Blue Balls Cause

Blue Balls Cause




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Blue Balls Cause


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Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Ⓒ 2022 Dotdash Media, Inc. — All rights reserved





Verywell Health is part of the Dotdash Meredith publishing family.


Rod Brouhard is an emergency medical technician paramedic (EMT-P), journalist, educator, and advocate for emergency medical service providers and patients.
Jamin Brahmbhatt, MD, is a board-certified urologist and Chief of Surgery at Orlando Health South Lake Hospital.

Blue balls is the colloquial term for pain or a heavy feeling in the testicles caused by prolonged sexual arousal without orgasm in males. Blood vessels swell during arousal, and that subsides after ejaculation . If ejaculation is withheld or delayed (impaired), fluids build up, resulting in blue balls.


The condition itself—also known as epididymal hypertension—is uncomfortable, but not dangerous. It is common in newly pubescent boys, but it can also affect adult males. 1


This article discusses what blue balls mean, what happens in the body to cause them, and how you can get relief.


Blue balls is not a diagnosis, per se, but rather a way to characterize pain in the scrotum associated with prolonged sexual arousal without ejaculation. 1


Of course, the term is one you're more likely to hear in casual settings, rather than a healthcare provider's office. While most males will never need to see a healthcare provider about blue balls, as they are acutely aware of their cause, scrotal pain that is chronic or occurs independently of sex should be evaluated. 2


Medical providers will more often use the term acute scrotal pain. Prolonged sexual arousal is a very likely cause, but there are many other possible reasons for pain in the scrotum, testicles , epididymis (the tubes behind the testes that transport sperm ), and spermatic cord. 2


Whatever blue balls are called, the term acts as a placeholder until the doctor investigates the cause and ensures that a more serious condition is not involved. 2


Symptoms of blue balls can include: 1

Despite its name, blue balls doesn't cause the scrotum or testicles to turn blue. If bluish or purplish discoloration occurs with acute pain and swelling, this may be a sign of a medical emergency known as testicular torsion . 3

Blue balls is thought to be caused by the excessive accumulation of fluid in the epididymis during prolonged arousal. Without ejaculation, the "back up" of fluid can cause the epididymis to expand, causing discomfort or pain. 1


Blue balls may be also the consequence of:


Because the symptoms are non-specific, doctors investigating blue balls will almost always investigate other possible causes of acute scrotal pain. These include: 2


Blue balls may be differentiated from other types of acute scrotal pain in that the discomfort doesn't prevent sex. 6 By contrast, scrotal pain caused by trauma will often interfere with the ability to have sex.


If you truly have blue balls, the symptoms will typically resolve on their own. If you can't tolerate the discomfort, there are a few remedies that may help:

People with blue balls should never pressure their partners to engage in any sexual activity without full consent or engage in any form of coercion.

Blue balls is a phenomenon that definitely affects some people. It can be temporarily painful or uncomfortable, but it is serious or a threat to your health. It typically resolves on its own with some time.


However, if your symptoms recur, are chronic, or impact sexual activity, contact your healthcare provider. This may be a sign of another, more potentially serious problem. 7


If the pain is severe and accompanied by fever, nausea, vomiting, scrotal swelling, abdominal pain, and frequent urination, call 911 or go to your nearest emergency room. 3

Typically, blue balls resolve on their own within one or several hours. The condition generally doesn't require medical attention. 2
Blue balls is a term that was coined as far back as 1916. 8 Despite its name, it rarely causes blue testicles.
A cold compress applied to the testicles may alleviate pain due to blue balls. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) may also help. 2 Masturbation has been described as a remedy for blue balls in some older medical journals, although few doctors today would recommend masturbation as a medical treatment.
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Velasquez J, Boniface MP, Mohseni M. Acute scrotum pain . In: StatPearls [Internet].
Schick MA, Sternard BT. Testicular torsion . In: StatPearls [Internet].
Parnham A, Serefoglu EC. Retrograde ejaculation, painful ejaculation and hematospermia . Transl Androl Urol . 2016;5(4):592-601. doi:10.21037/tau.2016.06.05
Ayad BM, Van der Horst G, S Du Plessis S. Revisiting the relationship between the ejaculatory abstinence period and semen characteristics . Int J Fertil Steril . 2018;11(4). doi:10.22074/ijfs.2018.5192
Rockney R, Alario AJ. Blue balls . Pediatrics. 2001;108(5):1233-4.
Leslie SW, Sajjad H, Siref LE. Chronic testicular pain . In: StatPearls [Internet].
Dalzell T, Victor T. Sex Slang . London: Routledge; 2008. doi:10.4000/lexis.1889
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Zachary Zane
Zachary Zane is a Brooklyn-based writer, speaker, and activist whose work focuses on lifestyle, sexuality, and culture. He was formerly the digital associate editor at OUT Magazine and currently has a queer cannabis column, Puff Puff YASS, at Civilized.


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For centuries, men have bemoaned the scourge of blue balls—but is it actually a thing? The answer is complicated.
Since the dawn of time, men have used the term " blue balls " as a euphemism for general sexual frustration. But if you’ve ever felt an aching sensation down there—or even noticed your testicles turning a darker shade—you know it's not just an excuse to get off. Blue balls can be something that actually affects you physically, too—and it (sorta) hurts.
Anecdotal symptoms of blue balls include testicular pain, an aching sensation at the base of your penis, heaviness, and a faint blue tint to your testicles. But is "blue balls" actually real, or are those symptoms psychosomatic? And for that matter, is it harmful?
"Neither blue balls nor pink pelvis (the female-bodied equivalent) is dangerous or bad for you," says Gigi Engle , ACS, certified sexologist and author of All The F*cking Mistakes: a guide to sex, love, and life . "The myth that blue balls is somehow dangerous or super painful is born out of the idea that men need to 'release their ejaculate, which is a myth designed to pressure women into sex.'"
You might have heard it in a movie or from a buddy at some point: "She gave me blue balls!" Men have long complained about blue balls as a means of pressuring women into sex, Engle explains. "A guy will pretend he's in pain and appeal to a woman's sympathy in order to get what they want," she says. "It's manipulative, wrong, and it's definitely a form of coercive assault to use blue balls to pressure someone to perform a sexual act they don't want to do."
Remember, you need enthusiastic consent—i.e., a "HELL YES!"—to proceed with any sexual interaction. Guilting someone into a hookup by telling them you have blue balls, as though it's some kind of dangerous medical condition? Nope. Not gonna cut it.
Let's get one thing clear right off the bat: While “blue balls” is a relatively common phenomenon, that fleeting testicular pain is not going to do any long-term damage. If you're having sex and your orgasm is interrupted, you might be uncomfortable for a few minutes (or even hours), but that's pretty much the whole extent of it.
Initially, there wasn’t a whole lot of research available on blue balls. We dug up one early case report published in the journal Pediatrics back in 2000, which detailed a 14-year-old boy who ended up in the ER with severe scrotal pain after “messing around” with his girlfriend without ejaculating. But the scientists admitted they weren’t quite sure what was responsible for causing the pain. That’s because, after reviewing the available literature in emergency medicine, urology textbooks, and medical libraries, the scientists were unable to find any mention of or official medical term for “blue balls.”
Now, we do have an official medical term for the unpleasant experience: epididymal hypertension.
“The condition is caused by excess blood remaining in the testicles from a wave of erections not followed by ejaculation,” explains Jamin Brahmbhatt , M.D., a urologist at Orlando Health. “During arousal blood starts to flow into the penis (ie: erection), testicles, and surrounding areas. When a man achieves orgasm/ejaculation the blood returns back to the body."
Symptoms of epididymal hypertension “include pain, discomfort, aches, or a heavy sensation in or around the testicles,” Brahmbhatt says.
There’s also some evidence that prolonged sexual attraction, leading to a stiffy that won’t go down, can cause some of the oxygen in your blood to be absorbed by the tissue in your genitals. This can leave the blood with a blue-ish hue, says urologist Richard K. Lee, M.D. , of Weill Cornell Medical College.
But Lee says this usually only happens when there’s some type of blockage. “ Erectile dysfunction drugs or blood flow-constricting devices like a penis ring could cause this, but it’s not likely to occur naturally,” he adds. So unless you've been using Cialis or a new sex toy in the bedroom, your balls likely won't actually become blue—you might just experience some mild discomfort.
There is no research-based treatment for this condition, says Brahmbhatt. “Anecdotally, the quickest way to recovery appears to be ejaculation. Other ways discussed in forums include ice packs, avoiding erections, and then exercise of some sort.”
Only having an orgasm can relieve this pressure, says urologist Darius Paduch, M.D . (Note that he does not say "partnered" orgasm—if you want to finish, and your partner isn't on board for whatever reason, go be a man and find a bathroom stall and a wad of Kleenex and take care of it yourself. Your partner doesn't owe you anything—period.)
Some people have suggested that applying ice or cold water (hello, cold showers!) or working out can help relieve the pressure, but there isn't a ton of research to support that. So for now, just stick to the old-fashioned way.
If you’re experiencing blue balls for a prolonged period of time, odds are, it’s not blue balls, but a far more serious condition, Brahmbhatt says. The sensation (and associated pain) from blue balls is typically short-lived, and of course, should go away once you ejaculate.
Brahmbhatt has seen his fair share of men that come to the ER with testicular pain that has no clear etiology, and they think it’s likely blue balls. Some guys can easily admit to the problem, whereas others are in denial. “Regardless, these patients always get ruled out for more acute problems including epididymitis (infection or inflammation of the epididymal tubules), orchitis (infection or inflammation of the testicle), testicular torsion, referred pain from kidney stones, testicular cancer, or testicular trauma/injury.”
So if you’re fooling around and don’t get to finish, odds are it’s blue balls. Go finish on up in the bathroom. But if you’re experiencing prolonged testicular pain, and masturbating isn’t helping, then get thee (and your balls) to a urologist.


Alpha Male Nation |
July 11, 2022
Did you ever wonder what connection is between blue balls and sex? Do you know to answer to the question: “What are blue balls?” “Blue balls” is a slang term that is believed to have originated in the United States, referring to a condition when unsatisfied and sexual excitement in men is causing a special condition named “blue balls”. When the blood that is filling the vessels in the genital area is not dissipated by having an orgasm, then the arteries are more constricted, generating pain in testicles. This unpleasant sensation has popularly named “ blue balls ”, perhaps because of the bluish tint of testicles that appears when blood is filling the vessels in a vasoconstriction. Medical terminology named this problem: epididymal hypertension.
Testicles are oval-shaped organs located in a sac hanging behind the penis. The testicles are producing sperm and the male hormone named testosterone, responsible for changes during puberty. After puberty, the testicles will produce sperm, specific liquid released from penis when a man is ejaculating. These important male organs are growing since early puberty, from ages 10 to 13 ages, and the colors of the skin who cover the balls around scrotum becomes darker and develop hair. The testicles discharge sperm into the epididymis, the first structure in the duct system. The epididymis is a tube along the top and side of each testis. Inside the epididymis can be found several ducts that transfer the sperm from the testicles into the “vas deferens”. The vas deferens loops up into the body then are descending into a duct in the seminal vesicle. This duct joins also the ejaculatory duct, which extends through the prostate gland, and enters the superior segment of the urethra. In different situations and times, the urethra functions as a passage – way for urine and for sperm. During the travel of sperm through the duct system, inside you can find a combination of fluids from seminal vesicles, the prostate gland, and urethra.
The seminal vesicles, situated near the underside of the urinary bladder, are generating a sticky thick fluid. The prostate is a male gland, small dimensions, in the shape of a doughnut, which surrounds the urethra. This gland is secreting a substance who contributes to seminal fluid, alkaline, who protect the sperm and is essential for effective sperm action. Is important to know that sperm is at it high mobility when the act in a slightly alkaline medium. The semen formed in urethra, travel along the penis during ejaculation. If the man reaches orgasm and ejaculates, the arteries and veins reach their normal size and the volume of blood in the genitals is reduced. Penis and testicles return to their initial size rather quickly.
For a lot of men, experiencing “blue balls” is just a euphemism for their sexual frustration. But if you’ve felt some pain on testicle level or maybe you noticed your testicles are turning into a darker shade (bluish color)—you know it can be something that is affecting you physically, too. This variable blood flow will enlarge the volume of blood kept in the genitals and will help the penis to become hard and erect and in this way, the testicles will be invaded by with blood. During this process of vasoconstriction, the testicles are increasing their volume with 25-30%. Fluid and blood congestion in the testicles and prostate region can cause discomfort and even pain in these regions. The testicles themselves do not actually turn blue, but the common name for this effect is “blue balls”.
Medical specialists call these phenomena: epididymal hypertension. The good news is that not all males experience this problem. During sexual arousal in the male, blood flows into the pelvic region, inside cavernous bodies of the penis. This results in dilation of blood vessels and an erection – a hard penis. The veins carrying blood away from the region constrict and help to maintain the blood present, allowing the erection to remain present. This phenomenon is simply the vasoconstriction and also occurs in the testicles. The lack of orgasm allows this congestion to persist and men are feeling an ache or pain in the testicles. Here we have the famous problem: “blue balls”. Some people describe the sensation as heaviness inside balls.
Epididymis hypertension usually does not last long and men confess that the pain and suffering associated with blue balls are minor. Many men may become frustrated when they get an erection during sexual activity, but finally, they do not end sexual act with an orgasm. This frustration and failure to ejaculate induce a degree of psychological stress associated with physical discomfort, making “blue balls” state seem even worse. Women can also be affected by a sort of pelvic congestion, or “blue vulva”, and they also experience the discomfort of unreleased vasoconstriction. During sexual arousal and excitement, the vulva, exterior genitals, uterus, and ovaries swell with blood, causing the same feeling of heaviness and pain that men experience in their genitals. Women can eliminate this discomfort by having an orgasm or at least waiting for a period of time. Note that the notion of “blue vulva” or the generic term “pelvic congestion” is differen
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