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I get a severe migraine post-sex for more than 4 hours. Why?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 21-year-old female with a weight of 47 kilograms and a height of five feet. I have severe migraine after sex and it lasted for four hours. What to do?

Answered by Dr. Afifa Nighat

Education:

FCPS IMM

Professional Bio:

Dr.Afifa Nighat is a highly skilled and established physician in the field of General Practitioner. she is an expert in tackling any complicated medical cases and can provide an expert opinion.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

It seems to be a sexual headache. It usually lasts for 24 to 72 hours. It usually occurs in the occipital area and it is unilateral. You can take Zolmitriptan nasal spray 5 mg. If you have repetitive attacks, then you need to take preventive therapy. If it lasts for more than 72 hours with associated signs such as loss of consciousness, confusion, and visual disturbance, then you need to seek medical help immediately.

You can use Zolmitriptan nasal spray 5 mg. For preventive therapy, you can take tablet Indomethacin 25 mg once daily before having sexual activity.

The Probable causes

You have exertion or excessive muscular contractions.

Investigations to be done

You need to do a CT (computed tomography) scan brain if the problem continues to rule out an aneurysm.

Differential diagnosis

You can have a sexual headache or reversible cerebral vasoconstriction syndrome (RCVS).

Probable diagnosis

You can have a sexual headache.

Treatment plan

You can use Zolmitriptan nasal spray 5 mg. For preventive therapy, you can take tablet Indomethacin 25 mg once daily before having sexual activity.

Preventive measures

Avoid having excessive muscle contractions due to sexual activity. Being consciously relaxed during intercourse can help you to prevent it.

Regarding follow up

You can have a follow up at any time.
Answered by
Medically reviewed by Dr. Sneha Kannan
Published At September 22, 2020
Reviewed At July 8, 2024

Education:

FCPS IMM

Professional Bio:

Dr.Afifa Nighat is a highly skilled and established physician in the field of General Practitioner. she is an expert in tackling any complicated medical cases and can provide an expert opinion.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

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

Dr. Afifa Nighat

Education:

FCPS IMM

Professional Bio:

Dr.Afifa Nighat is a highly skilled and established physician in the field of General Practitioner. she is an expert in tackling any complicated medical cases and can provide an expert opinion.

This doctor is not available for online consultations on the platform anymore.

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