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Epididymal hypertension EH , informally referred to as blue balls for males or blue vulva for females, is a harmless but uncomfortable sensation in the genital regions during a prolonged state of sexual arousal.
In females, the discomfort occurs in the erectile tissue and clitoris of the vulva. The term epididymal hypertension is derived from the epididymis , a part of the male reproductive system. Professor Caroline Pukall, who co-wrote the first in-depth study on EH, has suggested using the term throbbing crotch syndrome. The phenomenon is sometimes associated with males who are experiencing and practicing delayed , multiple, [ 11 ] or inhibited ejaculation.
The treatment is to achieve orgasm , or alternatively strain to move a very heavy object—in essence doing a Valsalva maneuver. The cause of epididymal hypertension is a large amount of blood circulation to the genital area, specifically the penis and testicles, without the release of tension associated with orgasm and ejaculation. When a large amount of blood flows to the genital region, the penis becomes erect and the testicles also experience increased blood flow and swelling.
After orgasm, the tissue shrinks back to its initial size as most of the blood leaves. When this does not occur, it can cause mild discomfort. The following indications and symptoms may be experienced by both sexes: [ 2 ].
