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Do your ears ever ring after a good orgasm?
Ringing in the ears after an orgasm, or ANY increase in blood pressure, can represent a stricture in the blood vessels themselves. You are actually hearing your own blood "rushing" through your inner ear vessels. That IS worth mentioning to your doctor, at your next exam or physical, as they can listen to the blood flow in your neck arteries, and make sure there is no "rushing noise" there, with their stethoscope. Probably nothing to worry about, but sure may be a heads up on some other issue going on medically...worth paying attention to.