Conversation: The conversation between human and AI assistant.
[|Human|] I have had 2 episodes of pain developing pre-orgasm in my head (back of head at the base) and neck. It starts a couple of minutes pre-orgasm and peaks at orgasm. This starts as a dull ache and builds towards orgasm. I take 2 paracetamol and it settles within 15-30 minutes. It has happened on a couple of isolated occasions in the past. One of the recent 2 occasions was when masturbating so no great exertion was involved. My bloods indicate I am menopausal and I am only having periods about every 4 months currently. I am 53. I am on bisoprolol fro high blood pressure. I am also on Mirtazipine 45mg
[|AI|]  Hi, Of course, pre-medicating with the same medicine that reliably works on pain 15 to 30 min after taking it is generally MORE effective than treating the pain after it has begun. I cannot say in your particular case and the pain follows a particular pattern which implies where the pain is from. Going from the neck to the back of the head is a very typical pattern for a nerve being pinched and/or a muscle spasm. Either of these can be treated with several NON-ADDICTING mild prescriptions. Hope I have answered your query. Let me know if I can assist you further.