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Same here - back of the neck killing pain before and after ejaculation. Most unpleasant for a man - since insecure women could be inclined to think that they're somehow the reason of the pain, which obviously... is wrong.

So... it happens from time to time. As I read... it has to do something with the blood pressure, blood vessels and the heart (I have problems with first and the third for sure) or other serious health problems.

What I read few years ago is that some people have moments like this because of blood sugar level or something like that. So I tried eating one or two sweets after the sex, it seem to help. The pain was not entirely gone, but I was better. Well... if you try this  do not exceed (after all sweets are good, but not in big numbers), just take a painkiller.

 

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Round two,,what's that???
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i theorize it's caffeine plus cold room (which constricts passage ways especially with vasopressin). anything that prevents tryptophan (sleep hormone) from entering the brain coming from the gut.
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It's happened multiple times to me, at one point it got so bad my muscles in my neck tightened really hard and I had an uncontrollable tremor in my core. I felt like I had a headache as if I was dehydrated. It's been happening when I'm standing up, so I sat down before the pain got any worse and took a break but I didn't have the pain as bad while sitting when I continued. The sharp ache in my neck persisted after and I found it hard to keep my right eye open.
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SOLUTION: This is because of the latest lifestyle issues of yours. I am pretty sure that all who said an yes in this group is either living in a cold climate or working and living in air conditioned rooms. We forget the fact that we are a carbon copy of nature. We have everything in us. Iron, carbon, magnesium etc etc. in that one more things is there. Electricity. We forget the need to earthen ourselves regularly. Most of us have not touched the earth with bare feet for a very long period. Solution is this. 1. Dip your feet in clay sand for 30 seconds. 2. Avoid sitting in low base soft sofas. Instead sit in high base hard sofas. 3. Don’t do sex in one go. Keep intervals in between and at the time of climaxing don’t overdo it like a machine. Stay calm. Check this and come back to me.
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Hi , read all the comments , same has happened to me without dr. knowing, I do drink a lot of buds and love fish, every time I had intercourses my neck blased and almost faint sensation, not long after I’ve been diagnosed with goute , purines and urique acide in the system, seems too me ever time my urique acides are high this happens!
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You just might be my hero. I just had this happen to me yesterday and today. And I know I hold my breath so I will try to be conscious about this.
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ive been expeiencing the neck head pain for some time and today i was told better go get checked it could be neurolgical.
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Ok maybe this could help, there is many different reasons to this.

For me, this pain was due to a contraction of a muscle. One day I gave my full determination to finish a round of push-up and when I got on the ground I had this horrible painful experience. (I remembered that I forgot to warm-up and eat something before my sport session, which is very dumb for swimming) since this incident, I was feeling this pain head when I was masturbating or doing trampoline.

We have so much muscles in our neck and the only solution that really helped me and would maybe help you too with your damaged muscles in your neck is to get something warm on it multiple days while being relaxed.
And I guess drinking water is great too.
I have been taking 2 pills of 200g of anti-inflammatories the morning, during lunch and my supper for 1 or 2 week.

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The OP said:

> Upon ejaculation the pain at top of neck and base of skull and to behind ears is crippling and present but fading for 30 min

I have EXACTLY the same problem and I was quite relived to see I'm not alone here.

I'm a 51 year old male, fit, healthy and active, living in the UK. I eat a healty diet and am well hydrated every day but I do drink a lot of tea and coffee, around 12-15 cups per day.

This pain started for me around six weeks ago, it came out of the blue, and it now occurs every time during sex or masturbation.

During/after the most recent occurrence last week I thought I was going to pass out because the pain was that bad. I couldn't move for about five minutes and it took several hours for the pain to fully subside.  It feels like the blood vessels in my neck are being restricted or compressed, I can feel the blood pumping up in to my head.

I've been to the local doctors for a blood test, all normal, blood pressure was normal too.

Is it a long-COVID symptom?  Or a side effect of a covid booster jab, or the flu jab?

Or have you all had some neck trauma? Is this musculoskeletal issue? 

I'm looking for soemthing that we might all have in common as being the cause.

Did anyone ever get to the bottom of this? I'm quite worried.

 

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That helps for me. Thank you so much! I wouldn't have been able to go another day with the pain in the neck after doing it... You are a savior haha
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