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Why did I get severe headache and pain in the head during an orgasm?

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Posted on Wed, 13 Jan 2021
Question: Good morning- I am a 68 year old man- I experienced 2 episodes in the last 2 months. After sex- during orgasm I got the most severe head ache or pain in my head, it lasted about 90 seconds then left. I have had headaches before, but this was different- it was overwhelming .
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Answered by Dr. V. N. S. Parinam (14 minutes later)
Brief Answer:
Post coital cephalgia

Detailed Answer:
Hi,

In my opinion you should not worry.
The reasons being that this is just two episodes in 60 days.
This could be benign or non worrisome because it lasted for just couple of minutes. It was not associated with any neurological symptms like unconsciousness, paralysis. This is called Type 2 headache associated with sexual excitement. Generally due to spasm of muscles around neck.
However always we rule it out with structural and vascular lesions in the brain. So I suggest for a CT scan head to rule out other ominous reasons. Please see a neurologist for evaluation.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. V. N. S. Parinam (4 hours later)
Thank you
doctor
Answered by Dr. V. N. S. Parinam (16 hours later)
Brief Answer:
Please close and rate my answer

Detailed Answer:
Hi,

I am glad that I was able to guide you towards a better decision. Please close and rate my answer.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. V. N. S. Parinam

General & Family Physician

Practicing since :2008

Answered : 1730 Questions

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Why did I get severe headache and pain in the head during an orgasm?

Brief Answer: Post coital cephalgia Detailed Answer: Hi, In my opinion you should not worry. The reasons being that this is just two episodes in 60 days. This could be benign or non worrisome because it lasted for just couple of minutes. It was not associated with any neurological symptms like unconsciousness, paralysis. This is called Type 2 headache associated with sexual excitement. Generally due to spasm of muscles around neck. However always we rule it out with structural and vascular lesions in the brain. So I suggest for a CT scan head to rule out other ominous reasons. Please see a neurologist for evaluation.