Coital headaches are a male-dominated (4:1) syndrome. They are usually abrupt and painful, much like a severe, throbbing migraine. In most cases they are benign, however, an aneurysm or other vascular malformation can occur during sex, so he should get an angiogram to rule out any medical problems. They usually prescribe indomethacin (Indocin) for benign coital headaches by the way.
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