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Why am I getting headache during sex?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At June 25, 2016
Reviewed AtJanuary 3, 2024

Patient's Query

Hi doctor,

I am getting headaches during sex. Also, the pain peaks at orgasms. Please help.

Hi,

Welcome to icliniq.com.

  • Headaches at peak of sex or after sex is usually associated with medicines used for erectile dysfunction like Viagra (Sildenafil).
  • Sometimes, pain at orgasm can occur without any significant disorder due to sudden change in the hemodynamics of blood supply to various organs during and after orgasm.

For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist

Patient's Query

Thank you doctor,

I am a 46 year old male. I am not taking any medicine as you said. This is the second time I have experienced this. Severe headache, particularly at the lower back side of head and neck. It starts and increases with the sexual excitement and peaks at ejaculation. It also continues for 20 to 30 minutes after sex. What should I do? Can you suggest any medicine or physiotherapy for this? Please guide.

Hi,

Welcome back to icliniq.com.

  • I think you might be suffering from a rare disorder known as coital cephalgia or sexual headache.
  • It is caused due to contraction of facial, neck and upper back muscles during the peak of sexual excitement and orgasm.
  • Although, it is a benign disorder with no complications, it can be disturbing the couple.
  • I recommend you to get a contrast enhanced CT scan done to rule out any other significant intracranial lesion.
  • You will be benefitted by taking tablet Inderal-LA (Propranolol) 40 mg and tablet Indocap (Indomethacin) 25 mg, both in the evening. Consult your specialist doctor, discuss with him and take the medicine with consent.

For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Meena. Parth Singh
Dr. Meena. Parth Singh

Psychologist/ Counselor

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