Overview of the Blue Ball (Epididymal Hypertension)

Millions of teenage boys and young men aren’t delusional: Arousal without orgasm for extended periods of time can cause testicular pain.Condition – Colloquially called blue ball— Common in boys just entering puberty, but can also affect men who do not ejaculate or have delayed (impaired) ejaculation.

What is a blue ball?

blue ball is a slang term for the condition sometimes called epididymal hypertension. Epididymal hypertension is not a diagnosis in itself, but another term used to describe scrotal pain associated with sexual arousal without ejaculation for a long time.

Doctors use the term “acute scrotal pain” more often, given that there are many causes of pain in the scrotum, testis, epididymis (the tube behind the testicle that carries sperm), and the spermatic cord.

Although neither blue ball nor Epididymal hypertension are terms commonly used in medical practice to indicate non-pathogenic disorders associated with sexual arousal. If anything, these terms serve as placeholders until doctors investigate other possible causes and make sure a more serious condition isn’t involved.

Symptoms of a blue ball

The symptoms of a blue ball can best be described as the pain that occurs when prolonged sexual arousal does not end with ejaculation. The pain is usually dull, but can sometimes be severe and extend into the lower abdomen and groin. One or both testicles may also feel full (though usually without any noticeable swelling).

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Blue balls may differ from other types of acute scrotal pain because the discomfort does not prevent sex. In contrast, scrotal pain from trauma often interferes with the ability to have sex.

Despite its name, the blue ball does not cause the scrotum or testicles to turn blue. If a blue or purple discoloration occurs with acute pain and swelling, it may be a sign of a medical emergency called testicular torsion.

Chronic or gender-independent scrotal pain should not be attributed to the blue ball.

What Causes Blue Balls?

The blue balls are thought to be caused by excessive accumulation of fluid in the epididymis during prolonged arousal. Without ejaculation, the “backup” of fluid can cause the epididymis to dilate, causing discomfort or pain.

Blue balls can also be the result of delayed ejaculation (prolonged delay between sexual arousal and orgasm) or semen retention (deliberate avoidance of ejaculation).

Because symptoms are nonspecific, physicians investigating blue balls will almost always investigate other possible causes of acute scrotal pain. These include:

  • Epididymitis
  • inguinal hernia
  • Nerve compression in spermatic cord
  • testicular hematoma
  • testicular torsion
  • urethral stones

How men experience sexual arousal

How to Relieve Blue Balls

If you do have blue balls, the symptoms usually resolve on their own. If you can’t stand the discomfort, there are some remedies that may help:

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  • Over-the-counter pain relievers such as Tylenol (acetaminophen) can help relieve pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as Advil (ibuprofen) may also help reduce inflammation and swelling of the epididymis.
  • Some advocate exercise, especially strength training. The idea is that exercise diverts blood to the major muscle groups rather than the genitals.
  • Cold showers have been recommended for generations to soothe arousal. Colds can also reduce swelling, as can injuries. Applying cold compresses to the testicles may be a more practical approach.
  • Masturbation has long been another naive remedy, and it’s also a strategy endorsed by some journal articles. Still, most doctors would find it embarrassing and inappropriate to recommend masturbation as a treatment for any medical condition.

People with blue balls should not force their partner to engage in any sexual activity or engage in any form of coercion without full consent.

VigorTip words

Blue balls are a phenomenon that definitely affects some people, but there are no guidelines on how to properly diagnose, treat, or prevent the condition. A lot of time is not devoted to research, in part because it is a relatively benign condition that almost always resolves on its own.

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However, if the condition is recurrent or chronic, contact your doctor as this could be a sign of another, more potentially serious problem.

If the pain is severe and accompanied by fever, nausea, vomiting, scrotal swelling, abdominal pain, and frequent urination, call 911 or go to the nearest emergency room.

Frequently Asked Questions

  • What is a blue ball?

    A blue ball is a slang term used to describe epididymal hypertension. Epididymal hypertension can result from fluid backflow in the epididymis (the tube that carries sperm) due to sexual arousal without ejaculation for a long time. Common symptoms include dull pain and a feeling of fullness in the scrotum.

  • How long will the blue ball last?

    Usually, the blue ball (epididymal hypertension) resolves on its own within a few hours. Usually no medical attention is required.

  • Why is it called a blue ball?

    “Blue Ball” is a term coined back in 1916.

    Despite its name, it rarely causes blue testicles.

  • How do you get rid of the blue ball?

    Applying cold compresses to the testicles can reduce pain. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) may also help. In some older medical journals, masturbation was described as a treatment, although few doctors today recommend masturbation as a treatment.

Urinary health