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Urology (Expert Forum)
Ejacualation headache
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Ejacualation headache
by J-L, Jul 26, 1998 12:00AM
My future husband has had migranes for 20+ years, however
recently he has experience sudden, severe pounding head/temple
pain immediately prior to and/or upon ejaculation. He did have
an overall physical (blood work, prostrate check) and an MRI of
the head. The only things they showed were high colestrol level
(251), scare tissue in the sinus cavities and a pre-existing
mitral valve prolapse that we were aware of. He is currently
taking Inderal 60mg daily (was at 80mg) and has been experiencing
problems maintaining an errection. Please advise what to check
next. I am somewhat concerned about a blockage in the neck area.
The Doctor had suspected an anurysm but nothing showed up on the
MRI. THank you for any suggestions you can offer. We need this
info soon as he is about to make a job change and insurance could be
a big problem for a pre-existing condition. Thanks...
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Dear J.L.,
The act of ejaculation is a complex series of events . During this event there exists a massive surge of outflow of nerve signals from what is referred to as the autonomic nervous system. During this surge the nerve signals lead to a mobilization of many processes, one of which is potential effect on constriction of blood vessels. This may theoretically explain the headaches, especially in case of your partner who has question of a blockage (presumably of blood vessels) in his neck. An evaluation by a vascular surgeon would be appropriate for the “blockage in the neck”.
As far as problem with erection, this may be a side effect from Inderal . I recommend an evaluation by a
urologist for this particular problem.
----------------------------------------------------------------------------------------------------------------------------
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568).
Sincerely;
HFHS-M.D. BE
* Keyword:ejaculation headache
recently he has experience sudden, severe pounding head/temple
pain immediately prior to and/or upon ejaculation. He did have
an overall physical (blood work, prostrate check) and an MRI of
the head. The only things they showed were high colestrol level
(251), scare tissue in the sinus cavities and a pre-existing
mitral valve prolapse that we were aware of. He is currently
taking Inderal 60mg daily (was at 80mg) and has been experiencing
problems maintaining an errection. Please advise what to check
next. I am somewhat concerned about a blockage in the neck area.
The Doctor had suspected an anurysm but nothing showed up on the
MRI. THank you for any suggestions you can offer. We need this
info soon as he is about to make a job change and insurance could be
a big problem for a pre-existing condition. Thanks...
---------------------------------------------------------------------------------------------------------------
Dear J.L.,
The act of ejaculation is a complex series of events . During this event there exists a massive surge of outflow of nerve signals from what is referred to as the autonomic nervous system. During this surge the nerve signals lead to a mobilization of many processes, one of which is potential effect on constriction of blood vessels. This may theoretically explain the headaches, especially in case of your partner who has question of a blockage (presumably of blood vessels) in his neck. An evaluation by a vascular surgeon would be appropriate for the “blockage in the neck”.
As far as problem with erection, this may be a side effect from Inderal . I recommend an evaluation by a
urologist for this particular problem.
----------------------------------------------------------------------------------------------------------------------------
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568).
Sincerely;
HFHS-M.D. BE
* Keyword:ejaculation headache
