Some men may experience "blue balls" during sexual encounters involving prolonged stimulation but no ejaculatory release. The condition is also known as epididymal hypertension, testicular hyperemia, or pelvic congestion syndrome, and it can cause physical discomfort and mood swings. It results from increased blood flow to the penis and scrotum during arousal that does not resolve itself with orgasm.
The exact mechanism behind blue balls is not well understood, but it's thought to be caused by a combination of vasocongestion and psychological factors. When a man becomes sexually aroused, his brain releases chemicals that cause blood vessels in his genitals to dilate, increasing blood flow to the area. If this process continues without climax, the blood pools and causes pressure buildup in the testicles and surrounding structures. This pressure can lead to pain and discomfort, which can range from mild to severe.
Although blue balls is often portrayed as an embarrassing condition, it's actually quite common and rarely serious. Most cases resolve within minutes or hours after the individual engages in sexual activity. However, in some rare instances, the condition can persist for days or even weeks if left untreated. In extreme cases, it can lead to swelling and bruising of the testicles.
Despite its prevalence, there are currently no standard treatments available for blue balls. Some medical professionals recommend icing the affected area or taking over-the-counter anti-inflammatory medications, such as ibuprofen, to relieve symptoms. Others suggest applying warm compresses to the testicles to promote blood flow out of the area. Masturbation may also help alleviate the condition by providing relief through ejaculation.
It's worth noting that blue balls affects only men who experience physical stimulation and does not occur during non-physical forms of arousal, such as erotic fantasy or masturbation alone. It's unclear why this phenomenon occurs, but one theory suggests that it's a natural evolutionary response designed to prevent males from wasting time and energy on pursuing a sexual encounter that won't result in reproduction.