Condition that arises during male sexual arousal when seminal fluid is not ejaculated
"Blue balls" redirects here. For other uses, see Blue Ball.
Medical condition
Epididymal hypertension
Other names
Sexual arousal orchialgia[1]
The phenomenon manifests itself in the form of mild discomfort around the genitals or in the lower abdomen.
Specialty
Urology
Epididymal hypertension (EH), informally referred to as blue balls for males or blue vulva for females, is a harmless but uncomfortable sensation in the genital regions during a prolonged state of sexual arousal.[2][3][4] It usually resolves within hours unless relieved through an orgasm.[2]
In females, the discomfort occurs in the erectile tissue and clitoris of the vulva.[4][2] In males, the phenomenon results in an uncomfortable testicular sensation.[5] It most often describes a temporary fluid congestion in the testicles or vulva, caused by prolonged sexual arousal without orgasm.[6][7]
The term epididymal hypertension is derived from the epididymis, a part of the male reproductive system.[8] The term is also applied to females despite the lack of an epididymis in female anatomy. Professor Caroline Pukall, who co-wrote the first in-depth study on EH, has suggested using the term throbbing crotch syndrome.[9] The term "blue balls" is thought to have originated in the United States, first appearing in 1916.[10] Though lesser known, the equivalent of this phenomenon in females is informally referred to as "blue vulva", among other names.[2] It is not to be confused with the inability to orgasm or the masturbatory practice of edging.
^Wiener, SL (1990). "Testicular Pain". In Walker, HK; Hall, WD; Hurst, JW (eds.). Clinical Methods: The History, Physical, and Laboratory Examinations (3rd ed.). Boston: Butterworths. PMID 21250139.
^ abcdBhattacharya, Mallika. "What Is Blue Vulva Syndrome?". WebMD. Retrieved 28 November 2023.
^Fergusson, Rosalind; Eric Partridge; Paul Beale (December 1993). Shorter Slang Dictionary. Routledge. p. 21. ISBN 978-0-415-08866-4.
^ ab"Is Blue Balls Real?". Cleveland Clinic. 18 January 2023. Retrieved 28 November 2023.
^Byrne, Lauren N.; Meacham, Randall B. (2006). "Management of Post-Ejaculatory Perineal Pain". Journal of Andrology. 27 (6): 710–711. doi:10.2164/jandrol.106.001370. ISSN 1939-4640. PMID 17079745.
^Yazmajian, Richard V. (1967). "The Influence of Testicular Sensory Stimuli on the Dream". Journal of the American Psychoanalytic Association. 15 (1): 83–98. doi:10.1177/000306516701500103. PMID 6032147. S2CID 7093435.
^Glenn, Jules (1969). "Testicular and Scrotal Masturbation". International Journal of Psycho-Analysis. 50 (3): 353–362. PMID 5387383.
^"Epididyme | Sperm Storage, Vas Deferens & Testes | Britannica". Encyclopædia Britannica. Retrieved 8 January 2024.
^Broderick, Timmy. "The First In-Depth Study on 'Blue Balls' Reveals a Lot about Sex". Scientific American. Retrieved 8 January 2024.
^Dalzell, Tom; Victor, Terry (December 2007). Sex Slang. Routledge. p. 16. ISBN 978-0-415-37180-3.
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