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Doctor insights on: Headache During Orgasim

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I had a sudden onset of the worst headache I've ever experienced and it occurred during orgasm. .. It was debilitating?

I had a sudden onset of the worst headache I've ever experienced and it occurred during orgasm. .. It was debilitating?

Coital cephalagia: Occurs at base of neck as a dull headache that gets wore wig climax. Happens 3:1in men to women ratio. Get it checked out to make sure it's not an aneurysm. Treatments are propanolol, indomethacin, time.

Orgasm (Definition)

Conventionally, orgasm is the culmination of sexual arousal (and may be repeated) and typically produces great pleasure through direct genital stimulation of the male penis and female clitoris. However, orgasm may also be achieved via the brain or as a reflex arc. The physical characteristics are an explosive peak & repeated neuromuscular action causing release of male ...Read more


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I experienced the worst headache with the fastest onset today during orgasm and hours later the headache is still there though less severe?

I experienced the worst headache with the fastest onset today during orgasm and hours later the headache is still there though less severe?

Thunderclap: Acute severe migraine attack can occur during sex. They can be extreme with prolonged recovery. This has been called thunderclap headache. You may need to have brain scan to exclude hemorrhage or stroke.

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Had sex->orgasm->sudden severe headache during orgasm + sudden increase in bp=188/92. H/a + BP lasts for rest of day/night. Do I need to worry?

Had sex->orgasm->sudden severe headache during orgasm + sudden increase in bp=188/92. H/a + BP lasts for rest of day/night. Do I need to worry?

Very odd: It's a little concerning. A ct scan of your brain would be very useful to rule out the possibility of bleeding. It's hard to say on the computer how likely that is, but it's a consideration. You should discuss it with your doctor or go to the er.

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I have a horrible headache at the base of my skull. It came on very suddenly during sex, right at the moment of an intense orgasm. 3rd time in a week?

I have a horrible headache at the base of my skull. It came on very suddenly during sex, right at the moment of an intense orgasm. 3rd time in a week?

Thunder clap headach: A migraine variant is causing your problems, and this can be prevented with a variety of prescription or otc meds. Unlikely that you possess intracranial lesion or neck problems, but worthwhile to see neurologist and set up a preventative med plan.

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Bp averages 185 to 160 over 116 to 90. Just started meds. Had sudden excruciating headache twice pre-orgasm, pain lingering for days. Should I worry?

Bp averages 185 to 160 over 116 to 90. Just started meds. Had sudden excruciating headache twice pre-orgasm, pain lingering for days. Should I worry?

Hypertensive urgency: Yes, you should. Your blood pressure is not controlled and predisposes you to stroke. Furtjer elevation of blood pressure at time of orgasm can be a ticking time bomb. Coital headache is a known phenomenon, can be treated but the emergent blood pressure management has a priority now.

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What is the cause of having a terrible headache after orgasm?

What is the cause of having a terrible headache after orgasm?

Get checked: There is a type of headaches known as sex headaches, where sexual activity or orgasm can cause a severe headache. Sometimes this is nothing to worry about and can often be prevented with medications, but it is very important to get tested for abnormal blood vessels in the brain (such as aneurysms or arteriovenous malformations).

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Why have I been getting headaches right before I have an orgasm?

Why have I been getting headaches right before I have an orgasm?

Thunderclap HA's: Migraine prone individuals can experience such problems, and these can be prevented by a variety of standard anti-migraine meds. Your doc can assist, as outcomes are quite satisfactory.

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I get really bad Headaches after an orgasm and sex, it's really scary! Should I be worried?

I get really bad Headaches after an orgasm and sex, it's really scary! Should I be worried?

Coital headache: Not necessary to be worried, but should be evaluated. Most experts would recommend that you obtain a head CT since this type of headache has an association with aneurysms.

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Sometimes after having an orgasm, I will receive a headache, or see spots similar to those found with a migraine headache. Should I be concerned?

Sometimes after having an orgasm, I will receive a headache, or see spots similar to those found with a migraine headache. Should I be concerned?

Orgasmic headache: It's a primary headache that occurs before or at the time of orgasm and located at the base of the skull. The prophylactic treatment with beta-blockers, and anti-migraine drugs (Topamax) is an effective treatment. See a headache specialist to rule out secondary headache.

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I get explosive headaches right before having an orgasm my normal BP is 106/66. With a headache it's 148/75. Is that bad? Will the headaches go away?

I get explosive headaches right before having an orgasm my normal BP is 106/66. With a headache it's 148/75. Is that bad? Will the headaches go away?

Coital migraine: This is a well-known but uncommon form of migraine. Premedication with aleve, (naproxen) Ibuprofen or the like, could help. Allow at least 30 minutes from taking medication to engaging in sexual activity. The only other recourses are abstinence or grin-and-bear-it.

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I masturbated in the shower yesterday, and on orgasm, intense sudden headache. Severe headache lasted 15 min., then minor headache through this a.m.

I masturbated in the shower yesterday, and on orgasm, intense sudden headache. Severe headache lasted 15 min., then minor headache through this a.m.

Thunderclap ha: Your sudden severe headache is a problem, but not critical. This is unlikely to represent an intracranial calamity, and more likely to be a migrainous event. Would contact your doctor, and start specific treatment regimen to prevent future such events. You could contact our Concierge online doctors for help also.

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If I have an orgasm and then fall asleep later I wake up with a throbbing headache within 2 to 3 hours of falling asleep?

Here are some...: Throbbing headache 2-3 hrs after orgasm may be associated with vasodilation, which may imaginably be possible. However, before jumping into a firm conclusion, it's necessary to adequately analyze detailed history, adequately conduct physical exam, & order tests as needed so to define best possible Dx for reasonable Rx, care, & counseling.

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Dr. Bennett Machanic
4,267 Doctors shared insights

Headache (Definition)

The medical term is cephalalgia. It is a feeling of pain that can occur on either both sides or just one side of the head or neck. Headaches can be sharp, dull, or throbbing, and can radiate to different areas of the head. They typically last less than an hour but can ...Read more