screw one's head off:

Jocular phrase meaning to copulate to exhaustion. See copulation for synonyms.
See Also: bitched, buggered, and bewildered, body's captain, camp it off, carry off one's feet, cue-ball, double dong, double dude, jump off/out at..., laid, relayed and parlayed, masturbation-male, off, on, screw, screw up, screwing, skin head, slap head, slaphead, suedehead, walkout, wank stick, WOOPIE, work one's ass off

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