Epididymal Hypertension
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Epididymal Hypertension
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Epididymal Hypertension – Blue Balls
Symptoms of Blue Balls Condition:
Pain & Discomfort in Groin area
Heaviness due to accumulation of blood in scrotum
Blue-ish hue in the testicle area.
Masturbation - Cure for Blue Balls Problem
Metromale Clinic & Fertility Center
Metromale Clinic & Fertility Center
Metromale Clinic & Fertility Center
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Blue Balls (in Men), medically termed as “Epididymal Hypertension”, is a condition when the testicles turn blue-ish when a man has an erection, typically prolonged without an orgasm. This results in pain and aching in the testicles and in the groin area. Though this is not a serious condition, many times treatment is as simple as masturbation to release the blood that flowed into the genitals.
When men are aroused, the blood vessels in penis and testicles expand to allow greater volume of blood to flow into them. This results in penis to expand and stiffen leading to an erection. This also increases the size of scrotum and they feel heavier.
Once orgasm is reached, the blood is released back into the body and erection is lost. In cases when too much blood stays back in the genitals or when there is no orgasm reached for too long, this causes pain and discomfort in the groin area. The excess blood increases the blood pressure in the scrotum and may cause it to turn blue. A man may be likely to develop EH when he is easily stimulated but has a delay in achieving orgasm.
Discomfort and pain in the testicular area when aroused will be mostly due to the Blue Balls condition. But regular pain in testicles may indicate many other problems including:
Typically you don’t need to see a sexologist or a sex specialist for EH. If the pain is severe and stopping you from having comfortable sex, then you must see your sexologist or urologist or a sexual therapist. If you experience severe, persistent testicular pain but not associated with sexual activity or arousal, see your sexologist immediately.
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What the Hell is Epididymal Hypertension?
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We’ve all heard the long-fabled myth that’s grown up about men and this purported pain in the testicles when sex is withheld from them. For those not quite in the know, there's an old urban legend that when men are revving up for some hot, steamy sex, and suddenly things go south and sex doesn’t end up…
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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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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 yo
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