Pounding Headache

by Phil
(Corby UK)


In the last week it have suffered 3 monstrous headaches and am seeking some clarification as to what they might be?

I am a Male age 49
I have never smoked
I drink socially and irregular

Symptoms, each time is starts during for play i feel what i would describe as pressure in the lower left back of my head which quickly increases covering the left side, finally reaching my left eye which starts to twitch. The pain is intense i have to stop what i am doing. Laying down does not help I find to sit and rest head is best. Closing eyes does not help.

I have tried ibuprofen and although a slight improvement does not entirely affect the issue.

I suffered one last night 22.30 intense pain took two 200mg ibuprofen's and tried to sleep at this time 08:55 the pain has subsided to a dull nusence i can feel slight pain in the top of my head and on the left side of my forehead and left eye socket.

As this has occurred three times and all around getting aroused i am concerned. My wife thinks it is her fault i know it is not just a freak of nature but one that is extremely painful and not one i wish to live with.

I would hope you may be able to help.

Kind regards


Hi Phil,

First of all you are not a freak of nature and this is not your wife's fault. This particular type of headache is more common than you think but many people are a little embarrassed to discuss this with a healthcare provider.

A headache during sex or just beforehand is concerning. First of all this is a new onset of headache for you and even if you had some headaches before, they have changed. Both reasons are considered neurological "flags" and require neuroimaging such as an MRI of the brain to r/o aneurysms.

The majority of the time this is a condition known as Benign Coital Headache and the aneurysm issue is a bit rare. None the less it needs to be reviewed by a doctor so I would advise you call yours and make an appointment.

Ibuprofen is acceptable as a treatment but we have found in our clinic that naprosyn works a bit better. Please read the info at the link I provided.

Best of luck..
Mary Kay Betz MS RPA-C

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