This might be TMI/offensive to certain people but I desperately need some input/reassurance/objective opinions.
Monday afternoon I was having sex with my wife and just as I was about to orgasm my head felt like a bomb went off inside of it. It peaked after about 45 seconds and then subsided into a dull ache in about 3-5 minutes. Needless to say, I freaked. After several hours of googling I decided I needed to go to the ER as this was by definition a orgasm induced thunderclap headache which, in some cases can signal an aneurysm, subarachnoid hemorrhage, several kinds of arterial dissections, pituitary apoplexy and a few other very scary and fatal things.
I go to the ER, have a CT and a lumbar puncture, both of which come back clear. But, no matter what I'm sure that they missed something. They had to have. Thunderclap headaches are damn near always secondary headaches and I don't fit the demographic for orgasmic headaches. I'm a women in my 20's and they mostly occur in men. The ER doc was wonderful and patient with me and explained that what I most likely had was an orgasm induced thunderclap headache and that it was probably exacerbated by my tendency to hold my breath right before orgasm. I don't buy that, at all. I don't fit the demographic, if I were a man, I'd believe it but being that I'm a woman, there has to be another cause. While subarachnoid hemorrhage was probably ruled out, the list of other things were not.
He referred me to a GP as I don't have one but by the time I get an appointment, I suspect that one of these things will have already landed me in the ER or worse, in the grave.
Should I go back to the ER and demand that they do an MRI, a CT angiogram, an MRA (magnetic resonance angiogram) as per the recommendations that I've read in case studies about thunderclap headaches with no know etiology or am I just being utterly ridiculous?