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Doctor claims 'Blue Vulva' in women is as real and uncomfortable as 'Blue Balls' in men

Dr Rena Malik explains the reality and causes behind the phenomenons of 'Blue Balls' and 'Blue Vulva'
Doctor says the condition of 'Blue Vulva' is as real as 'Blue Balls' (Rena Malik, MD/YouTube)
Doctor says the condition of 'Blue Vulva' is as real as 'Blue Balls' (Rena Malik, MD/YouTube)

BALTIMORE, MARYLAND: Recognized urologist and pelvic surgeon Dr Rena Malik recently claimed that women suffer from a post-sex phenomenon called ‘Blue Vulva,’ which is similar to the condition of ‘Blue Balls’ in men. In a video shared on her YouTube channel, Dr Malik explained that the phenomenon occurs when women are “aroused but don’t achieve climax.”

The concept of ‘Blue Balls’ has long been a topic of debate, with many women considering the phenomenon a myth and a tactic for men to coerce them into sexual interactions, the New York Post reported. However, Dr Malik has explained that the uncomfortable, and at times even painful, feeling is real and can happen even to women. “We know that it's been around in popular culture for several decades. Despite this, there's very little medical literature on the topic,” the doctor said in her video which garnered over 150K views.


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What causes ‘Blue Balls’ and ‘Blue Vulva’?

The phenomenon of ‘Blue Balls,’ is medically defined as epidydimal hypertension to describe the uncomfortable feeling in the testicles caused by prolonged arousal without ejaculation, the Daily Mail reports. “Essentially, what we believe is that the sensation of blue balls is because there's a build-up of blood in the testicles and pelvic area during sexual arousal,” urologist and pelvic surgeon Dr Malik explained in her new YouTube video.

“The blood flow to the penis and testicles increases, causing the testicles to get a little bit larger and more firm. If you're having prolonged arousal, and it's not getting released through orgasm or ejaculation, the blood does leave the area. But it can leave this uncomfortable heaviness feeling in the genitalia,” she continued. The doctor noted that the temporary condition may give the scrotum a “bluish color” but said that it does not mean the organs turns actually blue. It basically signifies that “the blood that leaves the testicles in the veins is deoxygenated.” Dr Malik added, “What this means is that blood has traveled through the body to the testicles and given oxygen to those tissues, and after it leaves it goes back up to the heart.”


Similar to the phenomenon in men, individuals experiencing ‘Blue Vulva’ can feel heaviness and aches around their genitals, according to the Daily Mail. When vasoconstriction, or the phenomenon of narrowing blood vessels, happens in the vulva, uterus, and ovaries, the build-up of blood can create an uncomfortable heaviness. However, the condition resolves when the blood flow in the region returns to normal, the publication noted.

Ways to deal with ‘Blue Balls’ or ‘Blue Vulva’

The condition of ‘Blue Balls’ or ‘Blue Vulva’ is not essentially harmful. “There is no risk or harm to experiencing blue balls. It isn’t going to cause any kind of damage or problem to the testicles or the reproductive tract,” urologist Dr Peter Bajic told The Cleveland Clinic. “At worst, blue balls may be inconvenient or uncomfortable for a short time. But it definitely should not be used as a means to coerce anybody into having sex,” he added.

In her YouTube video, Dr Malik said that ‘Blue Balls’ or ‘Blue Vulva’ can be countered by finding another way of reaching climax, trying cold compresses or straining and lying on your back. “A cold shower will constrict the blood vessels and take the blood away from the area,” she shared. The doctor also said that warm compresses can also help in relieving the pressure but “ultimately it should go away.” However, “if you notice that the pain persists long after you've been aroused it's really important to go and see your doctor and talk about it,” Dr Malik warned.