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What is Blue Balls: A Medical Perspective on the Myth and Reality

By Dr. Nayana Shetty +2 more

Key Highlights: 

  • Blue balls, or epididymal hypertension, is a temporary condition that occurs due to sexual arousal over an extended period 
  • It can cause mild discomfort in the testicles, but it is not dangerous and usually resolves on its own 
  • Many myths surround blue balls, but it is not life-threatening and can be resolved through ejaculation or distraction 
  • Other medical conditions, such as kidney stones or testicular torsion, can cause more serious testicular pain 
  • Consult a doctor if testicular pain is persistent or accompanied by other symptoms 

Introduction 

Ever heard the term “blue balls”? Ever wonder what it means? Maybe you’ve heard it dropped in casual talks. Let’s shed more light on it. This blog aims to give you a medical viewpoint on this term.  

We’ll explain what blue balls are, their symptoms, and their medical accuracy. Other areas covered include debunking myths, discussing other likely causes of testicular pain, diagnosing and treating blue balls, how to prevent it, and answering common queries. Ready to explore? Let’s dive in! 

what is blue balls

Did you know?

  • Masturbation, orgasm/release, and nonsexual activities can help alleviate the discomfort of blue balls. source: Sex Med
  • Blue balls can last from minutes to hours, with some individuals reporting experiences lasting days. source: Sex Med
  • The intensity and frequency of blue balls tend to decrease with age. source: Sex Med
  • Engaging in sexual activity to prevent blue balls/vulva is not a valid reason to continue unwanted sexual activity. source: Sex Med
  • Some individuals believe that blue balls are exaggerated or used as a ruse to pressure partners into sexual activity. source: Sex Med

Understanding Blue Balls 

Even though “blue balls” isn’t a formal name in medicine, it points to a slight, short-lived discomfort in men’s testicles due to extended sexual arousal without ejaculation. Its medical name is Epididymal Hypertension. Epididymal Hypertension results from a fluid and pressure buildup in the male blood vessels during sexual arousal. Remember, blue balls aren’t harmful. Discomfort eases once arousal ends, either by ejaculation or distraction. 

Symptoms of Blue Balls 

When hit by blue balls, men may feel some (or all) of these signs: 

  • Testicular discomfort or pain 
  • Aching or heaviness in the scrotum 
  • Abdominal discomfort 
  • Possible bluish tint to the scrotal skin 
  • The feeling of pressure or fullness in the testicles 
  • Pain may radiate to the lower back or groin 

Causes of Blue Balls: 

  • Male Sexual Arousal: 

When a man becomes sexually aroused, increased blood flow rushes to the genital area, leading to the enlargement of the testicles and penis. However, if ejaculation does not occur, this heightened state of arousal can lead to uncomfortable sensations in the testicles. 

  • Unresolved Sexual Tension: 

If the state of sexual arousal persists without being resolved for an extended period, excess blood continues to accumulate in the testicles. This accumulation can result in the discomfort often associated with “blue balls.” 

Debunking Myths about Blue Balls 

Despite many men acknowledging blue balls as a reality, several misconceptions exist about it. Let’s explore these myths and uncover the truths. 

1. Misconceptions about the condition 

The major false belief about blue balls is that they are being seen as life-threatening or causing intense pain. But the truth? Blue balls aren’t harmful. The discomfort felt is typically slight and temporary. Moreover, some people think the term “blue balls” indicates the testicles turning physically blue. This is incorrect because a color change does not occur. 

2. Actual medical implications 

Blue balls could indeed cause some discomfort, but it isn’t a serious or harmful condition. It is merely a temporary slight inconvenience that may require a release of sexual arousal to resolve. 

3. Can women experience a similar phenomenon? 

While blue balls point to male genital discomfort, women could also feel a related sensation known as “blue vulva” or “female blue balls.” This is due to unresolved sexual arousal in women, where blood pools in the clitoris and vulva. Like blue balls, this discomfort is temporary and safe. 

Examining Testicular Pain Causes 

Though it is true that blue balls’ discomfort is mostly slight and temporary, other triggers of testicular pain might warrant medical attention. Find some of these causes below: 

1. Kidney stones 

Kidney stones can make referred pain travel to the testicles and groin area. Other symptoms may include burning feelings during urination and blood in urine. 

2. Testicular torsion 

Testicular torsion refers to a medical emergency that sees a testicle twist unusually. This causes unbearable pain, and swelling, and could possibly lose the testicle if not treated quickly. 

3. Injury 

Injuries to the testicles from sports, or being hit by an object, may lead to pain, swelling, and bruises. Serious injuries may need medical attention to rule out any testicular damage. 

4. Epididymitis 

Epididymitis points to the inflammation of the epididymis, a tube at the back of the testicles. Often resulting from infections, it may cause pain, swelling, and inflammation in the scrotum. 

5. Varicocele 

A varicocele arises when the veins within the scrotum enlarge. This results in discomfort, heaviness, or even pain in the testicles. 

6. Other health conditions affecting the groin area 

Other health conditions like infections, sexually transmitted diseases, or even testicular cancer can trigger testicular pain. It’s best to see a doctor if the pain is persistent or coupled with other symptoms.

Severe pain exists only in a minority of individuals that experience Blue balls, and not just a solitary sexual, even some nonsexual activities can help to alleviate the discomfort, always consult a physician if you experience this situation.

Dr. Ashish Bajaj, M.B.B.S., M.D.

Diagnosis and Treatment of Blue Balls 

Think you’re experiencing blue balls? Wondering what to do or when to see a doctor? 

1. When to consult a doctor 

Although blue balls don’t necessitate medical intervention, if the pain is constant, severe, or coupled with symptoms like redness, swelling, or fever, it’s important to seek medical advice. 

2. Methods of diagnosis 

There isn’t a specific test to diagnose blue balls. Your doctor may ask about your symptoms and rule out other underlying conditions. They would likely conduct physical exams, blood tests, pee tests, or imaging studies if needed. 

3. Treatment options 

Blue balls usually result in mild discomfort that resolves on its own. However, there are ways to relieve it faster: 

  • Ejaculation: Ejaculation (whether by masturbating or having sex with a willing partner) can often provide immediate relief from the discomfort associated with blue balls. 
  • Distraction: Shifting your focus from arousal (for example, engaging in exercises, tasks, or other activities) can help reduce discomfort by assisting the blood flow away from the genitals. 
  • Pain relief: While rare, severe, or ongoing pain can be managed with over-the-counter pain relievers after keeping your doctor in the loop. 
  • Lifestyle changes: Having open communication with your partner and being more mindful of your sexual needs may lessen the frequency of blue ball episodes. 

Quick recap: 

  • Blue balls generally don’t need medical attention unless the pain is severe or associated with other symptoms. 
  • Diagnosis depends on symptoms and ruling out other triggers. 
  • Treatment choices include ejaculation, distraction, pain relief, and lifestyle changes. 

Blue balls is the slang term for epididymal hypertension. It refers to aching or painful testicles. Some people may experience this symptom after sexual arousal that does not result in orgasm. It usually resolves soon after, but ejaculation may bring relief.

Dr. M.G. Kartheeka, MBBS, MD

Prevention of Blue Balls 

There’s no sure way to stop blue balls from occurring, but the following can help lower the chances: 

Communication with partner 

Openly discussing your sexual preferences with your partner may reduce unresolved sexual tension (a cause of blue balls). 

Personal well-being practices 

Taking care of yourself via regular exercise, healthy eating, and managing stress may aid your overall sexual well-being, reducing the likelihood of blue balls

Conclusion 

Blue balls, or Epididymal Hypertension, is a harmless condition borne out of unresolved sexual tension. It’s not a menace to health but can cause testicular discomfort that tends to ease off after ejaculation or distraction. Effective communication and self-care practices can lower the chances of having blue balls and promote overall sexual wellness. 

It’s crucial to know the difference between blue balls and other causes of testicular pain like kidney stones, testicular torsion, or infections. If you encounter drawn-out or intense testicular pain, or if other worrying symptoms accompany the pain, seek medical guidance. This helps in identifying and treating hidden conditions. 

Frequently Asked Questions (FAQs) 

Are blue balls a real medical condition? 

Even though “blue balls” isn’t recognized as a formal medical term, it describes a condition some men go through due to unresolved sexual arousal. 

Can blue balls cause long-term damage? 

No, blue balls are temporary and do not result in prolonged damage or harm.

Are the testicles actually blue during an episode of blue balls? 

No, the term “blue balls” is used casually and doesn’t mean the testicles physically turn blue but due to excess blood, they may look faintly blueish. 

Do all males experience blue balls? 

Not all men encounter blue balls. The frequency and intensity of the condition differ from person to person. 

Is there a female equivalent of blue balls? 

Yes, women can also experience a similar condition called “blue vulva” or “female blue balls”. This is when blood accumulates in the clitoris and vulva during pending sexual arousal. Like blue balls, it isn’t dangerous and is temporary.

References: 

  1. National Center for Biotechnology Information (NCBI). Chronic Testicular Pain and Orchalgia [Internet]. [cited 2023 Aug 23]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482481 
  2. National Center for Biotechnology Information (NCBI). Testicular Torsion [Internet]. [cited 2023 Aug 23]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448199 
  3. National Center for Biotechnology Information (NCBI). Physiology, Erection [Internet]. [cited 2023 Aug 23]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513278 
  4. National Health Service (NHS). What should I do if my erection will not go down? [Internet]. [cited 2023 Aug 23]. Available from: https://www.nhs.uk/common-health-questions/mens-health/what-should-i-do-if-my-erection-will-not-go-down 
  5. National Center for Biotechnology Information (NCBI). Kidney Stone Disease: An Update on Current Concepts [Internet]. [cited 2023 Aug 23]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5817324 
  6. PubMed. Epididymitis: An Overview [Internet]. [cited 2023 Aug 23]. Available from: https://pubmed.ncbi.nlm.nih.gov/27929243 
  7. PubMed. Varicocele [Internet]. [cited 2023 Aug 23]. Available from: https://pubmed.ncbi.nlm.nih.gov/28846314 
  8. PubMed. Assessment of Introital Lubrication [Internet]. [cited 2023 Aug 23]. Available from: https://pubmed.ncbi.nlm.nih.gov/25813611 
  9. National Center for Biotechnology Information (NCBI). Epididymitis [Internet]. [cited 2023 Aug 23]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430814 
  10. National Center for Biotechnology Information (NCBI). Testicular atrophy after mumps orchitis: ultrasonographic findings [Internet]. [cited 2023 Aug 23]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315290 
  11. Centers for Disease Control and Prevention (CDC). Signs & Symptoms of Mumps [Internet]. [cited 2023 Aug 23]. Available from: https://www.cdc.gov/mumps/about/signs-symptoms.html 
  12. National Center for Biotechnology Information (NCBI). An introduction to the epidemiology and burden of urinary tract infections [Internet]. [cited 2023 Aug 23]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502976
  13. American Cancer Society. Signs and Symptoms of Testicular Cancer [Internet]. [cited 2023 Aug 23]. Available from: https://www.cancer.org/cancer/testicular-cancer/detection-diagnosis-staging/signs-and-symptoms.html#:~:text=Most%20often%2C%20the%20first%20symptom,the%20time%20they%20don’t. 
  14. National Center for Biotechnology Information (NCBI). An introduction to the epidemiology and burden of urinary tract infections [Internet]. [cited 2023 Aug 23]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502976 
  15. National Center for Biotechnology Information (NCBI). Orchitis [Internet]. [cited 2023 Aug 23]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK553165 
  16. American Cancer Society. Signs and Symptoms of Testicular Cancer [Internet]. [cited 2023 Aug 23]. Available from: https://www.cancer.org/cancer/testicular-cancer/detection-diagnosis-staging/signs-and-symptoms.html 

 

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