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Definitions by Chandrika Gauranga Dasi

Ball Ache 

When things are a whole lot of hassle and not much fun this is the feeling you get in your balls (scrotum). Females also feel this even though they have no balls.

It is an analogy, please seek medical advice if you have real pain or soreness in your ball bags, as you may have an STD.

That would be a double ball ache.
Its a real ball ache having to do the washing up.
Ball Ache by Chandrika Gauranga Dasi September 1, 2006