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What Could Cause Splitting Headache Prior To Orgasm And During Crawl Swimming?
Have recently been learning crawl swimming, only managing 1 length at a time. Managed 2 for the first time 2 weeks ago and had splitting headache almost instantly. This has happened twice since.I experienced the same headache just prior to orgasm last night
Tue, 5 Nov 2019
Hello,
I'm sorry to hear about your headaches, they definitely sound very debilitating. It seems like from your description that these types of headaches are new for you and as such you need to have a thorough neurological workup done. Any new headache that is associated with exertion such as exercise or sexual activity must be evaluated. This includes an MRI of the brain with and without dye, MRA of the head to evaluate for any abnormal, and depending on the situation, possibly an MR-venogram to evaluate the venous system of the brain.
If the above studies are inconclusive a digital subtraction angiogram may be necessary. If any symptoms of possible seizures are present then an EEG is indicated as well. Other than vascular malformation and neoplasms in the brain, a sudden vasocontrictive state (sudden constriction of blood vessels) in the brain can result in a headache. This can sometimes be observed on the angiogram, though if the vasocontriction is not present it does not necessary rule out the syndrome.
If the above workup is negative, what you are experiencing may represent a primary thunderclap headache which can be associated with sexual orgasm or exertion. There are multiple medications that can be tried for treatment including the standard migraine preventative medications and high strength anti-inflammatory medications such as indomethacin. It is definitely worth seen in a neurologist to initiate a diagnostic workup to determine the cause of your headaches.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Janne Nissinen, Neurologist
I'm sorry to hear about your headaches, they definitely sound very debilitating. It seems like from your description that these types of headaches are new for you and as such you need to have a thorough neurological workup done. Any new headache that is associated with exertion such as exercise or sexual activity must be evaluated. This includes an MRI of the brain with and without dye, MRA of the head to evaluate for any abnormal, and depending on the situation, possibly an MR-venogram to evaluate the venous system of the brain.
If the above studies are inconclusive a digital subtraction angiogram may be necessary. If any symptoms of possible seizures are present then an EEG is indicated as well. Other than vascular malformation and neoplasms in the brain, a sudden vasocontrictive state (sudden constriction of blood vessels) in the brain can result in a headache. This can sometimes be observed on the angiogram, though if the vasocontriction is not present it does not necessary rule out the syndrome.
If the above workup is negative, what you are experiencing may represent a primary thunderclap headache which can be associated with sexual orgasm or exertion. There are multiple medications that can be tried for treatment including the standard migraine preventative medications and high strength anti-inflammatory medications such as indomethacin. It is definitely worth seen in a neurologist to initiate a diagnostic workup to determine the cause of your headaches.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Janne Nissinen, Neurologist
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