Last updated on May 31st, 2021 at 12:28 pm
This headache has also been called orgasmic headache, pre-orgasmic headache, sexual headache, coital headache, and sex headache. This is a headache that is triggered only by sexual activity. It usually starts as a dull headache on both sides of the head that intensifies as sexual excitement increases, and abruptly becomes severe just before or with orgasm. However, it can also begin as a severe, quick onset headache at any time during sexual activity. The location of the pain can also be one-sided, in the back of the head, or involve the whole head. The severe intensity may last from 1 minute to 24 hours. However, some patients have a milder intensity headache that can last up to 72 hours.
Primary headache associated with sexual activity can be a benign headache syndrome, but can also be associated with Chiari malformation, spinal fluid leak, vascular disorders, brain tumors, other structural abnormalities, aneurysm, tearing of an artery (dissection), other vascular abnormalities, or other “secondary causes”. Therefore, an evaluation with brain scans (brain MRI and brain and carotid artery MRA, or brain and carotid CTA) to exclude these potential treatable causes is necessary. It cannot be diagnosed until examination, further history, a recurrent pattern, and evaluations to exclude other causes of the headache have been performed with a physician. This headache requires urgent evaluation at the nearest emergency department for testing and evaluation, especially the first time that it occurs. One of the main diagnoses that needs to be evaluated for is a blood vessel related headache such as subarachnoid hemorrhage from aneurysm rupture (brain bleed).
IF YOU HAVE HEADACHE, MIGRAINE, OR FACIAL PAIN AND ARE LOOKING FOR ANSWERS ON ANYTHING RELATED TO IT, A HEADACHE SPECIALIST IS HERE TO HELP, FOR FREE!
FIRST, LET’S DECIDE WHERE TO START:
IF YOU HAVE AN EXISTING HEADACHE, MIGRAINE, OR FACIAL PAIN DIAGNOSIS AND ARE LOOKING FOR THE LATEST INFORMATION, HOT TOPICS, AND TREATMENT TIPS, VISIT OUR FREE BLOG OF HOT TOPICS AND HEADACHE TIPS HERE. THIS IS WHERE I WRITE AND CONDENSE A BROAD VARIETY OF COMMON AND COMPLEX MIGRAINE AND HEADACHE RELATED TOPICS INTO THE IMPORTANT FACTS AND HIGHLIGHTS YOU NEED TO KNOW, ALONG WITH PROVIDING FIRST HAND CLINICAL EXPERIENCE FROM THE PERSPECTIVE OF A HEADACHE SPECIALIST.
IF YOU DON’T HAVE AN EXISTING HEADACHE, MIGRAINE, OR FACIAL PAIN DIAGNOSIS AND ARE LOOKING FOR POSSIBLE TYPES OF HEADACHES OR FACIAL PAINS BASED ON YOUR SYMPTOMS, USE THE FREE HEADACHE AND FACIAL PAIN SYMPTOM CHECKER TOOL DEVELOPED BY A HEADACHE SPECIALIST NEUROLOGIST HERE!
IF YOU HAVE AN EXISTING HEADACHE, MIGRAINE, OR FACIAL PAIN DIAGNOSIS AND ARE LOOKING FOR FURTHER EDUCATION AND SELF-RESEARCH ON YOUR DIAGNOSIS, VISIT OUR FREE EDUCATION CENTER HERE.