Headaches during sexual activity such as masturbation, has been reported in about 2% of males. The headaches
can last for up to weeks.
The usual trigger for the headaches is the phase of orgasm. Males usually do not have headache during the
process of masturbation until orgasm. Females commonly have the headaches during masturbation. In general,
more males experience sexual activity related headaches than females.
Several mechanisms have been proposed for the headaches. One is the spasmodic muscle contraction throughout
the body and the other is constriction of small blood vessels in the brain.
If you have a history of migraines earlier, the sexual activity may exacerbate the symptoms. But generally,
sexual activity is known to reduce the severity of migraine over a period of time.
It will be a good idea to screen for any abnormalities in the posterior part of the brain, such as an
arterio-venous malformation. Getting an MRI done will be helpful.
Try building up the excitement gradually, and not rapidly. Make sure you are not stressed out when you begin
the activity. Take a more relaxed posture while masturbating, such as lying on the back, which puts less
pressure on the neck muscles. Try to relax the muscle of the neck and the back.