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Blue Balls: Why Guys Get Epididymal Hypertension & How to Cure It ASAP

Is it a myth or a lie? What causes blue balls? Some guys lie, but the truth behind epididymal hypertension, arousal, and erections may surprise you. 

what are blue balls

You’ve no doubt heard of them, but what are blue balls? Do they really exist? So many questions, so few answers!

Maybe you’ve heard your boyfriend say, “You’re giving me blue balls.” It’s easy to assume that it’s just an excuse guys are using to get you to agree to their sexual advances.

The term “blue balls” gets thrown around a lot in conversation and usually goes hand-in-hand with a guy uncomfortably readjusting his balls. You’re probably wondering if they actually turn blue. Do a guy’s balls start to look like Papa Smurf?

Whether you’re a curious girl who wants to know the truth or a guy who really wants to figure out what’s happening with his balls, read on! [Read: Why are men so obsessed with their penis size?]

What are blue balls?

When a guy has a heightened state of sexual arousal without orgasm *a huge erection* and maintains being sexually aroused for an extended period of time without ejaculating, his testicles could start to hurt. This painful sensation you’re experiencing when you’re aroused but unable to ejaculate is known as blue balls or epididymal hypertension.

If you’re in bed with your guy and dry-humping him or teasing him for a while, he may get blue balls. He may even convincingly tell you that the only way to make it go away is by having sex. [Read: Dry humping and the virgin’s guide to better orgasms]

Have you ever fallen for that excuse and had sex?

You should probably know that the testicles do not actually turn blue. There are no clear and visible signs or symptoms of blue balls, although there have been some claims that the excess blood in the testicles can give them a faint bluish hue. Almost all the time, the only proof you have is his word. 

Just so you know, he may not always be faking it.

You might also be wondering whether or not having blue balls hurts. Well, guys who experience blue balls say that it does. The guys who don’t experience it either fake it or ignore it. Read further to understand epididymal hypertension. [Read: Have you fallen for the just-the-tip sex excuse?]

Are blue balls real?

Whether you have balls or you’re the partner of someone who has balls, you probably want to know more about this whole subject.

The first thing we can tell you is that this is no myth. Blue balls are here and they’re not going anywhere anytime soon. It’s also true that blue balls include mild pain.

Once you know how it works, why it happens, and what you need to do, you can avoid being ignorant or fooled into having sex by a guy just because he has “blue balls.”

The truth of the matter is that whether or not there are blue balls, you should always say no if you don’t want to have sex with a guy. [Read: The strangest and most interesting facts about sex you probably don’t know]

What kinds of guys get blue balls?

Literally every guy can get them. There’s a slightly higher possibility when a guy is younger, throbbing with testosterone, and playing with himself for a few hours at a stretch. This is because he has all the time in the world and zero responsibilities.

Keep that going and he’ll learn to edge, but he may also get a side order of blue balls with no idea what to do or how to fix it!

This might be surprising but, despite not having balls, women can experience something similar. It’s not actually called blue balls for women but, if a woman doesn’t orgasm, they feel irritation and aching in their lower abdomen and pelvis.

Since we all suffer from blue balls, the best thing we do is help each other when we start experiencing this horrid pain. [Read: Female blue balls – blue bean and the search for answers]

Why exactly do guys get blue balls, and how does it happen?

Let’s get the truth out right now – not all guys experience blue balls. In fact, the majority of guys have never experienced it even once in their lifetime.

When a guy gets blue balls after a prolonged state of arousal, his pelvic area or testicles may start to hurt. It could be a painful throb of agony or a dull pain that lasts even after his erection goes limp. [Read: How to grind with a guy sexily and discreetly and give him an erection]

Here’s why that happens: In all of our bodies, blood flows through arteries and veins providing oxygen to different vital organs. But when a guy gets aroused, the flow of blood through the artery into his penis increases while the flow of blood out of his penis decreases because the vein carrying the blood out constricts itself.

Due to the imbalance of the inflow and outflow of the blood in his penis, it starts to stiffen and becomes erect.

As more and more blood starts to flow into his private area and less starts to flow out because of his heightened state of arousal, the pressure starts to build up within his member and his scrotum sac becomes enlarged. [Read: What is tea bagging? Your steamy guide to tea bag your guy right]

Some men may start to experience pain as the blood flow increases due to the increasing pressure it creates. Once he ejaculates, the accumulation of blood flows out through the relaxed vein. His member returns to the flaccid state, which can help to release the built-up pressure.

What are the chances of this happening when you’re in bed with your guy? Well, slim to none. It’s not that easy to keep a guy erect for a few hours straight – unless you’ve come up with unique ways to keep him horny every minute! [Read: How to tell if a guy is horny – 22 signs he’s horny AF already]

How to make a guy get blue balls

Do you want to see a blue ball in action? It’s hard to predict your chances of making blue balls from normal balls, but your chances are exponentially higher if you stimulate him and keep him hard for a prolonged period of time. We’re talking about an hour or more!

Why would you want to do it? He’s going to be in intense pain while you’re going to snicker and giggle. He’s going to get annoyed and, before you know it, he’ll be jacking off furiously and painfully while balancing his mind between a state of arousal and anger toward you.

Who needs this drama?! [Read: How to give a guy a boner – 20 easy moves for rock hard erections]

What do the doctors say about blue balls?

Most doctors don’t seem to care too much about blue balls. There are barely a handful of studies about them. In fact, no one even truly knows the reason that only a few guys experience them while the majority of the male population doesn’t.

If you think blue balls are a serious condition, you’re just freaking out. The medical community doesn’t really care because this problem calms on its own over time. The only time people with blue balls should see a doctor for them is if they experience serious pain in their testicular region. [Read: The most common health reasons why sex is painful for men]

Are blue balls unhealthy?

Blue balls are not going to damage a man’s health. They cause the guy some discomfort and varying states of pain, but no one has found any conclusive long-term health conditions associated with blue balls.

Both of you should just sit down together and marvel at the painful but rare opportunity of getting to see or experience blue balls. They don’t happen often, so it’s a story worth sharing and repeating!

Let’s find out what causes pain during an erection, how blue balls work, and more facts about blue balls to make you a know-it-all! [Read: The most powerful ways to stop being horny]

Vasocongestion and blue balls

Vasocongestion is the expansion of tissues in the human body due to increased blood flow. Many people confuse this with blue balls. The male erection is, of course, caused by vasocongestion when the tissues expand to take in more blood, but the same thing happens with your cheeks when you blush.

Even the cramping you feel while you’re on your period is due to vasocongestion. [Read: The complete guide to having amazing sex on your period]

Priapism and the four-hour erection

Has your boyfriend taken any erectile dysfunction pills before engaging in sexual activity? Very rarely, erectile dysfunction pills or hormonal irregularities could leave your man with an erection that lasts for over four hours. Even an ejaculation may not help him go limp.

If he’s experiencing a case of painful blue balls due to the little blue pills, rush to the emergency room. It isn’t blue balls anymore. It’s a case of priapism, which could damage the tissues in his penis and prevent him from ever having a hard erection again. [Read: The reason behind why losing an erection bothers guys so much]

In truth, some guys just get confused about the symptoms of blue balls

If your guy complains of blue balls after a prolonged period of arousal, it’s not always certain that he’s suffering from the symptoms of epididymal hypertension. Most guys just bear the pain. Some even brag about it in the hopes of getting more sex. There could be reasons other than blue balls for his discomfort down there.

Here are 6 reasons why a guy could confuse the pain with blue balls. [Read: How to have safe sex in every single way it is possible]

1. He’s extremely aroused

If your man is extremely aroused, the flow of blood could increase the pressure in his groin. This could cause uncomfortable pain each time he flexes the muscles in his groin to lift his member up because more blood is pushed into his penis and testicles than is required.

2. The ball banger

If your guy experiences blue balls while having sex, it could probably be his ball sac hurting after it constantly hits against your body while having rough sex. [Read: 15 dirty ways to have the sexiest rough sex ever!]

3. Broken penis

Did you apply a lot of pressure on his member while blowing or riding him? At times, aggressive sex could damage your guy’s tissues down there, and neither of you may notice it until after the deed. [Read: Sex positions that could leave a guy with a broken penis]

4. Limp and up

Constant states of becoming erect and then going limp because of prolonged foreplay could leave his member feeling sore, weak, and painful.

5. Urinary tract infection

At times, blue balls may turn out to be a case of urinary tract infection, especially if he has difficulty peeing or feels a burning sensation down there. [Read: The problems ‘down there’ you shouldn’t ignore]

6. Testicular torsion

This is something that can turn out to be quite dangerous, and the guy may lose one or both of his testicles if left unchecked. For people with male genitals, the spermatic cord at the back of their balls may get twisted, resulting in sharp pain around their testicles or in the abdomen area.

It’s not blue balls because the cause of testicular pain is the oxygen supply getting cut off to the testicles.

If your boyfriend complains of blue balls and the painful symptoms don’t go away within a couple of hours, take him to the hospital. At times, the constant pain he experiences when he gets an erection could also be a symptom of partial testicular torsion, which gets twisted due to the pressure buildup during an erection. [Read: How to last longer during sex without any difficulty]

Common myths about blue balls

The idea of blue balls has been floating around for years, and that means there are some pretty commonplace myths associated with the condition.

Let’s take a look at a few and tell you why you shouldn’t listen.

1. His balls will turn blue and fall off

No. Seriously, no.

His balls are not going to turn blue, and they are certainly not going to suddenly fall off of his body. If that happens, it definitely has nothing to do with blue balls. It’s probably a new medical condition that nobody has heard of. [Read: Do women like the penis? Things that make a perfect cock]

2. He needs to orgasm through sex to feel better

In the next section, you’re going to learn about all the things you can do to help cure blue balls without actually having sex. A person does not need to have sex to get the extra blood away from his testicles. If a guy tells you this, it’s very likely he’s just horny and using blue balls to get it on.

3. Only men can get blue balls

We’ve already addressed this one but it’s a common myth, so let’s reiterate it here.

Women can get the same kind of sensation when they’ve been aroused for a long period of time. They obviously don’t have balls, but it’s felt in the clitoris and vulva. This is called vasocongestion toom and is often referred to as blue vulva, blue beans, or pink pelvis. [Read: What does a vagina feel like?]

4. Blue balls can cause long-term problems to his health

No. Blue balls aren’t dangerous and will do nothing to his health at all.

5. Blue balls are very common

Blue balls are actually rare. Although a guy might claim to have had blue balls, it’s more likely that he was just frustrated because his girlfriend didn’t want to have sex.

That’s not blue balls – that’s just being a jerk. [Read: Don’t want to have sex? The honest reasons and what you need to know]

How to prevent and get rid of blue balls

There are two ways to prevent blue balls – ejaculate, or just don’t become aroused in the first place.

We know the second option isn’t ideal. Stick to prevention method number one. You can’t go wrong with that one.

If your guy wants to get rid of blue balls, here’s what you need to do. [Read: Why does sex hurt? 15 quick signs something’s not right]

1. There’s really only one major cure – masturbating

At the end of the day, you don’t need a partner to relieve blue balls. The easiest and most efficient way to treat blue balls is masturbation. If you’re at your in-law’s house, tell him to just go to the bathroom and rub one out.

We know it’s not the time or place, but he’s suffering right now. He can take a couple of minutes, pull out his phone, and go onto PornHub. The point is to ejaculate for immediate relief. [Read: Cum like a porn star – how to shoot a powerful load every time]

2. Cold compress

Sometimes you can’t masturbate. Instead, use a cold compress, which plays the role of non-adrenaline. Non-adrenaline is the hormone released after you orgasm. The cold compress constricts the blood vessels and lowers the volume of blood flow to the testicles. [Read: Big balls – the pros, cons and what women think of them]

3. Go for a run 

Who wants to exercise when they have blue balls? Make him get up and go for a run! It helps reduce testicular pain and heaviness. You want to get the excess blood to flow away from the testicles.

Make him move around and his balls will thank you. 

4. Lift some weights or something heavy 

It may seem weird to you, but lifting heavy objects causes the Valsalva Maneuver. This is the feeling that you get in your lower abdominal muscles when you lift weights. It changes your blood pressure and relieves it from the testicles once the extra blood is released from the area.

The result? Reduced pressure in the male genitals. [Read: The at-home tests you need to do on your own balls to make sure your testicles are healthy]

5. Time heals all

So cliché, we know, but time does heal all.

It takes around an hour for the scrotal pain or discomfort to subside, so turn on a movie and try to distract him. This is probably the most painful way to get rid of blue balls, but sometimes you literally have no other options. [Read: What do women really think of your penis? A look into their minds]

6. Meditate or do some yoga

Meditation calms the mind. It may not help much with his loins to begin with, but it does help increase blood circulation. Use a meditation app, or just set a timer for 15 minutes.

Tell him to sit in a comfortable place, close his eyes, and breathe deeply. Before long, he’ll start to feel more relaxed.

7. Massage

Get him to sit down comfortably or lie on his back. Massage him around the thighs and abdomen. It can help increase the flow of blood around his pelvis and away from his balls.

Of course, if you’re not into it, he can do that for himself. [Read: Boxers or briefs? What do girls like on a guy]

8. Cold shower

No one really knows why this works but it does. It could be the cold jet of water, the relaxing sensation, or just feeling calm. Make him get under the shower and cool off for a while.

If he’s totally against a cold shower, a warm one might also work.

9. Have sex!

Nothing beats this, as long as you’re okay with it. Be gentle, or he’ll just end up experiencing more pain and discomfort. A quickie with a consenting partner is all he needs and the job will be done, so to speak. [Read: 15 sexy ways to have a quickie that leaves both of you satisfied!]

How long do blue balls last?

This one is difficult to answer because every set of balls and their owner is different! The general rule of thumb is that after one hour, the discomfort should start to subside. However, that could vary a little according to the guy.

The best course of action is to wait for an hour and go and get things checked out if the issue doesn’t disappear, just in case it’s something more serious. [Read: The average penis – 10 easy answers that’ll make you a know-it-all]

Blue balls aren’t an excuse to pressure a woman

Many women have been in this position. Their boyfriend starts talking about blue balls and says that he needs some help. Well, sometimes you don’t want to help. Sometimes you just want to cuddle and watch Netflix with no chill.

Although blue balls actually are a painful event, they give him absolutely no right to pressure a woman into having sex with him out of pity.

Never feel pressured into doing the deed just because your man is pretending to feel pain in the testicles. Even if he is genuinely experiencing blue balls, you now know there are many other ways to relieve the pressure. If he says that the only way is to have sex, don’t believe him.

[Read: 18 fascinating and unknown facts about the penis that can change the way you look at it!]

So is your guy just lying about his painful blue balls, or is it a case of something a little more uncomfortable? Now that you know all about blue balls, you can deal with the situation easier. 

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Vinod Srinivas Serai
Vin Serai
Vin Serai is the founder of LovePanky.com, and has delved deep into the working of love and relationships for almost two decades. Having dipped his feet in almo...