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Blue balls

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Blue balls
Other namesEpididymal hypertension, sexual arousal orchialgia[1]

Blue balls (also known as lover's nuts[2]) is slang[3] for an uncomfortable testicular sensation that can occur during a state of male sexual arousal.

Most often it describes a temporary fluid congestion (vasocongestion) in the testicles,[4] caused by prolonged sexual arousal in the human male without ejaculation.[5]

The term is thought to have originated in the United States, first appearing in 1916.[6] Some urologists call this condition "epididymal hypertension".


The phenomena is sometimes associated with certain demographics, such as men who are experiencing and practicing delayed, multiple[7] or inhibited ejaculation.[8]

Since the pain threshold is usually low, it doesn't affect sexual activity – thus, is rarely considered to be pathological. This leads to a wide discussion, with scant information in the scientific literature.[9]

A brief article by Chalett and Nerenberg in Pediatrics agrees that little formal data exists regarding the condition. The article concludes that "[t]he treatment is sexual release, or perhaps straining to move a very heavy object— in essence doing a Valsalva maneuver."[10]

See also[edit]


  1. ^ Wiener, SL; Walker, HK; Hall, WD; Hurst, JW (1990). "Testicular Pain". PMID 21250139. Cite journal requires |journal= (help)
  2. ^ 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.
  3. ^ Fergusson, Rosalind; Eric Partridge; Paul Beale (December 1993). Shorter Slang Dictionary. Routledge. p. 21. ISBN 978-0-415-08866-4.
  4. ^ 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.
  5. ^ Glenn, Jules (1969). "Testicular and Scrotal Masturbation". International Journal of Psycho-Analysis. 50 (3): 353–362. PMID 5387383.
  6. ^ Dalzell, Tom; Victor, Terry (December 2007). Sex Slang. Routledge. p. 16. ISBN 978-0-415-37180-3.
  7. ^ Parnham, Arie; Serefoglu, Ege Can (August 2016). "Retrograde ejaculation, painful ejaculation and hematospermia". Translational Andrology and Urology. 5 (4): 592–601. doi:10.21037/tau.2016.06.05. ISSN 2223-4691. PMC 5002007. PMID 27652230.
  8. ^ Perelman, Michael A. (2001). "Integrating Sildenafil and Sex Therapy: Unconsummated Marriage Secondary to Erectile Dysfunction and Retarded Ejaculation". Journal of Sex Education and Therapy. 26 (1): 13–21. doi:10.1080/01614576.2001.11074377.
  9. ^ Komisaruk, Barry R.; Beverly Whipple; Sara Nasserzadeh; Carlos Beyer-Flores (November 2009). The Orgasm Answer Guide. The Johns Hopkins University Press. p. 70. ISBN 978-0-8018-9396-4.
  10. ^ Chalett, J.M.; Nerenberg, L.T. (2000). "'Blue Balls': A Diagnostic Consideration in Testiculoscrotal Pain in Young Adults: A Case Report and Discussion". Pediatrics. 106 (4): 843. doi:10.1542/peds.106.4.843. PMID 11015532.

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