Viagra, Levitra, etc , these drugs act on blood vessels and theoretically, might cause dizziness. For example, if the circulation to one's inner ear is reduced due to hardening of the arteries, the shift in blood flow associated with one of these drugs, might reduce availability of blood to the inner ear. There is a migraine variant called "coital cephalgia". In our clinical practice, vertigo associated with use of these drugs is an extremely unusual clinical situation -- the author of this page has encountered it only once in many 's of patient contacts. In some situations this seems to be simply the pressures of litigation overcoming shyness, and in others, a form of malingering. Migraine -- occasionally persons develop post-coital headache Hyperventilation induced dizziness Psychiatric conditions where there is substitution of vertigo for another anxiety having to do with sexual activity. When it occurs, topical preparations that are not absorbed systemically are a logical method of treatment. In this situation, surgical intervention to "fix" the problem may be indicated to improve the quality of life for the afflicted individual. Similar considerations concerning positioning apply also to Dental work, Yoga and Pilates -- adoption of a vulnerable position such as "B" above , for a long enough time for debris to migraine from one part of the ear to the other about 30 seconds seems to be key factors predicting risk of BPPV.
Dizziness associated with medications used to improve sexual function. In this situation, surgical intervention to "fix" the problem may be indicated to improve the quality of life for the afflicted individual. Migraine -- occasionally persons develop post-coital headache Hyperventilation induced dizziness Psychiatric conditions where there is substitution of vertigo for another anxiety having to do with sexual activity. We have never encountered anyone who has indicated that dizziness was accompanied by angina pain or an event that could be interpreted as being due to low blood pressure, in the course of sexual activity. We have seen a single individual with dizziness following use of one of these drugs. Persons with pressure sensitivity may become very dizzy during vigorous sexual activity, presumably due to the increase in intrathoracic pressure that may be coincident with straining and pushing. Use of phosphodiesterase inhibitors in particular Viagra , has been associated with sudden hearing loss. This seems somewhat logical given the hormonal fluctuations that are expected during sexual intercourse. The dizziness can then lead to difficulty with or trepidation concerning sexual activity. We have never encountered this situation in a male patient. General categories of disorders where dizziness might be associated with or provoked by sexual activity include: First, it is unusual for patients to come in stating that their dizziness began or was triggered during a sexual encounter. Hyperventilation -- Clinically this is not a substantial problem. This situation nearly always is due to a very common ear condition -- benign paroxysmal positional vertigo BPPV , which fortunately is generally easily treated. When it occurs, topical preparations that are not absorbed systemically are a logical method of treatment. Porter and Jankovic suggested that coital cephalgia was a migraine variant. For students -- a good topic for research? To our knowledge, the world literature has remained completely mute on this question. Stress and depression, and multiple prescriptions that commonly accompanies head injury and litigation may play a role too. This situation generally seems to be more caused by anxiety than substantial vestibular disturbances. We think that this is due to the fact that HVT induced dizziness is usually minor and fairly easily ignored. In some situations this seems to be simply the pressures of litigation overcoming shyness, and in others, a form of malingering. Practically, hearing loss has been reported to be associated with Viagra in particular McGwin, We have occasionally encountered persons who lose consciousness during a bout of positional vertigo due to a profound slowing of the heart rate. Squires et al, ; Hain et al, Straining causing dizziness:
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