Are Blue Balls Real
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Unbelievable as it might sound, there is a real condition called blue balls. But despite hearing that phrase from time to time, not everyone knows what it is exactly — much less what to do about it.
Today, we’ll break down what it means to have blue balls, signs of blue balls , and some of the common and effective treatments.
When someone says they have blue balls, that person is referring to a condition called epididymal hypertension or EH.
Some doctors might use the term acute scrotal pain or chronic epididymitis as not to dismiss other issues that might be causing a patient pain in that region.
Blue balls—as hinted by its name—generally affect the testicles. Symptoms of blue balls include mild pain or aching in the testicular area. Some claim to find a faint blue tint in their testicles, hence the name.
To understand what causes blue balls , we must first discuss how erections work.
When a man is sexually aroused, there is increased blood flow to the penis and testicles. The expansion of blood vessels is what causes the penis to become erect. After orgasm, excess blood is released and the penis returns to its normal state.
A man gets blue balls when he has prolonged sexual arousal and couldn’t release the tension.
This causes fluids to get trapped in the epididymis. And when that happens, a man can experience pain or discomfort in the testicles.
It occurs when a man fails to reach an orgasm during sex or when a man is aroused and couldn’t find a way to ejaculate.
The pain will typically last a couple of minutes. Though in rare cases, it can go on for hours. There is a case where a 14-year-old male was rushed to the emergency department after reporting scrotal pain that lasted an hour and a half.
According to Dr. Roger Henderson , blue balls are more likely to appear in young men if they become aroused easily or if they practice masturbation techniques that delay orgasm. But for most men, this is a rare occurrence.
Here’s the good news: Blue balls will go away on their own.
It’s not something you’d normally have to go to the doctor for, unless you’ve been experiencing other sexual dysfunctions like erectile dysfunction or premature ejaculation . But there are things you could do the next time you experience blue balls:
It’s perfectly normal for teens and young men to experience blue balls, especially if caused by sexual frustration.
However, when the pain on one or both testicles is constant regardless of what situation you’re in, it could be caused by another medical condition.
If that’s the case, you should consult a medical professional as quickly as possible. Your painful symptoms might come as a result of a more serious problem.
Here’s a list of other possible causes of pain or discomfort in the testicles:
There’s also testicular torsion which is a medical emergency that might require immediate surgery. This is caused by a quick twisting of the testicles which cuts off blood flow to the testicles.
Some men would ask women to have sex with them under the pretense of suffering from blue balls. It must be pointed out that sex isn’t required to relieve a man of any heaviness/aching discomfort.
While having an orgasm might ease the tension, this can be achieved through masturbation or by simply distracting oneself from arousal.
No one should be pressured into having sex because of blue balls.
Also, blue balls do not affect sexual performance. There’s no evidence to suggest that it affects how long sex lasts or that it has any impact on orgasm and sensation .
Did you know that women can suffer from blue balls too?
The female equivalent is called blue bean. In some circles, this condition is referred to as blue vulva, blue uterus, or pink pelvis.
According to Shelby Sells , a sex coach and resident expert at WOO More Play, those with vaginas will experience it when blood flow to the genitals increase with sexual arousal.
This condition affects the clitoris. It shares the same principles as blue balls. Blood rushes to the female genitals when aroused. And when they fail to reach an orgasm, it will have the same effect as epididymal hypertension.
Blue balls is not a precursor of impotence or sexual dysfunction and shouldn’t be treated as such.
If you’re experiencing problems getting an erection, it will have nothing to do with epididymal hypertension.
To understand the root causes of potential sexual issues, you should seek advice from a men’s clinic specializing in sexual health .
A doctor might recommend treatments like low testosterone therapy or provide a weight loss program that’s best suited for you.
Blue balls is not a condition that requires medical attention. It would go away on its own once the excess blood remaining in the penis recirculates back to the rest of your body.
But if you want instant relief, you can try masturbating or having sex to achieve an orgasm. If that’s not possible, you can try taking a cold bath or taking your mind out of your state of arousal through exercise or any other physical activity.
If the pain persists after achieving an orgasm or if it occurs even if your penis isn’t erect, it’s best to consult a doctor as it might point to another condition.
The medical professionals at Priority Men’s Medical Center specialize in treating conditions that impact men’s health. Our concierge approach positions your unique case at the centerpoint of our focus. We treat the underlying issues that led to conditions such as ED , Low Testosterone, and more. Contact our office today to schedule an appointment.
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It’s fair to say most men have experienced blue balls at least once. Yeah, they were probably sexually frustrated at the time — I can’t think of any other time it would happen. And no, it’s not just a term for sexual frustration. Blue balls is totally real.
Most men can also recount how it happened. Some rendition of making out that led to foreplay that led to… nothing. “Maybe next time,” she said. All that sexual arousal and no orgasm. Like an overheated thermometer ready to burst. Men who get blue balls usually complain about intense pressure, heaviness, aching, and discomfort.
So, what are blue balls? As a man becomes sexually aroused, the arteries carrying blood to his genitals enlarge, while the veins carrying blood away constrict. This traps the blood in the genitals, helping him maintain an erection. It also swells the testes to 25 to 50 percent larger than their normal size. Soon, the man will reach orgasm and everything in the genitals will return to their normal state. Unfortunately, in this case, he doesn’t. Blood pressure continues to build in the genitals through a process called vasocongestion, which makes it feel like someone is squeezing the testes.
Though the testes certainly feel bruised and blue at this point, the term comes from the bluish hue that develops on the testicles , according to the University of California, Santa Barbara . Oxygen-rich blood passing through the body is red. But when it loses oxygen — from being trapped in the testicles — it begins to turn blue. Hence, blue balls.
While this may be the prevailing science behind why we get blue balls. Dr. Abraham Morgentaler, director of Men’s Health Boston and associate clinical professor of urology at Harvard Medical School, told BuzzFeed there may be another reason: Fluids produced in the testicles, which are meant to propel sperm out of the penis, build pressure.
“With more stimulation, there’s more blood flow to the genital region, including the testicles,” he said. “The fluid wants to get somewhere, but without there being that release, it builds up and builds pressure.” As the fluid builds up, it causes the tubes at the back of the testicles to stretch, causing pain. “It has that kind of sensitivity and tenderness.”
Having an orgasm and ejaculating is the easiest way to find relief from blue balls, and since it’s not going to come from having sex, masturbation might have to suffice. Once done, the pain and swelling associated with blue balls should go down. If masturbation isn’t an option, however, the pain will eventually still subside as the blood and fluids drain out. It’ll just take a bit longer.
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Medical Daily is for informational purposes and should not be considered medical advice, diagnosis or treatment recommendation. Read more .
Prolonged sexual arousal in men without an ejaculation can cause pain, a condition colloquially referred to as "blue balls".
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The agonizing pain known as “blue balls” is well known to just about any man who was ever a teenager, an ache caused by prolonged arousal without release — a condition often referred to by urologists as epididymal hypertension. But what causes this syndrome?
Although anecdotal evidence suggests that epididymal hypertension is fairly common (especially in adolescent men) there is for some reason a remarkable dearth of peer-reviewed scientific literature on the topic. Case reports and speculative essays have been published, but a universally agreed-upon understanding of the mechanism is still lacking. According to one speculative paper published in Medical Hypotheses:
Although epididymal hypertension pathophysiology has not been cleared yet, it is thought that it might be related to an increased distension of epididymis or to a pelvic venous dilatation […]
Dr. Abraham Morgentaler, an associate clinical professor of urology at Harvard Medical School, gave a layman’s explanation in a post for BuzzFeed Health:
The testicles produce testosterone and sperm, but they also make other fluid to help propel the sperm through the various tubes, says Morgentaler. “With more stimulation, there’s more blood flow to the genital region, including the testicles. The fluid wants to get somewhere, but without there being that release, it builds up and builds pressure,” he says. When they get really filled up or congested, it causes the insides to stretch as they get engorged, and that’s what hurts.
Two things are thought to be going on. First, the increase of blood to the penis, caused by the restriction of outflowing blood, fills a penile chamber called the corpus cavernosum, which in turn puts more pressure on the various “tubes” directing various fluids flowing through that regi
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