  It definitely wasn't pre cum.  I got up and urinated, took a shower, etc and haven't had any more.  I don't have any other symptoms- pain, burning, frequent urination.  All of the STD's I've read about that can cause discharge take several days to weeks to materialize.  Within the last month I've only had sex with my gf except for the incident last night.  Could it have something to do with the fact of how long we had sex but I didn't ejaculate?  It was probably 30 minutes or so of penetration. 
Edward W. Hook M.D.
78 months ago

Thanks for your question.  I'll try to help.  One of the things we are proud of is that when we don't have a good explanation for something we say so. In your case, I am at a loss to suggest what the discharge you noted might be - as you suggest, it may be related to your encounter without ejaculation last night.  Years of experience however indicate that there are no STIs which would cause the sort of discharge you describe 12-18 hours after sex.  My advice would be that you do not need to seek evaluation at this time but, should it recur, I would seek evaluation at that time and urge that you request not only tests for gonorrhea and chlamydial infection but also a test for inflammation, optimally with a urethral gram stain although getting a urine test to look for white blood cells would be a less satisfactory second choice.. If it does not recur, I would not worry.

I hope this suggestion and guidance is helpful to you.  EWH