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Sharp pain and headaches before ejaculation

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During intercourse, my fiancee will experience sudden sharp pains, then a headache before ejaculation. The pain usually begins in the right side of his neck, and the sharp/throbbing pain, is usually at the temple (same right side), or near the eye area. This has happened for the past three weeks, each time. He has even tried masturbating alone, to see if it happens, and yes, it does. It is quite painful for him, and frightens me more than he knows. We have all but given up on a climax for him, for this pain and discomfort. A few days ago, he showed no sign of discomfort during sex, so we continued to the point of climax for him, however, when he did release, it was a rather large amount and said "it felt as if he were passing a gall stone". I believe this could be due to build up, but then again, I am no doctor.

He has seen a doctore for this, though he is unsure of what it could be. Please, we are at our wits end, and I am worried about sex now. Any ideas of what this could be?

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replied June 3rd, 2010
Sexual Health - Men Answer A12831


This could be called coital cephalgia, simply meaning headache during sexual activity. You have mentioned that he does not have high blood pressure and is healthy. Assuming his body weight is in keeping with his height and body structure, this headache may be purely related to sexual activity. But you should also look out for any other problems he has, such as nausea/ vomiting, imbalance or any other symptoms which may point towards any other cause.

There are a few steps you can take right away to ease the pain. He could take a more passive role in the sexual activity. This simple adjustment is quite often helpful. He may also start doing some aerobic exercise program, if not into one already. Hydration of the body is vital. Make sure he drinks adequate amounts of water / fluids. Try variations in the positions. Choose positions where his neck is relaxed. Also take a trial of analgesics with your doctor's prescription.

Please let us know if this helps.


This post is for the purpose of providing medical information and is not a substitute for a face-to-face consultation with a doctor. This post is not intended to give or rule out a diagnosis, create a doctor-patient relationship or replace an existing one.

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