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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29046
Experience:  MD
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I have been getting such migraine headaches when masturbating.

Resolved Question:

I have been getting such migraine headaches when masturbating. the pain is a 10 and will last until the following morning. When I wake up the pain is about a 7 and will last for 7 or 8 more hours. This just started happening about a month ago. I am 44 years old and very healthy. When having sex with my wife i feel it but not as bad and goes away in a few minutes.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr Basu replied 3 years ago.

Dr. D.J. :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Dr. D.J. :

Hi there,


This is Dr. D.J., experienced Internal Medicine Specialist.


I am here to address your concerns and provide great service.

Dr. D.J. :

High blood pressure problem can cause this comnonly.

Dr. D.J. :

During sex or masturbation the blood pressure goes up which can precipitate headache,

Customer:

i take it regularly 126 over 82 on an average

Dr. D.J. :

The next possibility is known as postcoital headache --this is likely migraine.

Dr. D.J. :

Ok that is reassuring.

Dr. D.J. :

Post coital headache is due to the throbbing widening of the brain blood vessels

Customer:

i dont know why this just started happening

Dr. D.J. :

this can be caused by alcohol, caffeine, energy drink intake.

Customer:

what can be done to stop it

Dr. D.J. :

sometimes, this is just like that comes and goes.

Customer:

i do drink coffee only in morning one or two cups

Dr. D.J. :

Studies have shown NSAIDs like Naproxen ( Aleve) one or two tablets will hep to stop headache.

Dr. D.J. :

Avoid alcohol, or high sugar meal in the evenings.

Customer:

yes i do take that after I get it.

Dr. D.J. :

Lastly, there is another possibility which I should mention.

Customer:

yes

Dr. D.J. :

Brain tumor or Aneurysm can RARELY present like this.

Dr. D.J. :

The symptoms appear due to the sudden increase in pressure in side the brain during sexual activities irritating the meningeal membrane

Dr. D.J. :

If you do not have any family history of brain tumor or aneurysm this possibility is low.

Customer:

yes no one in my family does

Dr. D.J. :

However, given that new onset symptom, I will recommend a brain MRI scan if possible.

Customer:

if there was one what would have to be done

Dr. D.J. :

Please see above.

Dr. D.J. :

However, given that new onset symptom, I will recommend a brain MRI scan if possible.

Customer:

i got that part. If there was something there r u talking surgery?

Dr. D.J. :

No in most cases surgery is not required if the aneurysm is small.

Dr. D.J. :

In some cases, yes they may need to be repaired to prevent any bleeding.

Customer:

I have an appt with my MD next Monday

Dr. D.J. :

In case of brain tumor, most are benign --no treatment necessary except for regular observations.

Dr. D.J. :

Ok good, you can discuss this during your appt.

Dr. D.J. :

Not overtly concerning since you do not have any other symptoms like seizures

Customer:

no nothing like that. very active

Dr. D.J. :

Yes that is why this is not urgent.

Dr. D.J. :

Most likely this will subside over time.

Customer:

good. i hope so too.

Dr. D.J. :

Besides Aleve, prescription anti migraine medication like Imitrex may be used.

Customer:

i will avoid sex until then

Dr. D.J. :

A beta blocker like Propranolol daily also helps to prevent headaches like this.

Dr. D.J. :

You can take Aleve before sex which may help.

Customer:

ok i will

Dr. D.J. :

Do not worry

Customer:

thank u i will try not too

Dr. D.J. :

It was my pleasure to help you today.
Best wishes,
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Customer:

ok thank you DR

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