What are “Blue Balls” and “Blue Vulva”?

madman

Super Moderator


Screenshot (8648).webp



Sometimes, people feel some minor discomfort in their genitals if they have been sexually aroused for a significant period of time but haven’t reached orgasm. This aching, heavy feeling is often referred to with the slang terms blue balls (for people with penises) and blue vulva (for people with vaginas).

Contrary to what might be reported, the genitals do not actually turn blue.

Blue balls and blue vulva have not been rigorously studied by academics. Generally, people should not be alarmed if it happens. It can take some time for the aching to go away, but there are ways to relieve symptoms.


Why might discomfort occur?

When a person is sexually aroused, arteries widen to allow more blood into the genitals. Veins constrict so that the blood remains, as the body prepares for sex. The penis forms an erection, and the testicles expand (sometimes up to 50% of their original size). The labia, vagina, and clitoris swell and lubricate. There is also an increase in genital blood pressure.

If the person reaches orgasm, the blood is released back into the body, and the body relaxes.

If there is no orgasm, the blood still leaves the genitals, but the process might become uncomfortable.


Blue balls and blue vulva aren’t serious, but the following steps can help ease the discomfort:

  • Reaching orgasm through another means, such as masturbation
  • Resting
  • Distracting oneself with nonsexual thoughts or activities
  • Placing a cold compress on the genitals
  • Taking a cold shower
People who have genital pain when they are not aroused should see their healthcare provider.


While orgasm is often considered the end goal of sexual activity, encounters don’t necessarily need to end this way. Still, lack of climax can have some negative effects, in addition to blue balls or blue vulva. People may feel disappointed or frustrated when they don’t reach orgasm, and such feelings may diminish overall sexual satisfaction. Similarly, failing to bring a partner to orgasm may lead to feelings of inadequacy and poor sexual confidence.

Couples are encouraged to be open with each other about their sexual likes and dislikes. Those who struggle with orgasm might consider seeing a sex therapist.
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

Beyond Testosterone Podcast

Online statistics

Members online
9
Guests online
220
Total visitors
229

Latest posts

Back
Top