Is epididymal hypertension, also known as blue balls, a real medical condition?

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Last updated: June 8, 2025View editorial policy

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Yes, epididymal hypertension, commonly known as "blue balls," is a real but minor medical condition. It occurs when sexual arousal doesn't lead to ejaculation, causing blood to accumulate in the testicles and prostate region, which can result in a feeling of heaviness, aching, or discomfort in the testicles. Despite the name, the condition doesn't actually cause the testicles to turn blue, though there may be a slight bluish tint due to increased blood volume and oxygen extraction. The discomfort typically resolves on its own within a few hours without treatment. If relief is desired, ejaculation (through masturbation or sexual intercourse) can help, as can physical activity, a cold shower, or simply distracting oneself with other activities. It's important to note that while uncomfortable, this condition is not dangerous, causes no long-term health problems, and doesn't require medical intervention. The pain should never be used as pressure for sexual activity, as the discomfort will naturally subside with time.

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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