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Headache during erection and ejaculation is refraining my sexual life. Please help.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

One day while having regular sex just before and during ejaculation, I experienced a sudden severe headache. It was painful and lasted for about 10 minutes. It started as a dull ache from my neck and head and it build up just during ejaculation. Two days later, I tried to have sex again and the same experience but I managed to ejaculate. Yesterday, I tried to have sex again and the same experience and I did not ejaculate due to the pain.

I am so stressed that my erection is getting weaker. Now, I just have an erection and I am having mild headaches. I have never experienced a situation like this neither have I ever heard of a situation like this. I am 40 years old. Is there any solution for this? I am very worried and I am already thinking that this is the end of my sex life. Because of this Coronavirus, I am even afraid to go to the hospital. Please help.

Answered by Dr. Rishav Bansal

Education:

MBBS

Professional Bio:

Dr. Rishav Bansal is the first Geriatric Specialist, dedicated to the medical care of senior citizens. He focuses on promoting healthy aging, managing chronic illnesses, and improving the quality of life in older adults. With his specialized expertise, Dr. Bansal provides compassionate and comprehensive care tailored to the unique physical, emotional, and social needs of the elderly, ensuring their well-being and independence in daily life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

You might be suffering from a disease termed as benign vascular sexual headache. To make its diagnosis, we need to rule out intracranial bleed first. Get MRI (magnetic resonance imaging) brain done to rule out structural disease. Once structural causes are ruled out, you can be sure of the diagnosis. Preventive medications like Indomethacin can be used 30 minutes to one hour before intercourse once we confirm the diagnosis.

I hope you are satisfied with my answer. For further queries, you can consult me at icliniq.

Thank you.

The Probable causes

The probable cause is a benign vascular sexual headache.

Investigations to be done

MRI brain.

Differential diagnosis

Differential diagnoses include benign vascular sexual headache and structural brain lesions.

Probable diagnosis

The probable diagnosis includes a benign vascular sexual headache.

Treatment plan

Tablet Indomethacin 50 mg 30 to 60 minutes before sexual activity (maximum of two tablets per day).

Preventive measures

Avoid strenuous activity during intercourse.

Regarding follow up

Review with MRI report. Review after 3 days for response to medications
Medically reviewed by Dr. Vinodhini J.
Published At May 3, 2020
Reviewed At January 24, 2024

Education:

MBBS

Professional Bio:

Dr. Rishav Bansal is the first Geriatric Specialist, dedicated to the medical care of senior citizens. He focuses on promoting healthy aging, managing chronic illnesses, and improving the quality of life in older adults. With his specialized expertise, Dr. Bansal provides compassionate and comprehensive care tailored to the unique physical, emotional, and social needs of the elderly, ensuring their well-being and independence in daily life.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Rishav Bansal is the first Geriatric Specialist, dedicated to the medical care of senior citizens. He focuses on promoting healthy aging, managing chronic illnesses, and improving the quality of life in older adults. With his specialized expertise, Dr. Bansal provides compassionate and comprehensive care tailored to the unique physical, emotional, and social needs of the elderly, ensuring their well-being and independence in daily life.

This doctor is not available for online consultations on the platform anymore.

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