Am I Blue?

I'm 19, but I consider myself to be a smart and savvy woman. I am informed and experienced in sex (though, I definitely have tons more to learn and can't wait). But here's my question. When I first started hanging out with boys, I heard over and over about their pain, hell, their agony. It was apparently my responsibility to help them through it. Even at the age of 13, I could smell the bullshit a mile away and told them no matter what color their balls were, they could easily take care of that themselves. Well, fast-forward to my college years where I've been in a relationship with a great guy for the past six months. He's smart, sexy, funny, and I have a lot of respect for him - until recently. I was crazed during exam time and told him that I probably wouldn't be able to see him until all of my exams were done. He complained (very sweet), so I told him that we could study together a few nights but that's all. He agreed, but on three separate occasions he told me that he was in real pain just being near me. I was irritated that he was breaking our agreement (trust me, I definitely put out when I'm in the mood), and I was shocked that he was using such a lame, boy's excuse. Just out of principle, I told him "no" until I was blue in the face. But because I usually respect him, I've begun to wonder if there isn't some truth to this so-called agony. So can you tell me definitively: do blue balls really exist?   

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Underhanded Pitch
In His Court
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Lacking balls myself, I can't definitively answer your question, but I think you have good reason to be suspicious.

Going without sex for awhile is not, per se, a source of physical agony, as demonstrated by the many men who abstain for long periods due to voluntary celibacy, other priorities, illness, and so on.

But once sexual arousal sets in, it's a different story. In both men and women, arousal causes blood and other fluids to rush to the genital area. This is the mechanism behind erections, of course, but men's physiological changes also involve the testes and prostate gland. If the urge isn't satisfied forthwith, blood accumulates in the area, a condition known as vasocongestion. (While this stagnant blood does lose oxygen, the balls don't really turn blue.)

The feeling associated with blood engorgement and swelling of sensitive tissues is hard to describe -- it's usually not pain, exactly, but could certainly be called testicular tenderness or pudendal pressure or scrotal soreness. The sensation varies from person to person and can be quite distressing, as illustrated by a case report in a medical journal about a 14-year-old whose burning balls sent him to the emergency room.

Orgasm instantly relieves this tension and restores normal blood flow, but even without it, the feeling usually goes away on its own, either slowly over time or suddenly—as anyone who's been rudely interrupted during sex can attest. While a normal case of blue balls isn't dangerous, priapism—a state of prolonged arousal and erection that won't go away—is a more serious condition that may require medical attention.

The physiological blood congestion doesn't care how it's handled—an orgasm is an orgasm, whether delivered via sucking or fucking or by someone "taking care of himself." Many guys have been known to use blue balls to pressure women for sex, but they've got everything they need in the palm of their hand. (Some people swear by the cold shower treatment, but honestly, doesn't jerking off sound more pleasant?)

The psychological aspect of wanting sex—the desire for closeness, intimacy, and body contact—is something else altogether (though clearly, it's often intertwined with physical arousal). Solo wanking won't satisfy these needs, but a considerate guy should be able to make do for a while until his partner is also available and in the mood (especially if, as with your situation, there's an end in sight). Remind him that good things come to those who wait—and sex can be even hotter after some delicious anticipation!

Liz Highleyman

Liz Highleyman

Liz Highleyman is a San Francisco-based freelance journalist and medical writer who has written extensively on HIV, sexual health, queer politics, censorship, the sex industry, and the history of sex and sexuality. She is currently senior staff writer for HIVandHepatitis.com. Her work has appeared in numerous publications, including Bay Area Reporter, POZ, Drummer, and most recently Smash the Church, Smash the State!: The Early Years of Gay Liberation. She attended Harvard School of Public Health and is a certified Emergency Medical Technician.

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In general, I'd say your

In general, I'd say your opinions are spot-on. However, personally, I have a condition called a varicocele, which means that there are irregularities in my veins leading to my testicles. Under certain conditions, much like those leading to "blue balls", I can wind up with extreme blood flow constriction and pain. Imagine a spaghetti-like nest of veins, which ought to be only one straight run about an inch or two long, maybe a pencil-lead in width--swollen and inflated like a balloon until it seems almost like there's a third testicle. Incredibly painful (double-dose of Extra-strength Tylenol barely makes a dent), and it lasts for a good four to six hours. And sexual release does help some, but it's not complete relief and it's not instant, at all. So there are some cases where not getting it when your body's expecting it can indeed lead to severe discomfort, but it's a very rare condition and isn't solved by release, so it's still no excuse for pressuring someone for sex.

Dear god, YES it's real

YES, it's real, and its not just uncomfortable, it's extremely painful.

Now I've never gotten it from just being near someone, but definitely from making-out for long periods. I suppose everyone is different and some guys could possibly experience the issue without physical contact. The worst thing is that once it becomes painful, orgasm doesn't take it away. It makes it somewhat better, and starts the recovery. On a particularly bad episode, it can be some of the worst pain I've experienced in my life.

Do guys use it as a line? Probably. I never have, because I've always found it embarrassing. If it's particularly bad I have a hard time talking. I typically will go lye down and stare at the ceiling because it's hard to fall asleep.

However if a guy knows ahead of time that he's not getting sex, masturbation should probably head off the problem if done in advance. But it IS real, and suggesting that it is not, I actually find offensive.

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Perv Panel
August 31st, 2009
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CarnalNation has assembled twelve people, whose diversity is matched only by their perversity, to form the Perv Panel. Each week, three of our resident perverts tag-team your most intimate questions. You need an opinion? We'll give you three. Can you handle it? Are you sure? Then submit your question to perv-panel@carnalnation.com, and brace yourself for the answers.

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