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Hi, about 3 weeks ago I experienced a severe sudden

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Posted on Fri, 15 Mar 2019
Question: Hi, about 3 weeks ago I experienced a severe sudden headache (possible thunderclap) during sexual activity, in the upper right back of my head.
Over the week I had the same thing around 4 times with aching afterwards.
My nurse friend told me to do the hand squeeze test and said there is probably nothing wrong but 3 weeks later I still have a strange ache in the same spot.
It feels like a wet spot, like when a cold drip hits the top of your head with a dull ache behind it and inside my head.
I have a doctors appointment on Monday but that slight ache is making me feel uneasy and wondered if you could suggest anything further. Thanks
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
Due to venous engorgement

Detailed Answer:
Thanks for using the Ask a Doctor service.

Incidentally thunderclap headache during sex is a known entity and occurs due to the dilatation of cerebral veins that occurs alongside the venous engorgement in the sexual organs during sex. You need to see a doctor who will be able to evaluate you and guide you accordingly.

I will insist you to avoid any medications that supposedly enhance sexual potency. Taking half a tablet of clonazepam 0.25 mg twice daily should help.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4439 Questions

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Hi, about 3 weeks ago I experienced a severe sudden

Brief Answer: Due to venous engorgement Detailed Answer: Thanks for using the Ask a Doctor service. Incidentally thunderclap headache during sex is a known entity and occurs due to the dilatation of cerebral veins that occurs alongside the venous engorgement in the sexual organs during sex. You need to see a doctor who will be able to evaluate you and guide you accordingly. I will insist you to avoid any medications that supposedly enhance sexual potency. Taking half a tablet of clonazepam 0.25 mg twice daily should help. Regards