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Post orgasmic headache

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I have been experiencing a headache for approximately 24 hours as of now. I got the headache when I orgasmed while masturbating. I don't know what to do, the headache comes and goes and decreases and increases in intensity. I took Ibuprofen but it did nothing. Most online info says not to worry about it but they also say it could be something more serious and I don't know what to do.

Category: Internal Medicine Specialist

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Category: HIV- AIDS Specialist
 31 Doctors Online

Hello,

I would like to know some additional information form you so that I can help you better.


1. Do you have any nausea or vomiting ?
2. Any weakness, numbness ?
3. Any unsteadiness ?
4. Any double vision ? Loss of vision ? Blackening of eyes ?
5. Any unusual symptoms ?

You can reply as followup
Thank you


Patient replied :

1. No
2. No
3. No
4. No
5. I had a weird episode where I just freaked out and my heart rate went up a lot, but it might have been due to the fact that I was reading online about how this headache might be indicative of other more serious issues and I just became extremely anxious that I could die.


Hello,

You can relax. Your headache appears to be sexual headache (post coital / orgasmic). However if the headache persists for more than 48 hours you should get medical help. Even before that if there is no sign of subsiding and/or if there are new symptoms.

You do not have any danger signs as of now, which is a very good sign. You can continue taking Ibuprofen 400mg .Take rest in a dark quiet room. Avoid screen - TV , computer. Again get medical help if symptoms are persisting or worsening.


Thank you
Hope this helps
Feel free to ask followups


Patient replied :

Alright, thank you. So if it lasts for more than 48 hours, do I go to the hospital? Why did I even get the headache in the first place? and lastly, if it lasts longer than 48 hours and I don't go to a hospital, could I die?


No, you may not die ! But any serious causes of headaches need to be ruled out (like Sub arachnoid haemorrhage). If the headache is showing no signs of resolution I would recommend you not to delay any further. I strongly recommend a ER/ hospital visit.

It is difficult to say what is causing this headache - The patho physiological mechanism beyond is not well known and studied. This headache is classified as "Primary Headache related to sexual activity and exertion" . This seldom persist beyond few hours. That 's why recommend further evaluation . You may require a CT scan of the head and neurological examination.

Hope this helps
Feel free to ask followups
Thank you


Patient replied :

That is all, thank you very much.


Wish you good health, Take care!


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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