Post-Masturbation Shaking, Chills, Dizziness, and Headaches Explained

Q: Post-Masturbation Shaking, Chills, Dizziness, and Headaches Explained

Hello, sir： Your symptoms resemble "headache associated with sexual activity," and it is important to first rule out structural lesions such as ruptured cerebral aneurysms causing subarachnoid hemorrhage, arterial dissection, cerebral vasospasm, or brain tumors. <br>If the examin

Shaking, chills, dizziness, and headaches after orgasm during masturbation?

Dear Doctor,
I am a 36-year-old male.
I usually masturbate about 1-2 times a day, and this frequency has been consistent recently.
Yesterday morning, I also ejaculated without any particular issues.
However, after reaching orgasm last night before bed, I experienced involuntary shaking throughout my body, teeth chattering, chills, and dizziness (similar to the feeling I had when my blood sugar was poorly controlled).
This was accompanied by a headache (in the upper left side of my head), lasting about 5 minutes before gradually subsiding.
I had a similar episode about six months ago, but that one lasted only about 10-15 seconds.
I have a history of hypertension, hyperlipidemia, and diabetes, which are all currently well-controlled.
My dinner the night before was normal, but I did receive the AZ vaccine seven days ago.
Should I consider getting some tests done, or could this be a side effect of the AZ vaccine? Thank you, Doctor.

A-Jiang, 30~39 year old female. Ask Date: 2021/07/26

Dr. Jiang Junyi reply Neurology

Hello, sir: Your symptoms resemble "headache associated with sexual activity," and it is important to first rule out structural lesions such as ruptured cerebral aneurysms causing subarachnoid hemorrhage, arterial dissection, cerebral vasospasm, or brain tumors.
If the examination results are normal, you may need to consider "headache associated with sexual activity" as a type of primary headache.
There are three types of triggers: Type 1 is tension-type headache, which mainly occurs during the pre-orgasm phase; Type 2 is vascular, explosive headache, which primarily occurs at the moment of orgasm; Type 3 is post-coital positional headache, possibly related to low cerebrospinal fluid pressure.
May I ask what your blood pressure is? Do you have any smoking habits? The thrombotic adverse reaction associated with the AZ vaccine is currently referred to as VITT (Vaccine-induced immune thrombotic thrombocytopenia), with an incidence of about 1 in 10,000 in Europe.
It usually occurs 4 to 28 days after vaccination.
Please be aware of symptoms such as leg swelling, shortness of breath, headache accompanied by blurred vision, or persistent abdominal pain lasting more than 24 hours.
Clinically, if cerebral venous sinus thrombosis is suspected, an MRI is required for diagnosis.
For abdominal or pulmonary embolism, a CT scan with contrast is necessary, while deep vein thrombosis in the legs can be evaluated using vascular ultrasound.
Blood tests should include PT, aPTT, D-dimer (elevated more than four times), and fibrinogen (severely decreased).
If symptoms persist, it is advisable to visit the emergency department to rule out urgent issues.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Medical Center, cares about you.

Reply Date: 2021/07/26

More Info

Dear Patient,
Thank you for your inquiry regarding the symptoms you experienced after masturbation, including shaking, chills, dizziness, and headaches. It’s important to understand that while these symptoms can be alarming, they are not uncommon and can have various underlying causes.

Firstly, let’s address the shaking and chills. After sexual arousal and orgasm, the body undergoes a series of physiological changes. The release of hormones such as oxytocin and endorphins can lead to feelings of relaxation or even euphoria. However, in some individuals, particularly those with underlying health conditions, this can also trigger a sympathetic nervous system response, leading to symptoms like shaking or chills. This response can be exacerbated by anxiety or stress, which may be heightened during or after sexual activity.

The dizziness and headache you described, particularly localized to the left upper part of your head, could be related to several factors. One possibility is that the physical exertion and changes in blood pressure during orgasm could lead to transient dizziness. Additionally, if you have a history of migraines or tension-type headaches, sexual activity can sometimes act as a trigger.
You mentioned a history of hypertension and stable control of your blood pressure. It’s crucial to maintain regular monitoring of your blood pressure, especially if you experience symptoms like dizziness or headaches. Fluctuations in blood pressure can lead to symptoms similar to what you described.
Regarding your concern about the AZ vaccine, while some individuals may experience side effects such as fatigue, headaches, or chills after vaccination, these symptoms typically occur within a few days of receiving the vaccine and usually resolve within a short period. If your symptoms appeared a week after vaccination, it is less likely that they are directly related to the vaccine. However, if you have concerns about vaccine side effects or if your symptoms persist or worsen, it would be prudent to consult with a healthcare provider for further evaluation.

Given your symptoms and medical history, it may be beneficial to undergo a thorough evaluation. This could include blood tests to check your blood sugar levels, as you mentioned a past issue with blood sugar control, as well as a review of your cardiovascular health. Additionally, if you continue to experience these symptoms, a referral to a neurologist may be warranted to rule out any neurological conditions that could be contributing to your symptoms.

In summary, while your symptoms may be related to the physiological changes associated with orgasm, they could also indicate underlying health issues that warrant further investigation. It is essential to listen to your body and seek medical advice if you have concerns about your health. Regular check-ups and open communication with your healthcare provider are key to managing your overall well-being.

Take care, and I wish you good health.

Best regards.

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