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nicholasdaly 08-04-2005 05:05 PM

strange headaches - aneurysm? please help

I have a question about a headache I have been having, and my CT scan.

Background on me: I am 24, I am a healthy weight (6'1, 165lbs.), I have never smoked, I have drank maybe five times in my entire life, I have never used any other drug. I exercise semi-regularly. I have never had any health problems or injuries. So here's my problem:

I recently started getting strange headaches...they only occur during sex. They start as I near orgasm and they peak when I climax. They then last about fifteen to thirty minutes before dying off...Sometimes they linger for a few hours afterwards, but not very severe. (I usually go to sleep before I can tell how long they linger) They occur on the right front of my forehead. It is a sort of dull pain, not really throbbing...hard to describe. They are not severe enough to impair me in any way or make me lay in a dark room, sensitive to light, etc. but they do hurt. These headaches are new to me. Migraines run in my family (mother, brother) but I have never had a migraine...My headache of choice is a tension headache, which I get once a week on average...And they are never that severe, just enough usually to be noticable, and usually go away with ibuprofen. I got so scared after the fifth night of this headache that I went to the ER. They did an EKG which was good, and a CT scan. The CT scan came back normal. They diagnosed me with a form of migraine and made a follow-up appointment with me for a neurologist in one month. With correspondance with another specialist doctor, he told me I have post-coital headache (orgasmic cephalgia). Has anyone else heard of or experienced this?
I have worked myself into a panic thinking that I have an aneurysm. The doctor at the ER told me that the CT scan would have picked up any bleeding and an aneurysm that was large enough to cause problems. Is this true? Would a CT scan have picked this up?
I should add that I go jogging just about every night, and I swim two days a week...and I do not get this headache. So it does not seem to be related to exertion or heart rate, as my heart rate during jogging is obviously much higher than during sex. Should I be worried about this being an aneurysm? Should I demand more serious tests of some sort? If anyone can help me with this, please let me know, I would greatly appreciate it. I am pretty terrified. I have abstained from sex for a week now and am continuing to do so...
Thanks so much in advance.


Mz Migraine 08-04-2005 08:29 PM

Re: strange headaches - aneurysm? please help
The good news - you don't have an aneurysm & you can start believing everything your doctor told you & you better do exactly as he/she instructed.

I did a Google search on your type of headache. Interesting I must say. :cool:

NathanF41 08-04-2005 08:49 PM

Re: strange headaches - aneurysm? please help
My turn to play doc :)

Your doctor is right. Migraines can be caused by sex and orgasm. The overexertion of an orgasm can very much cause a headache, and you will often find orgasm (or some variation) as a trigger of a migraine on lists of you snoop around websites. You'll be okay. The only unfortunate worry you may have is the anxiety that having an orgasm may bring since it's causing you headaches. Other than that, you should be all good.

NathanF41 08-04-2005 08:53 PM

Re: strange headaches - aneurysm? please help
By the way, if the same things went on inside your body when jogging as when having sex, the streets would be packed 24/7. So don't make the mistake of thinking that just because your heart rate is up when you jog and you're fine, that everything should be exactly the same when having sex. A lot more takes place. A lot more muscles tense up during sex...a lot more is going on.

nicholasdaly 08-05-2005 09:16 AM

Re: strange headaches - aneurysm? please help
Thanks to everyone for the replies.

Would a CT scan have picked up an aneurysm? Do I need to demand more tests? Or can I actually rest easy with that test and the EKG? I know so little about this and about tests- it was actually my first visit to the hospital.

Also, the reason I mentioned jogging/swimming and the fact that I don't get the headache during that is that it doesn't seem to be related to exertion. When I get the headache during orgasm, it has nothing to do with the amount of work I am doing- often I am actually the passive partnet. Come to think of it, it seems to have more to do with the quality of it rather than exertion. I exert myself so much more during jogging etc. so I don't believe it can have anything to do with exertion/heart rate/etc.
This is just something new to me and it scared me a bit- the first thing I thought of was an aneurysm!!!

NathanF41 08-05-2005 10:37 AM

Re: strange headaches - aneurysm? please help
I think there's a connection to the head during sex. Have you ever furrowed your eyebrow? clenched your forehead? made a face?? Things happen with all of your muscles during sex, and it's a hell of a workout actually. I can't speak more than this because I don't know more. But a lot more goes on in your body during sex than you know.

If you're not going to rest easy, ask for more tests. I'd hope they wouldn't rely on CT scans if they were found to not pick up dangerous problems. If you want, ask for an MRI...but there is known to be a headache that results from orgasms.

Nancyva 08-13-2005 06:01 PM

Re: strange headaches - aneurysm? please help
Hi, I have to tell you I get these headaches too. I have just started to get them lately. They are stabbing headaches to say the least!! I am a 54 year old woman who never had them before but have just started to have them. To me they are painful enough to stop having sex. I simply cannot go on. If I stop having sex the pain subsides somewhat. I am getting leary of having sex now. I was wondering if it could be a side effect from a drug. I was on the SSRI prozac, and have recently switched to Zoloft. I was wondering if that could be the culprit. But I haven't asked my doctor yet about it. So, don't worry other people get them too.

mayansun 08-16-2005 11:18 AM

Re: strange headaches - aneurysm? please help
Regarding aneurysms and tests:

Depending on the size and location of an aneurysm it would likely be picked up by a CT or an MRI (particulary if either were done with contrast dye). My aneurysm was located by MRI and confirmed by CT and later by an cerebral angiogram. If you are still concerned, after a normal CT, it makes most sense to check in with your physician. I'm sure there is conflicting opinion over whether a CT or MRI is better and it likely depends on what you might be looking for as well as your overall health and other factors.

For example I have continuing headaches but my doctors are hesitant to expose me to the radiation of a CT scan unless really necessary, MRI I don't like and because of the metal clip in my head I avoid (it is safe b/c of the type of clip but I remain somewhat wary).

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