Blue Balls Sex

Blue Balls Sex
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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.

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.

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When men are sexually aroused for an extended period of time but don't get any sort of physical release, they can develop what's known as "blue balls." Medically, this real condition is known as epididymal hypertension (EH). But it turns out that you don't need to have testicles or a penis to feel this way—women can get a version of blue balls, too.

Shelby Sells, a sex, love, and life coach and resident sexpert at WOO More Play , refers to this as "blue vulva." (It's also known as "blue uterus" and "pink pelvis.") "Vagina owners can experience this when blood flow to the genitals increases with sexual arousal," Sells tells Health .

This increased blood flow is called vasocongestion whether it happens to a male body or female one. "The clitoris and the penis are homologous, meaning they are parallel structures in biologically male and female bodies," SKYN Sex & Intimacy expert, certified sex coach, sexologist Gigi Engle tells Health . "Both the penis and the clitoris contain erectile tissue that swells with blood when aroused."

That extra blood flow doesn't actually turn the balls or vulva blue—but it can give either body part a blueish tinge, hence the name of the condition.

Most women who experience it describe blue vulva as feelings of heaviness around the clitoris and vulva. It generally resolves when blood flow to the region normalizes—either after orgasm or when sexual arousal calms, Sells says. Other terms used to describe it include uncomfortable, annoying, even painful.

Blue vulva can feel irritating. "Mostly, it just feels like sexual arousal because it is sexual arousal," she explains. Whatever a person feels, know that it's not harmful at all. In fact, the myth that blue balls is somehow dangerous or super painful is born out of the idea that mean need to "release" their ejaculate, and it's supposed to pressure women into sex.

Family and relationship psychotherapist and author Fran Walfish , PsyD, tells Health it's a misconception that blue vulva isn't common. "I hear differently in my large Beverly Hills private practice," she says. "Many women, especially those above the age of 40, take longer or have trouble achieving orgasm. They either experience a physical discomfort in their uterus or a sense of frustration, or both." Anyone can experience blue balls or blue vulva, however, and it's not limited to any age group.

The International Society for Sexual Medicine says this about the conditions: "Blue balls and blue vulva have not been rigorously studied by academics. Generally, people should not be alarmed if it happens. It can take some time for the aching to go away, but there are ways to relieve symptoms.

One obvious way to relieve that heavy feeling is to have an orgasm. If you don't have a partner on hand, "grab your favorite vibrator and some lube and get yourself off," Engle suggests. Another way to ease the discomfort is to take a cold shower and give your vagina a rest, says Sells. If none of these are possible, just turn your mind to a non-sexual topic, and the feeling will start to dissipate.

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Immediate relief can be achieved with masturbation. A cold shower can relieve symptoms. Distract your mind into something nonsexual. Slow music can also help. Keep yourself busy with other activities.
Hide it from your doctor, if it is persistent. Engage yourself with sexual desires more often. Make a habit of masturbating on a daily basis.
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Blue balls are medically called epididymal hypertension (EH). Blue balls refer to testicular pain that occurs when the blood in the genitals is retained after prolonged arousal and is not dissipated by an orgasm. The condition is generally associated with men who are experiencing delayed ejaculation or reluctant ejaculation. The main reason for this phenomenon is the long sexual stimulation or arousal condition in which the penis stays erect, but without orgasm or ejaculation to occur.
During arousal, the sympathetic nervous system is off and there is an increased amount of blood that reaches the scrotum, testicles, and prostate region. During this process, the muscles in that region shrink. The purpose of this elevated amount of blood in this area is to maintain an erection during intercourse. When there is no ejaculation, the blood becomes more oxygen-poor but does not leave the area and in some cases produces a bluish appearing scrotum and hence the slang of Blue Balls is applied to this condition. During the process of vasoconstriction (the constriction of blood vessels, which increases blood pressure), testicles increase their size by 25 percent to 50 percent.
The fastest way to get rid of pain caused by epididymal hypertension is through sexual intercourse. The process of ejaculation switches on the sympathetic nervous system which helps dissolve the blood in that area and gradually the symptoms disappear over time. Another way to get relief is from cold water shower or applying cold water to the scrotum. Applying cold water can increase blood circulation in the body and relieving the pressure. A severe form of vasoconstriction is called priapism, which requires medical treatment. Women can also suffer from this phenomenon. Women’s genitals too experience an increased amount of blood flow during arousal and intercourse which causes congestion. If the woman does not reach orgasm, she may feel pelvic pressure and sometimes even pain.
Blue balls or epididymal hypertension (EH) affects the testicles and may exhibit the following symptoms:
The main cause of blue balls or epididymal hypertension is due to the vasoconstriction in the genitals. When a man becomes sexually aroused, the arteries that carry blood to the genitals swell, while the veins that leave the genital area become small, allowing less blood to escape. This infrequent blood flow increases the amount and pressure of blood flow and retains it in the genital area.
The pressure which is formed is responsible for producing an erection and makes the testes to swell and makes them 25 percent to 50 percent larger than their normal size. If a climax is attained, the blood vessels quickly will return to their normal size and the amount of pressure in the genitals release and they return to their normal level. In other cases when a man is aroused and does not have a climax, blood flow in the genitals collects through a process called vasocongestion and may create sensations of aching, heaviness, and discomfort.
Due to the long time the blood is trapped in the genitals, the blood is oxygen deprived and the color of the scrotum turns to blue from the accumulation of deoxygenated blood in the testicles. Oxygen-rich blood on the surface of the skin creates a red color, while blood with little oxygen appears blue. The longer the blood stays in the testes and scrotum without circulating to the heart and lungs, the less oxygen it obtains and the bluer the skin appears. Epididymal hypertensionusually does not last long and often the pain associated with blue balls is minimal.
It is common for men to become frustrated when they get an erection during sexual activity, but do not achieve climax. Due to this failure to achieve climax can lead to psychological stress and physical discomfort for men.
https://factdr.com/wp-content/uploads/2019/06/Blue-Balls-banner.png
The pain and discomfort in the testicles only when a person is aroused is most likely a result of epididymal hypertension. Pain occurring in the testes when not aroused may indicate other problems. Testicular pain can be caused by other diseases that can be localized to the testes or elsewhere in the scrotum.
Other conditions causing testicular pain include:
Ignore the problem: The pain of blue balls is not considered to be harmful and carries no side effects. There is virtually no medical treatment required for treating blue balls and generally subsides when the problem is ignored.
Do some heavy lifting: Doing some hard manual labor will help to blow off some steam and it actually works. Lifting heavy objects as well as pushing them induces a maneuver called Valsalva maneuver, which flexes the internal muscles as during a bowel movement. This, in turn, can release the pressure on the testicles and relieve the pain.
Work out: Anything that helps divert blood flow should help relieve the pressure off the swollen testicles. Jogging on the treadmill or doing a few push-ups can help the blood to move to other parts of the body and away from the scrotum.
Natural remedies: When the male sexual organ is aroused, there is a greater flow of blood to the penis following an expansion of the blood vessels. This leads to an erection. Sometimes the person does not orgasm for a long time. Epididymal hypertension is caused when a man does not orgasm for a while and instead has an extended erection. It can lead to a bluish hue on the testicles, which also become heavier; hence, the name blue balls for this condition. The presence of too much blood in the area of the genitals can cause pain and discomfort. This could be solved by taking garlic for two reasons: it can help to lower blood pressure and secondly, it is a natural aphrodisiac.
Refresh the mood: Changing the mood by concentrating on other aspects and reducing arousal is an easy way to divert the blood flow away from the genitals and provide relief to blue balls. Ignoring the thoughts which can lead to arousals such as thinking of a family member, taxes, or trouble at work should help in reducing the thoughts of arousal and this, in turn, relaxes the scrotum and releases the pressure off it.
Put an ice pack: An ice pack is a quick way to cool things down. The cold reduces swelling and therefore pressure and pain in the scrotum. It acts a shock to the system, which can help the person get off the arousal.
Get a cold shower : Taking a cold shower again seems to be beneficial. Taking a cold shower increases the blood circulation in the body. It also helps the blood which is trapped in the scrotum to release, reducing the pressure on the scrotum.
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