Medical

Have Medical Questions? Ask a Doctor Online!

Ask a Doctor,
Get an Answer ASAP!

Medical

Medium to severe headache when having intercourse or. Not

Customer Question
medium to severe headache when...
medium to severe headache when having intercourse or orgasm. Not usually prone to headaches but lately pretty bad
Submitted: 12 months ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 5 minutes by:
11/21/2016
Doctor: Dr. Bob, Medical Doctor replied 12 months ago
Dr. Bob
Dr. Bob, Medical Doctor
Category: Medical
Satisfied Customers: 5,484
Experience: 20 Years in Internal Medicine, Neurology and Sports Medicine
Verified

Are you taking any ED medications?

Ask Your Own Medical Question
Doctor: Dr. Bob, Medical Doctor replied 12 months ago

You may be experiencing primary sexual headaches, or "coital cephalgia". Several theories have been put forth to explain the underlying mechanism of these headaches. The leading explanation involves exertion leading to a sudden increase in intracranial pressure (similar to headaches caused by weight lifting) or an inappropriate reaction in the cerebral vasculature (eg vasodilation). Neural hypersensitivity, similar to migraine, may also play a role. Risk factors include obesity, kneeling position during intercourse, a high degree of sexual excitement, stress, history of migraine and exertion headache and a family history of headache or occlusive arterial disease. Pharmacological triggers may include marijuana, amyl nitrite, amphetamines, sildenafil, cialis and some anxiolytics.

Ask Your Own Medical Question
Doctor: Dr. Bob, Medical Doctor replied 12 months ago

If these headaches are new and severe, you should see your GP and ask about an MRI of the brain to rule out any possible underlying vascular abnormalities (subarachnoid bleeding, basilar artery dissection, etc).

Ask Your Own Medical Question
Doctor: Dr. Bob, Medical Doctor replied 12 months ago

The primary treatment is usually reassurance as the headaches are not usually recurrent. Drug management can be offered in some cases. Indomethacin and propranolol are the most established and evidenced treatments but all of the following are supported by randomised trials:

Ask Your Own Medical Question
Doctor: Dr. Bob, Medical Doctor replied 12 months ago
  • Propranolol - 40-240 mg a day. This can be used on a preventative basis.
  • Indomethacin - 25-75 mg a day can be used on an intermittent or regular basis.
  • Topiramate (50 g daily) has been successfully used as prophylaxis in patients in whom the above two drugs were not appropriate.
  • Calcium-channel blockers (eg, diltiazem 60 mg tds, nimodipine) have been helpful in some patients, particularly where cerebral vasoconstriction is the probable cause.
  • One study reported a role for triptans (migraine medications), both in the acute phase and in prophylaxis of headaches associated with sexual activity.
Ask Your Own Medical Question
Ask Dr. Bob Your Own Question
Dr. Bob
Dr. Bob
Dr. Bob, Medical Doctor
Category: Medical
Satisfied Customers: 5,484
5,484 Satisfied Customers
Experience: 20 Years in Internal Medicine, Neurology and Sports Medicine

Dr. Bob is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,160 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,734 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,064 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

13,486 satisfied customers

20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
What is the minimum recommended dosage of sildenafil of
What is the minimum recommended dosage of sildenafil of pulmonary hypertension … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,822 satisfied customers
I have been taking Topiramate 50 mg for 20 days the side
I have been taking Topiramate 50 mg for 20 days the side effect are very bad I was told by my doctor to stop taking them but I have read that you should not stop them all at once what is what do you t… read more
DrRussMD
DrRussMD
Board Certified Physician
51,160 satisfied customers
Thank yoy for your prompt reply. I have had a MRI of the
Thank yoy for your prompt reply. I have had a MRI of the brain six months ago and it showed no sign of disease or abnormality. I have also had a CT scan for my sinuses and they are normal. Acually I h… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,822 satisfied customers
My problem is on sex. I'm a healthy person but when I do sex
I'm a healthy person but when I do sex I'm very weak I can't stay 1 minutes and my girlfriend has not satisfied … read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,713 satisfied customers
I can get hard on but it won't stay hard, it goes limp what
I can get hard on but it won't stay hard , it goes limp what can I do to help please my wife ? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,389 satisfied customers
I have ED and looking for a way to resolve it. I have tried
I have ED and looking for a way to resolve it. I have tried Viaga, Cealis and another which did not work … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,389 satisfied customers
Has low level shock therapy proven successful in cases where
has low level shock therapy proven successful in cases where the 3 drugs -- Viagra, Cialis and Levitra -- are not being effective? If so, where can I get an evaluation? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,389 satisfied customers
My husband woke one day with a headache and pressure in his
My husband woke one day with a headache and pressure in his forehead, it never stopped. We have gone through CT scans MRI scans Brain scan with contrast, several medications from the neurologist that … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,620 satisfied customers
Since I have seen my regular doctor, I am 66 years of age
Hi,my name is***** and since I have seen my regular doctor … read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,880 satisfied customers
70 years old and already prescribed sildenfil100mg which
70 years old and already prescribed sildenfil100mg which which works fine. My blood pressure has been high the last few days and I have just been prescribed Amlodipine 5 mg. Am I still ok to use the s… read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
13,486 satisfied customers
I need some answers about what causes erectile dysfunction
I need some answers about what causes erectile dysfunction and what can i do to get better i take cialis but it doesn't work all the time doesnt keep me hard im 60 year old weight 305 lift weights 6ft… read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,713 satisfied customers
Is there anything a man of 86 can do to increase his output
Is there anything a man of 86 can do to increase his output of semen? I'm in good health. I still have sexual desite … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
13,486 satisfied customers
I stopped with isosorbidenitrate 25 mg on a daily basis one
I stopped with isosorbidenitrate 25 mg on a daily basis one week ago. I take amlodipine 10 mg on a daily basis. Is it safe to take sildenafil 50 mg now … read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,880 satisfied customers
Can I take 50mg of Sildenafil citrate sublingual if I am
Can I take 50mg of Sildenafil citrate sublingual if I am taking 25 mg of metoprolol and 20 mg of rosuvastatin?? … read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,880 satisfied customers
What are the withdrawal symptoms for topiramate? Yes. My new
Yes. My new doctor removed me from topiramate 50mg daily, and switched my 40mg of citalopram to 40 of fluoxetine. I also take 150mg Wellbutrin x … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,043 satisfied customers
I've been on toprimate since 2014 stopped taking it about 2
I've been on toprimate since 2014 stopped taking it about 2 months ago & just found out I'm 6 weeks pregnant. Any concerns? Should I be worried? … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,822 satisfied customers
Can I get a presciption for sildenafil? None, no. High
Can I get a presciption for sildenafil? JA: What medications do you take daily? Are you allergic to any medications? Customer: None, no JA: Anything else in your medical history you think the doctor s… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,043 satisfied customers
Am taking bimix Injection 3 times a week and sildenafil
Am taking bimix Injection 3 times a week and sildenafil tablets in between the Injections. Last night I took the full dose of 5 tablets totaling 100mg and wants to know if it's ok to do am injection t… read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
13,486 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x