Blue Balls Penis
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Blue Balls Penis
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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.
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Have an orgasm to release the pressure. This is the quickest, easiest, and probably most enjoyable way to get rid of blue balls. Once you have an orgasm, all the blood drains away from your genitals, which gets rid of the problem. The sooner the better, so get started! You can do this alone through masturbation, or with a partner by having sex. As long as you have an orgasm and ejaculate, the method doesn’t matter. [1]
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Never use blue balls as an excuse to pressure your partner into having sex. You can take care of the problem yourself if your partner isn't in the mood.
Women can also feel something similar if they get aroused without having an orgasm, and the solution is the same.
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Hold a cold compress on your testicles if you don't want to have an orgasm. Sometimes, it's not the right time to have an orgasm or you don't want to have one. Luckily, you also have some other choices to get rid of blue balls. Try holding a cold compress against your testicles. [2]
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This might be a little uncomfortable at first, but it numbs the pain and also restricts blood flow. This should make you feel better until the blue balls pass.
A cold shower might seem like a cliché, but this works too! Try to focus the water on your testicles.
If you’re using a cold compress, always make sure you wrap it in a towel and don’t let it directly touch your skin. [3]
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Exercise to focus blood to other parts of your body. There is no real evidence that this works, but some men say it helps them. [4]
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Try doing some exercise to drain blood away from your genitals and towards other parts of your body. At the very least, this can distract you from the pain until the blue balls clear up.
This might be uncomfortable for a little while until the blood drains away from your genitals.
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Distract yourself with other activities so you don't notice the pain. Even if you do nothing, blue balls will eventually go away on their own without any problems. In the meantime, anything can distract you from the pain until it passes. [5]
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Do something you enjoy for a little while until the blood drains naturally.
Something that requires mental concentration, like solving a puzzle or playing a complicated videogame, could work well as a distraction.
You might find physical activities like sports more distracting. These work, too.
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Focus on non-sexual thoughts so the problem doesn't get worse. Unless you’re working on having an orgasm, then sexual thoughts won’t help your blue balls. Instead, they’ll keep you aroused and the blood won’t drain from your genitals. Clean out your dirty mind and focus on non-sexual thoughts while you’re trying to distract yourself. [6]
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Notice an aching heaviness in your testicles when you’re aroused. Blue balls only happen when you’re aroused. If you were aroused without having an orgasm and notice some pain or aching in your genitals, then it’s a good bet that you have blue balls. [7]
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You can get started trying to relieve the pain now.
This might feel slightly different for everyone. Some men say their testicles feel heavy or full, rather than painful. Some might feel dull or sharp pains around their genitals.
Remember that blue balls aren't harmful, so you don’t have to worry about seeing a doctor unless the pain doesn’t go away.
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Don’t rely on your testicles turning blue to identify blue balls. Despite the name, your balls probably won’t actually turn blue. [8]
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At most, your scrotum might have a slight blue tint or a few blueish areas where the veins are, but it probably won’t be too noticeable. Don’t rely on this sign to diagnose blue balls.
Your scrotum might look more red or pink instead of blue. This is from the blood building up in the area.
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See your doctor if your testicles hurt for more than a few days. In almost all cases, blue balls clear up on their own within a few hours and you won’t have any lasting problems. However, if the pain doesn’t go away, even after having an orgasm, then you might have an underlying issue. Wait a few days to see if the pain goes away, and if not, make an appointment with your doctor to get to the bottom of it. [9]
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On the other hand, you don’t have to see your doctor for blue balls as long as the pain goes away. It’s a normal problem that doesn’t cause any harm.
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Make a doctor’s appointment if your testicles hurt without being aroused. You might assume that any pain in your testicles means you have blue balls. However, if you feel pain in your testicles and you haven’t been aroused recently, then you probably don’t have blue balls. This might be from a separate issue, so if your testicles
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