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The main points
Blue balls/vulva are slang terms for a medical condition known as epididymal hypertension, a real condition where the body experiences sexual arousal without release, causing discomfort.
Having blue genitals is temporary and should not cause debilitating pain.
What are blue balls/vulva?
Blue balls’ is a slang term for a medical condition known as epididymal hypertension.
The condition refers to an achy sensation following prolonged sexual arousal, where no orgasm or ejaculation has occurred.
Blue vulva is the slang term used for this similar condition in the clitoral and labial area of the vulva.
What causes blue balls/vulva?
During sexual arousal, the body naturally channels blood to the genitals. The veins causing the blood flow begin to constrict, trapping the blood and leading to an erection of the penis or clitoris. Blue balls/vulva may occur when blood remains in the genitals as arousal decreases, causing discomfort.
Myths about blue balls/genitals
Many people think that blue balls/vulva cause the genitals to become blue. While the build-up of blood might produce a faint bluish hue, the genitals will not literally turn blue.
Remember, blue balls/vulva are temporary and should not cause debilitating pain. If you experience severe pain in your genitals, please contact a healthcare provider.
Is there any treatment available?
Blue balls/vulva will usually resolve itself without any treatment.
Having sex is not the only way to treat blue balls/vulva if you are experiencing discomfort. If not everyone is still agreeing to sex, it is important to not put pressure on others.
Instead, consider masturbating on your own, taking a cold shower, using a cold compress on the genitals, exercise or finding another method of distraction.
Where to get help, support and advice
- Your doctor (GP)
- Sexual Health Victoria
