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Guys, are blue balls real or something made up?

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DeWayfarer · 61-69, M
Epididymal hypertension (aka blue balls) is very real yet not very common. Most males secrete semen and sperm all the time in small amounts (wet dreams). Yet when there is a blockage it can be quite painful. The degree of pain is dependent on the blockage.

The blockage can result from many things. Even psychological reasons... hence the hypertension.