How To Get Blue Balls

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How To Get Blue Balls
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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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Your Testicle Pain May Be From a Serious Condition


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Does an Epidydimal Cyst Just Go Away on Its Own?


Is a Vasectomy Reversible? Roe v. Wade News Prompts Questions


The Anatomy and Function of the Testes


What You Should Know About Orchitis


The scrotum is the sac that protects the testicles and keeps them cool


Post-Vasectomy Pain Surgical and Non-Surgical Treatment


Can STIs Cause Erectile Dysfunction?


Is It Normal for One Testicle to Be Bigger Than the Other?


What Tests Are Used to Diagnose Testicular Cancer?


What Your Semen Says About Your Health


What Exactly Does Testicular Surgery Entail?


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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 board-certified in urology. He is an assistant professor at UCF College of Medicine 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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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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What Are Blue Balls & How to Get Rid of Them


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You might not know what "blue balls" are (they don't usually cover them in health class!), but chances are you've experienced them. Described as epidydimal hypertension in medical terminology, they're that unfamiliar pain you get in your testicles when you're extremely aroused for a prolonged period of time, but unable to achieve the relief of orgasm.
Masturbation or sex might be your immediate thought as an obvious cure, but is there anything else you can do in order to achieve some relief? Also, what's actually going on down there when blue balls occur? Do they ever really turn blue? Do women ever experience the equivalent?
To answer all of these questions and more, we spoke with Eric M. Garrison , clinical sexologist, best-selling author and professor of masculinity studies at William & Mary. Read on for what he had to say about everything you need to know about blue balls, including answers to frequently asked questions.
When men are sexually aroused, their organs start to swell with blood necessary for penile erection. That blood is not released until either after a short period of time, or very close to orgasm. When you become aroused sans release, you're stuck with too much blood in your male member — that's where the 'blue' part of this situation comes into play.
"If there's too much oxygenated blood in the penis, this will make the testicles look blue," says Garrison. "Which is how the phenomenon gets its name."
You got all hot and bothered but stopped short for whatever reason, and never actually finished the job. As Garrison explains, the occurrence of blue balls is all a matter of blood flow.
"Blue balls, or 'involuntary testicular vasocongestion,' happens when the male sex organs aren't able to release the blood that swells during the arousal process," he explains.
The more easily you're aroused, the more likely you'll suffer the wrath of blue balls. This is especially true for anyone young enough (or vigorous enough) to receive frequent, random erections.
"Young teenage men might have it worse," says Garrison, "because young men are more easily stimulated. For a teenager experiencing those constant erections, plus probably a lot of outercourse and heavy petting, there may not be that release. Plus, they may not be familiar with the process, or know that masturbation can get rid of it."
The short answer? They sure can. When women become aroused, blood rushes to the clitoris in the same way it does for men when they get an erection. "Women get erections," explains Garrison, "but we only see a small portion, since the clitoral legs go back and down into the female anatomy."
"Blue lips" mimics the same feeling men get when things get stopped short, and though it's common, it's less recognized.
"I've never heard a single person describe it as blue lips, but it can be described as that," says Garrison. "I hear more cases of that vasocongestion in the labia than I do the scrotum." 
Of course, the obvious, quickest fix is to rub one out
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