Blue balls is a slang term for the condition of temporary fluid congestion (vasocongestion) in the testicles and prostate region, accompanied by acute testicular pain, or a prolonged dull aching pain emanating from the prostate, caused by prolonged and unsatisfied sexual arousal in the human male. The term is thought to have originated in the United States, first appearing in 1916. Some urologists call the condition ‘epididymal hypertension.’ The condition is not universally experienced by all males.
Although widely discussed, there has been scant information in the medical research literature until a 2000 article by Chalett and Nerenberg in ‘Pediatrics’ which found little formal data regarding the condition but concluded that ‘the treatment is sexual release, or perhaps straining to move a very heavy object—in essence doing a Valsalva maneuver,’ a moderately forceful attempted exhalation against a closed airway.
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