What are “Blue Balls” and “Blue Vulva”?
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.
To learn more about orgasm difficulties, please see these Q & A items:
What causes painful orgasm in men, and how can it be treated?
