Could pressure/straining within your neck during intercourse be enough to cause a brain bleed on eliquis?

During my 3 month rotation on the neurology department we had 2 cases of young patients who developed intracranial bleeding during intercourse, but they had berry aneurysms that ruptured. I think you'd have to have some predisposing intracranial pathology to suffer an intracranial bleed during sexual intercourse even on anticoagulants.

Valsalva maneuvers can temporarily raise intracranial pressures and have been noted to causes aneurysmal ruptures, and even bleeding of arterial-venous malformations. But hemorrhage does not occur unless a susceptible blood vessel is already present. Eliquis makes this worse but does not cause the initiation of the bleeding.