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Coital cephalalgia and its treatment

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I have all the symptoms of coital cephalgia. Its happened about 4 times total. it comes and goes very randomly spanning months. Should i go and get scans done on my brain?


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replied May 25th, 2009
Coital cephalalgia and its treatment


Coital cephalalgia is a type of headache that occurs before orgasm during sexual activity. Having an orgasm during masturbation might also cause this condition. The pain usually starts at the base of the skull and moves to the forehead. Different people experience sharp pain behind the eyes.

This condition is more frequent in men, and usually appears for the first time in the early 20s or between 35 and 44. The headaches are usually benign. However, a visit to a doctor is recommended to rule out other possible and more serious conditions such as brain aneurysms or tumors.

The scan you mentioned might be enough to confirm or to rule out these conditions.


Since the exact cause for coital cephalalgia is not identified yet, the treatment might vary. Abstaining, both from sexual intercourse and masturbation (if it triggers the condition too) for several days up to weeks might reduce the frequency and severity of headaches. Your doctor might prescribe propranolol to be taken immediately before sexual intercourse. However, since propranolol is a medication that is used in patients with heart problems and affects the blood pressure as well, it can be taken only if recommended by a doctor.


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