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Vertigo Induced During Coitus.

Sun-Uk Lee1,2, Hyo-Jung Kim3, Ja-Won Koo4

  • 1Department of Neurology, Seoul National University College of Medicine, Seoul, South Korea.

Frontiers in Neurology
|January 29, 2019
PubMed
Summary

Coital vertigo, or vertigo during sexual activity, can be linked to various underlying ear disorders. This study describes the clinical features and potential causes of this specific type of vertigo.

Keywords:
Meniere's diseasecoitushigh jugular bulb anomalynystagmussuperior canal dehiscencevertigo

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Area of Science:

  • Neurology
  • Otolaryngology
  • Vestibular System

Background:

  • Vertigo during sexual intercourse, termed coital vertigo, is an uncommon but distinct clinical presentation.
  • Understanding the clinical characteristics and potential etiologies of coital vertigo is crucial for diagnosis and management.

Purpose of the Study:

  • To delineate the clinical features of vertigo experienced during sexual intercourse.
  • To identify potential underlying causes and associated symptoms of coital vertigo.

Main Methods:

  • Retrospective review of clinical and laboratory findings.
  • Analysis of seven patients reporting recurrent vertigo during sexual intercourse or masturbation.

Main Results:

  • Patients experienced spinning sensations lasting minutes to an hour during coitus.
  • A majority (86%) reported associated auditory symptoms, including tinnitus and hearing impairment.
  • Identified underlying conditions included Meniere's disease and superior canal dehiscence; two cases were idiopathic.

Conclusions:

  • Coital vertigo can be associated with various vestibular and auditory system disorders.
  • The mechanism may involve the disruption of intracranial pressure regulation during physical exertion.
  • Further research is warranted to fully elucidate the pathophysiology of coital vertigo.