Materiały źródłowe

• #1 Headache after Sex: Symptoms and Treatment | Doctor

  https://patient.info/doctor/primary-sexual-headache

  Primary sexual headache has been re-classified by the International Headache Society (IHS) as primary headache associated with sexual activity (PHASA). The exact prevalence in not known, although it is more common in men. […] The prevalence of PHASA is quoted as 1-1.6%. It is approximately 3 times more common in males. It can occur at any sexually active age but most commonly initially presents between the ages of 35 and 45. There appears to be a high comorbidity with migraine, benign exertional headache and tension-type headache. […] Occurrence is not dependent on specific sexual habits. It most often occurs during sexual activity with the usual partner but also occurs during masturbation. In some patients the occurrence is dependent on the position during sex.

• #2 Sexual headache – Wikipedia

  https://en.wikipedia.org/wiki/Sexual_headache

  Sexual headache is a type of headache that occurs in the skull and neck during sexual activity, including masturbation or orgasm. These headaches are estimated to appear in roughly 1% of the population. It is more common in men than women, with studies putting the gender ratio between 1.2:1 and 3:1. They can occur with sexual activity at any age. […] Sudden, severe headaches during sexual activity may also be caused by intracerebral hemorrhage, subarachnoid hemorrhage, or cerebral infarction, which require immediate medical attention.

• #3 Orgasm Headache: Why It Happens and Treatment

  https://www.verywellhealth.com/orgasm-headache-5211844

  Sexual activity and orgasm can sometimes cause a „sex headache” or „orgasm headache.” Fortunately, these headaches are rare, affecting just 1% to 1.6% of people. […] Sex-related headaches are more likely in people who also experience migraines and tend to affect more men than women. […] Orgasm headaches may (rarely) be a symptom of a health problem, but typically they are „primary” headaches, meaning they are not caused by another condition or disorder. […] Men, those susceptible to migraines, and those with a family history tend to be more prone to experience sex-related headaches.

• #4 What if the ‘sexual headache’ is not a joke? | British Journal of Medical Practitioners

  https://www.bjmp.org/content/what-if-sexual-headache-not-joke

  Headaches associated with or occurring around sexual activity have been recognized since the time of Hippocrates. […] HSA are not common but it is generally felt that they are under-reported due to patient embarrassment at telling health professionals when their headaches occur. Prevalence in the general population is reported at around 1% and is greater in men than in women, by 3-4 times. […] HSA are not clearly understood but by definition lack serious underlying disease. […] Prognosis is usually good for HSA as it is a benign self-limiting disorder and disappears without any specific treatment in the majority of patients.

• #5 What Is a Sex Headache? – ISSM

  https://www.issm.info/sexual-health-qa/what-is-a-sex-headache

  A sex headache (also known as an orgasmic headache, benign sexual headache, coital headache, or intercourse headache) is a headache that is related to sexual activity. […] The prevalence of PHASA is estimated to be about 1%, although this number could be low because sexual concerns are often underreported. […] PHASA is a condition that affects both men and women but occurs about four times more frequently in men. […] About 40% of individuals with PHASA experience recurring episodes for a year or longer. […] Research on PHASA treatment options is somewhat limited, but there are medications that can help reduce the symptoms.

• #6 Primary Headache Associated with Sexual Activity: Case Report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5586787/

  Sex-related headache is rare; its prevalence is estimated to be 11.6% in population-based studies. […] This was a rare case of primary headache associated with sexual activity that occurs in 11.6% of the population. […] The International Society of Headache divides sex-related headaches into two types: type 1 headaches (preorgasmic) refer to early coital cephalgia, which is usually moderate and of short duration, and type 2 headaches (orgasmic), i.e. orgasmic coital cephalgia which are abrupt, severe and last 15-20 min. […] A significant relationship has been found between sex-related headaches and migraine; migraine is associated more with type 2 headaches than others (25-47%). […] Sudden headache, which can be the first manifestation, should always be investigated carefully to rule out a dangerous intracranial event.

• #7

  https://link.springer.com/article/10.1007/s00415-020-09728-0

  Landtblom has provided the only population-based data citing an incidence of 43 per 100,000 persons (18 years) per year of all sudden onset headache (within 10 s) with primary TCH (PTCH) being cited as occurring in 38 per 100,000 persons per year. […] The population prevalence of sexual headache is cited as 11.6%. […] Primary headache associated with sexual activity is divided into pre- and post-orgasmic forms. […] The most consistent treatment is Indometacin, effective over a dose range between 25-250 mg. […] The majority of patients with sexual headache present with thunderclap onset headache and therefore will need to be managed for a possible secondary precipitant.

• #8 4.3 Primary headache associated with sexual activity – ICHD-3

  https://ichd-3.org/other-primary-headache-disorders/4-3-primary-headache-associated-with-sexual-activity/

  3. Either or both of the following: […] – increasing in intensity with increasing sexual excitement […] – abrupt explosive intensity just before or with orgasm […] 4. Lasting from 1 minute to 24 hours with severe intensity and/or up to 72 hours with mild intensity […] 5. Not better accounted for by another ICHD-3 diagnosis. […] Notes: 4.3 Primary headache associated with sexual activity is not associated with disturbance of consciousness, vomiting or visual, sensory or motor symptoms, whereas symptomatic sexual headache may be. On the first onset of headache with sexual activity, it is mandatory to exclude subarachnoid haemorrhage, intra- and extracranial arterial dissection and reversible cerebral vasoconstriction syndrome (RCVS). […] Epidemiological research has further shown that 4.3 Primary headache associated with sexual activity can occur at any sexually active age, is more prevalent in males than in females (ratios range from 1.2:1 to 3:1), occurs independently of the type of sexual activity, is not accompanied by autonomic or vegetative symptoms in most cases, is bilateral in two-thirds and unilateral in one-third of cases and is diffuse or occipitally localized in 80% of cases. Attack frequency of 4.3 Primary headache associated with sexual activity should always be related to the frequency of sexual activity.

• #9 Headache associated with sexual activity: demography, clinical features, and comorbidity – PubMed

  https://pubmed.ncbi.nlm.nih.gov/14504323/

  Objective: S: To provide data on the demography, clinical features, and comorbidity of headache associated with sexual activity (HSA). […] The mean age at onset was 39.2 (+/-11.1) years. There was a clear male preponderance (2.9:1). […] There was a high comorbidity with migraine (25%), benign exertional headache (29%), and tension-type headache (45%). […] Mean age at onset, a male preponderance, a predominantly bilateral and occipital pain, and a high comorbidity with other primary headaches are in concordance with case reports in the literature.

• #10 Don’t ignore headaches caused by sexual activity. | Vinmec

  https://www.vinmec.com/eng/blog/dont-ignore-it-if-you-get-a-headache-from-sex-en

  Headaches that occur during sex, while masturbating, during orgasm, or right after engaging in any sexual behavior could be a sign of an underlying health condition. It’s important to seek medical advice if these headaches become frequent or severe. […] There are many risk factors for sexual headaches such as: Male sexuality. Men are more likely to experience sexual headaches. […] Many people experience persistent sexual headaches for several months, after which the headaches may disappear within a year or longer. Nearly half of people with sexual headaches have to „live with” this syndrome for about 6 months. […] Do not ignore sexual headaches. Consult a doctor immediately if you experience a headache during sex, especially if it occurs suddenly or is the first time you have experienced this type of headache.

• #11 Headaches Associated With Sex Are No Joke

  https://www.neurologylive.com/view/headaches-associated-sex-are-no-joke

  The ICHD-3 also notes that these headaches can last from 1 minute to 24 hours with severe intensity and/or up to 72 hours with mild intensity, and often cannot be better accounted for by another ICHD-3 diagnosis. […] Biller said men are 3 to 4 times more likely to get headaches associated with sexual activity than women. […] To reduce the risk of headaches associated with sexual activity, doctors should counsel patients to exercise regularly, avoid excessive alcohol intake, maintain a healthy weight and, if necessary, seek counseling, Biller said.

• #12 From the Journal: The Prevalence of… | American Headache Society

  https://americanheadachesociety.org/research/library/from-the-journal-the-prevalence-of-migraine-and-severe-headache

  Migraine and severe headache disproportionately affects women, with the overall prevalence being 20.7% in females and 9.7% in males. […] Researchers found that over the last decade, the sex prevalence ratio has varied slightly between 2 and 2.4. […] The data also displayed a high prevalence of head pain in members of families with an annual income less than or equal to $35,000 and families that live below the poverty line. […] The authors emphasize that migraine disproportionately impacts historically underserved populations who may have less access to such treatments.

• #13 Ponytail, sex headache and other primary headaches

  https://www.nationalmigrainecentre.org.uk/podcast-transcript/s4-e9-ponytail-sex-headaches-and-other-primary-headaches/

  Interestingly, this one is more common in males than females, bucking the trend of migraine. […] Dr. Katy Munro [00:19:20] […] But different from migraine, its not normally associated with vomiting or any visual or sensory or motor symptoms, is it? […] Dr. Katy Munro [00:20:59] […] I think a lot of the time its about reassuring that theres nothing more sinister going on.

• #14 QuickStats: Percentage of Adults Aged ≥18 Years Who Have Been Bothered a Lot by Headache or Migraine in the Past 3 Months, by Sex and Age Group — National Health Interview Survey, 2021 | MMWR

  https://www.cdc.gov/mmwr/volumes/72/wr/mm7222a6.htm

  In 2021, 4.3% of adults aged 18 years reported being bothered a lot by headache or migraine in the past 3 months with the percentage among women (6.2%) higher than that among men (2.2%). […] Percentages were higher among women than men in all age groups: 7.4% versus 2.5% in adults aged 18-44 years, 6.7% versus 2.4% in those aged 45-64 years, and 3.1% versus 1.5% in those aged 65 years. […] Among men and women, the percentage of those bothered a lot by headache or migraine in the past 3 months was lowest among those aged 65 years.

• #15 Headache after Sex: Symptoms and Treatment | Doctor

  https://patient.info/doctor/primary-sexual-headache

  Primary sexual headache has been re-classified by the International Headache Society (IHS) as primary headache associated with sexual activity (PHASA). The exact prevalence in not known, although it is more common in men. […] The prevalence of PHASA is quoted as 1-1.6%. It is approximately 3 times more common in males. It can occur at any sexually active age but most commonly initially presents between the ages of 35 and 45. There appears to be a high comorbidity with migraine, benign exertional headache and tension-type headache. […] Occurrence is not dependent on specific sexual habits. It most often occurs during sexual activity with the usual partner but also occurs during masturbation. In some patients the occurrence is dependent on the position during sex.

• #16 Worrying about Headaches During SEX | Bangkok International Hospital (Brain x Bone)

  https://www.bangkokinternationalhospital.com/health-articles/disease-treatment/sexual-headache

  Did you know that headaches can occur before and during sexual activity? Men are three times more likely than women to experience headaches related to sexual activity and it can happen from adolescence to retirement. […] Sexual headache is a type of headache that can occur during sexual activity, whether it be before, during intercourse, masturbation, or even oral sex. […] Headaches that may occur during sexual activity can be divided into 2 types: […] Whats interesting and must be cautious of is if experiencing unbearable sharp headaches during sexual activity, one should urgently see a doctor because it could be as severe as having an aneurysm, brain hemorrhage, and coronary artery constriction.

• #17 Headache after Sex: Symptoms and Treatment | Doctor

  https://patient.info/doctor/primary-sexual-headache

  Primary sexual headache has been re-classified by the International Headache Society (IHS) as primary headache associated with sexual activity (PHASA). The exact prevalence in not known, although it is more common in men. […] The prevalence of PHASA is quoted as 1-1.6%. It is approximately 3 times more common in males. It can occur at any sexually active age but most commonly initially presents between the ages of 35 and 45. There appears to be a high comorbidity with migraine, benign exertional headache and tension-type headache. […] Occurrence is not dependent on specific sexual habits. It most often occurs during sexual activity with the usual partner but also occurs during masturbation. In some patients the occurrence is dependent on the position during sex.

• #18 Headache associated with sexual activity: demography, clinical features, and comorbidity – PubMed

  https://pubmed.ncbi.nlm.nih.gov/14504323/

  Objective: S: To provide data on the demography, clinical features, and comorbidity of headache associated with sexual activity (HSA). […] The mean age at onset was 39.2 (+/-11.1) years. There was a clear male preponderance (2.9:1). […] There was a high comorbidity with migraine (25%), benign exertional headache (29%), and tension-type headache (45%). […] Mean age at onset, a male preponderance, a predominantly bilateral and occipital pain, and a high comorbidity with other primary headaches are in concordance with case reports in the literature.

• #19 Primary Sex Headache in Adolescents

  https://escholarship.org/uc/item/7sb3z19s

  Primary headache associated with sexual activity is a rare headache disorder that has only been reported twice previously in adolescents. […] Given the sensitive nature of sexual development in adolescents, it is important that pediatric providers know when to ask about this symptom and how to proceed with diagnostics and therapy when it arises. […] We report 2 new adolescent cases and review the semiology, epidemiology, and treatment of primary sex headache.

• #20 Primary Headache Associated with Sexual Activity: Case Report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5586787/

  Sex-related headache is rare; its prevalence is estimated to be 11.6% in population-based studies. […] This was a rare case of primary headache associated with sexual activity that occurs in 11.6% of the population. […] The International Society of Headache divides sex-related headaches into two types: type 1 headaches (preorgasmic) refer to early coital cephalgia, which is usually moderate and of short duration, and type 2 headaches (orgasmic), i.e. orgasmic coital cephalgia which are abrupt, severe and last 15-20 min. […] A significant relationship has been found between sex-related headaches and migraine; migraine is associated more with type 2 headaches than others (25-47%). […] Sudden headache, which can be the first manifestation, should always be investigated carefully to rule out a dangerous intracranial event.

• #21 Headache associated with sexual activity: demography, clinical features, and comorbidity – PubMed

  https://pubmed.ncbi.nlm.nih.gov/14504323/

  Objective: S: To provide data on the demography, clinical features, and comorbidity of headache associated with sexual activity (HSA). […] The mean age at onset was 39.2 (+/-11.1) years. There was a clear male preponderance (2.9:1). […] There was a high comorbidity with migraine (25%), benign exertional headache (29%), and tension-type headache (45%). […] Mean age at onset, a male preponderance, a predominantly bilateral and occipital pain, and a high comorbidity with other primary headaches are in concordance with case reports in the literature.

• #22 Headache associated with sexual activity: demography, clinical features, and comorbidity – PubMed

  https://pubmed.ncbi.nlm.nih.gov/14504323/

  Objective: S: To provide data on the demography, clinical features, and comorbidity of headache associated with sexual activity (HSA). […] The mean age at onset was 39.2 (+/-11.1) years. There was a clear male preponderance (2.9:1). […] There was a high comorbidity with migraine (25%), benign exertional headache (29%), and tension-type headache (45%). […] Mean age at onset, a male preponderance, a predominantly bilateral and occipital pain, and a high comorbidity with other primary headaches are in concordance with case reports in the literature.

• #23 Headache associated with sexual activity: demography, clinical features, and comorbidity – PubMed

  https://pubmed.ncbi.nlm.nih.gov/14504323/

  Objective: S: To provide data on the demography, clinical features, and comorbidity of headache associated with sexual activity (HSA). […] The mean age at onset was 39.2 (+/-11.1) years. There was a clear male preponderance (2.9:1). […] There was a high comorbidity with migraine (25%), benign exertional headache (29%), and tension-type headache (45%). […] Mean age at onset, a male preponderance, a predominantly bilateral and occipital pain, and a high comorbidity with other primary headaches are in concordance with case reports in the literature.

• #24 Headache after Sex: Symptoms and Treatment | Doctor

  https://patient.info/doctor/primary-sexual-headache

  Primary sexual headache has been re-classified by the International Headache Society (IHS) as primary headache associated with sexual activity (PHASA). The exact prevalence in not known, although it is more common in men. […] The prevalence of PHASA is quoted as 1-1.6%. It is approximately 3 times more common in males. It can occur at any sexually active age but most commonly initially presents between the ages of 35 and 45. There appears to be a high comorbidity with migraine, benign exertional headache and tension-type headache. […] Occurrence is not dependent on specific sexual habits. It most often occurs during sexual activity with the usual partner but also occurs during masturbation. In some patients the occurrence is dependent on the position during sex.

• #25 Orgasm Headache: Causes, Treatment, and More

  https://www.healthline.com/health/healthy-sex/orgasm-headache

  Orgasm headaches are typically benign. But some additional symptoms may indicate a more severe condition. […] What you may have experienced is known as an orgasm headache, a rare but often harmless type of sex headache that happens before or at the moment of sexual release. […] Up to half of all people who have sex headaches have them over a six-month period. Some research has shown that up to 40 percent of all sex headaches are chronic and occur for more than a year. […] Men are more likely to have orgasm headaches than women. People who already experience migraine headaches are also more likely to have a sex headache. […] Sex headaches usually arent associated with an underlying condition, so taking a pain reliever should be enough to ease symptoms. […] Orgasm headaches are normal and usually nothing to worry about. However, a sex headache can sometimes be a symptom of an underlying condition.

• #26 Orgasm Headaches: Why Do They Happen?

  https://health.clevelandclinic.org/orgasm-headache

  Sex-induced headaches are medically known as headaches associated with sexual activity (HAS). […] We don’t have many statistics about how widespread sexual headaches are, says Dr. Galvez-Jimenez. […] Neurologists know that many people get headaches during sex, but they don’t have much info on the exact physiological cause. […] Dr. Galvez-Jimenez adds that the most severe sex headaches seem to happen in people with chronic migraines or a history of migraines. […] The headache itself usually isn’t dangerous, though the pain can be extreme, says Dr. Galvez-Jimenez. […] But if you have a severe sex headache, get checked out immediately, he advises. […] Researchers haven’t fully studied the treatments for sex headaches. […] If you know you get sex headaches, try to prevent them by taking an over-the-counter pain reliever (or migraine medication, if you have it) about 30 minutes before sexual activity.

• #27 Orgasm headache: What do they feel like and what causes them?

  https://www.medicalnewstoday.com/articles/324719

  An orgasm headache is a primary headache associated with sexual activity. […] Orgasm headaches are one of two types of primary sex headaches. […] Anyone can experience orgasm headaches. However, males are up to four times more likely to experience primary headaches associated with sexual activity than females. […] According to the International Headache Society, studies indicate that up to 40% of people with primary headaches associated with sexual activity experience them for over a year. […] Orgasm headaches are primary headaches. […] An orgasm headache is a type of primary headache that occurs during sexual activity. […] Orgasm headaches may result from a rapid expansion of blood vessels in the brain. This occurs when a person’s blood pressure rises before and during orgasms.

• #28 What Is a Sex Headache? – ISSM

  https://www.issm.info/sexual-health-qa/what-is-a-sex-headache

  A sex headache (also known as an orgasmic headache, benign sexual headache, coital headache, or intercourse headache) is a headache that is related to sexual activity. […] The prevalence of PHASA is estimated to be about 1%, although this number could be low because sexual concerns are often underreported. […] PHASA is a condition that affects both men and women but occurs about four times more frequently in men. […] About 40% of individuals with PHASA experience recurring episodes for a year or longer. […] Research on PHASA treatment options is somewhat limited, but there are medications that can help reduce the symptoms.

• #29 Sex headaches – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/sex-headaches/symptoms-causes/syc-20377477

  In rare instances, headaches can be brought on by sexual activity especially with orgasm. […] Most sex headaches are nothing to worry about. But some can be a sign of something serious, such as problems with the blood vessels that feed the brain. […] There are two types of sex headaches: A dull ache in the head and neck that intensifies as sexual excitement increases and a sudden, severe, throbbing headache that occurs just before or at the moment of orgasm. […] Most sex headaches last at least several minutes. Others may linger for hours or even 2 to 3 days. […] Many people who have sex headaches will experience them in clusters over a few months, and then they may go for a year or more without having any. Up to half of all people with sex headaches experience them over the course of about six months. Some people may only have one attack during their lives.

• #30 Don’t ignore headaches caused by sexual activity. | Vinmec

  https://www.vinmec.com/eng/blog/dont-ignore-it-if-you-get-a-headache-from-sex-en

  Headaches that occur during sex, while masturbating, during orgasm, or right after engaging in any sexual behavior could be a sign of an underlying health condition. It’s important to seek medical advice if these headaches become frequent or severe. […] There are many risk factors for sexual headaches such as: Male sexuality. Men are more likely to experience sexual headaches. […] Many people experience persistent sexual headaches for several months, after which the headaches may disappear within a year or longer. Nearly half of people with sexual headaches have to „live with” this syndrome for about 6 months. […] Do not ignore sexual headaches. Consult a doctor immediately if you experience a headache during sex, especially if it occurs suddenly or is the first time you have experienced this type of headache.

• #31 Sex headaches – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/sex-headaches/symptoms-causes/syc-20377477

  In rare instances, headaches can be brought on by sexual activity especially with orgasm. […] Most sex headaches are nothing to worry about. But some can be a sign of something serious, such as problems with the blood vessels that feed the brain. […] There are two types of sex headaches: A dull ache in the head and neck that intensifies as sexual excitement increases and a sudden, severe, throbbing headache that occurs just before or at the moment of orgasm. […] Most sex headaches last at least several minutes. Others may linger for hours or even 2 to 3 days. […] Many people who have sex headaches will experience them in clusters over a few months, and then they may go for a year or more without having any. Up to half of all people with sex headaches experience them over the course of about six months. Some people may only have one attack during their lives.

• #32 Orgasm Headache: Causes, Treatment, and More

  https://www.healthline.com/health/healthy-sex/orgasm-headache

  Although an orgasm headache is usually nothing to worry about, you should still make sure there isnt anything more serious going on. […] An orgasm headache often doesnt last long. Many people only experience a sex headache once and never again. […] If you have a history of sex headaches but dont have an underlying condition, your doctor may prescribe a daily medication to help prevent future headaches.

• #33 4.3 Primary headache associated with sexual activity – ICHD-3

  https://ichd-3.org/other-primary-headache-disorders/4-3-primary-headache-associated-with-sexual-activity/

  3. Either or both of the following: […] – increasing in intensity with increasing sexual excitement […] – abrupt explosive intensity just before or with orgasm […] 4. Lasting from 1 minute to 24 hours with severe intensity and/or up to 72 hours with mild intensity […] 5. Not better accounted for by another ICHD-3 diagnosis. […] Notes: 4.3 Primary headache associated with sexual activity is not associated with disturbance of consciousness, vomiting or visual, sensory or motor symptoms, whereas symptomatic sexual headache may be. On the first onset of headache with sexual activity, it is mandatory to exclude subarachnoid haemorrhage, intra- and extracranial arterial dissection and reversible cerebral vasoconstriction syndrome (RCVS). […] Epidemiological research has further shown that 4.3 Primary headache associated with sexual activity can occur at any sexually active age, is more prevalent in males than in females (ratios range from 1.2:1 to 3:1), occurs independently of the type of sexual activity, is not accompanied by autonomic or vegetative symptoms in most cases, is bilateral in two-thirds and unilateral in one-third of cases and is diffuse or occipitally localized in 80% of cases. Attack frequency of 4.3 Primary headache associated with sexual activity should always be related to the frequency of sexual activity.

• #34 4.3 Primary headache associated with sexual activity – ICHD-3

  https://ichd-3.org/other-primary-headache-disorders/4-3-primary-headache-associated-with-sexual-activity/

  3. Either or both of the following: […] – increasing in intensity with increasing sexual excitement […] – abrupt explosive intensity just before or with orgasm […] 4. Lasting from 1 minute to 24 hours with severe intensity and/or up to 72 hours with mild intensity […] 5. Not better accounted for by another ICHD-3 diagnosis. […] Notes: 4.3 Primary headache associated with sexual activity is not associated with disturbance of consciousness, vomiting or visual, sensory or motor symptoms, whereas symptomatic sexual headache may be. On the first onset of headache with sexual activity, it is mandatory to exclude subarachnoid haemorrhage, intra- and extracranial arterial dissection and reversible cerebral vasoconstriction syndrome (RCVS). […] Epidemiological research has further shown that 4.3 Primary headache associated with sexual activity can occur at any sexually active age, is more prevalent in males than in females (ratios range from 1.2:1 to 3:1), occurs independently of the type of sexual activity, is not accompanied by autonomic or vegetative symptoms in most cases, is bilateral in two-thirds and unilateral in one-third of cases and is diffuse or occipitally localized in 80% of cases. Attack frequency of 4.3 Primary headache associated with sexual activity should always be related to the frequency of sexual activity.

• #35 4.3 Primary headache associated with sexual activity – ICHD-3

  https://ichd-3.org/other-primary-headache-disorders/4-3-primary-headache-associated-with-sexual-activity/

  3. Either or both of the following: […] – increasing in intensity with increasing sexual excitement […] – abrupt explosive intensity just before or with orgasm […] 4. Lasting from 1 minute to 24 hours with severe intensity and/or up to 72 hours with mild intensity […] 5. Not better accounted for by another ICHD-3 diagnosis. […] Notes: 4.3 Primary headache associated with sexual activity is not associated with disturbance of consciousness, vomiting or visual, sensory or motor symptoms, whereas symptomatic sexual headache may be. On the first onset of headache with sexual activity, it is mandatory to exclude subarachnoid haemorrhage, intra- and extracranial arterial dissection and reversible cerebral vasoconstriction syndrome (RCVS). […] Epidemiological research has further shown that 4.3 Primary headache associated with sexual activity can occur at any sexually active age, is more prevalent in males than in females (ratios range from 1.2:1 to 3:1), occurs independently of the type of sexual activity, is not accompanied by autonomic or vegetative symptoms in most cases, is bilateral in two-thirds and unilateral in one-third of cases and is diffuse or occipitally localized in 80% of cases. Attack frequency of 4.3 Primary headache associated with sexual activity should always be related to the frequency of sexual activity.

• #36 4.3 Primary headache associated with sexual activity – ICHD-3

  https://ichd-3.org/other-primary-headache-disorders/4-3-primary-headache-associated-with-sexual-activity/

  3. Either or both of the following: […] – increasing in intensity with increasing sexual excitement […] – abrupt explosive intensity just before or with orgasm […] 4. Lasting from 1 minute to 24 hours with severe intensity and/or up to 72 hours with mild intensity […] 5. Not better accounted for by another ICHD-3 diagnosis. […] Notes: 4.3 Primary headache associated with sexual activity is not associated with disturbance of consciousness, vomiting or visual, sensory or motor symptoms, whereas symptomatic sexual headache may be. On the first onset of headache with sexual activity, it is mandatory to exclude subarachnoid haemorrhage, intra- and extracranial arterial dissection and reversible cerebral vasoconstriction syndrome (RCVS). […] Epidemiological research has further shown that 4.3 Primary headache associated with sexual activity can occur at any sexually active age, is more prevalent in males than in females (ratios range from 1.2:1 to 3:1), occurs independently of the type of sexual activity, is not accompanied by autonomic or vegetative symptoms in most cases, is bilateral in two-thirds and unilateral in one-third of cases and is diffuse or occipitally localized in 80% of cases. Attack frequency of 4.3 Primary headache associated with sexual activity should always be related to the frequency of sexual activity.

• #37 Ponytail, sex headache and other primary headaches

  https://www.nationalmigrainecentre.org.uk/podcast-transcript/s4-e9-ponytail-sex-headaches-and-other-primary-headaches/

  Dr. Katy Munro [00:15:14] […] So moving on. Were going to talk about sex now, arent we? […] Dr. Katy Munro [00:15:22] […] So if youve never had a headache when youre having sex before and you suddenly get one, dont ignore it and think, Oh, well, Ill see how I go over the next few days. You do need to go and get that checked out. […] Dr. Katy Munro [00:17:35] […] So they all basically- they used to be thought that there were two different types and people used to try and work out which type it was. One was called preorgasmic and the other was called orgasmic. But with the new classification that we were talking about earlier, the ICHD3, its now considered to be just one entity. So any headache associated with sexual activity is now regarded as the primary sexual headache. […] Dr. Jessica Briscoe [00:18:21]

• #38 Headaches Associated With Sex Are No Joke

  https://www.neurologylive.com/view/headaches-associated-sex-are-no-joke

  Despite comedians assertions to the contrary, sex-associated headaches are not funny. But medications can help relieve or even prevent them. […] Many people who experience headaches during sexual activity are too embarrassed to tell their physicians, and doctors often dont ask, said Jos Biller, MD, FACP, FAAN, FANA, FAHA, Chair of the Department of Neurology with the Loyola University Chicago Stritch School of Medicine and certified in Headache Medicine by the United Council for Neurologic Subspecialties. […] About 1% of adults report that they have experienced headaches associated with sexual activity and that such headaches can be severe. But the actual incidence is certainly higher, Biller noted. […] In 2004, the International Headache Society classified headaches associated with sexual activity as a distinct form of primary headache, and the 2018 International Classification of Headache Disorders, Third Edition notes that it can be diagnosed with least 2 episodes of pain in the head and/or neck which are brought on by and occurring only during sexual activity, and either, or both, increase in intensity with increasing sexual excitement and are abruptly explosive in intensity just before or with orgasm.

• #39 Frontiers | Cluster headache: an update on clinical features, epidemiology, pathophysiology, diagnosis, and treatment

  https://www.frontiersin.org/journals/pain-research/articles/10.3389/fpain.2024.1373528/full

  Cluster headache (CH) affects 0.1% of the population with an incidence of 2.07–9.8/100,00 person-years-habitants, a mean prevalence of 53/100,000 inhabitants (3–150/100,000 inhabitants). […] A typical feature of CH is the circannual variation in its incidence (more frequent in the spring and the autumn). […] The incidence has been difficult to estimate due to the relatively low frequency of CH and systematic underdiagnosis. […] Fischera et al. reported in a meta-analysis of 16 studies that examined prevalence frequencies from 3 to 150/100,000 persons, and the combined lifetime prevalence was 124/100,000 (95% CI: 101–151), and the mean annual prevalence was 53/100,000 (95% CI: 26–95). […] The lifetime prevalence of CH is stable: approximately 1 in 1,000 persons suffer from CH, and the prevalence is independent of region and population.

• #40 Get a Headache After Sex? An Expert Deciphers Sex Headaches — Migraine Again

  https://www.migraineagain.com/sex-headache/

  Most of the data about the prevalence of sex headaches comes from headache clinics, where it’s estimated that it’s as common as occurring in 1 percent of the population. And that is likely a significant underrepresentation. […] It’s interesting that sex headaches are not well documented in terms of epidemiology. In general, the evidence regarding sex headaches is not extensive. Having said that, headache specialists see sex headaches quite commonly in practice. […] As a result, it’s thought that they occur more commonly in those with migraine. But they are also seen in individuals who haven’t had a previous history of migraine. […] It is worth noting that primary sex headaches are not well documented in terms of epidemiology, but they are commonly seen by headache specialists, particularly in individuals with a history of migraine.

• #41 Get a Headache After Sex? An Expert Deciphers Sex Headaches — Migraine Again

  https://www.migraineagain.com/sex-headache/

  Most of the data about the prevalence of sex headaches comes from headache clinics, where it’s estimated that it’s as common as occurring in 1 percent of the population. And that is likely a significant underrepresentation. […] It’s interesting that sex headaches are not well documented in terms of epidemiology. In general, the evidence regarding sex headaches is not extensive. Having said that, headache specialists see sex headaches quite commonly in practice. […] As a result, it’s thought that they occur more commonly in those with migraine. But they are also seen in individuals who haven’t had a previous history of migraine. […] It is worth noting that primary sex headaches are not well documented in terms of epidemiology, but they are commonly seen by headache specialists, particularly in individuals with a history of migraine.

• #42 Sexual headache – Wikipedia

  https://en.wikipedia.org/wiki/Sexual_headache

  Sexual headache is a type of headache that occurs in the skull and neck during sexual activity, including masturbation or orgasm. These headaches are estimated to appear in roughly 1% of the population. It is more common in men than women, with studies putting the gender ratio between 1.2:1 and 3:1. They can occur with sexual activity at any age. […] Sudden, severe headaches during sexual activity may also be caused by intracerebral hemorrhage, subarachnoid hemorrhage, or cerebral infarction, which require immediate medical attention.

• #43 Primary headache associated with sexual activity (Orgasmic headache)

  https://americanmigrainefoundation.org/resource-library/orgasmic-pre-orgasmic-headache/

  Primary headache associated with sexual activity, previously known as orgasmic or pre-orgasmic headache, is a rare headache type brought on by or occurring only during or after sexual activity. […] Primary headache associated with sexual activity is termed “primary” because it’s not caused by another condition or disorder. People with new or never-evaluated headache associated with sexual activity should be carefully assessed by their doctor for an underlying cause and considered for imaging of their brain and the blood vessels in their head to exclude conditions like subarachnoid hemorrhage, arterial dissection and reversible cerebral vasoconstriction syndrome. […] Primary headache associated with sexual activity is more common among men than women. When diagnosing, care must be taken to rule out other, more serious conditions such as subarachnoid hemorrhage, arterial dissection and reversible cerebral vasoconstriction syndrome.

• #44 Primary headache associated with sexual activity (Orgasmic headache)

  https://americanmigrainefoundation.org/resource-library/orgasmic-pre-orgasmic-headache/

  Primary headache associated with sexual activity, previously known as orgasmic or pre-orgasmic headache, is a rare headache type brought on by or occurring only during or after sexual activity. […] Primary headache associated with sexual activity is termed “primary” because it’s not caused by another condition or disorder. People with new or never-evaluated headache associated with sexual activity should be carefully assessed by their doctor for an underlying cause and considered for imaging of their brain and the blood vessels in their head to exclude conditions like subarachnoid hemorrhage, arterial dissection and reversible cerebral vasoconstriction syndrome. […] Primary headache associated with sexual activity is more common among men than women. When diagnosing, care must be taken to rule out other, more serious conditions such as subarachnoid hemorrhage, arterial dissection and reversible cerebral vasoconstriction syndrome.

• #45 Primary headache associated with sexual activity (Orgasmic headache)

  https://americanmigrainefoundation.org/resource-library/orgasmic-pre-orgasmic-headache/

  Primary headache associated with sexual activity, previously known as orgasmic or pre-orgasmic headache, is a rare headache type brought on by or occurring only during or after sexual activity. […] Primary headache associated with sexual activity is termed “primary” because it’s not caused by another condition or disorder. People with new or never-evaluated headache associated with sexual activity should be carefully assessed by their doctor for an underlying cause and considered for imaging of their brain and the blood vessels in their head to exclude conditions like subarachnoid hemorrhage, arterial dissection and reversible cerebral vasoconstriction syndrome. […] Primary headache associated with sexual activity is more common among men than women. When diagnosing, care must be taken to rule out other, more serious conditions such as subarachnoid hemorrhage, arterial dissection and reversible cerebral vasoconstriction syndrome.

• #46 4.3 Primary headache associated with sexual activity – ICHD-3

  https://ichd-3.org/other-primary-headache-disorders/4-3-primary-headache-associated-with-sexual-activity/

  4.3 Primary headache associated with sexual activity […] Previously used terms: Benign sex headache; benign vascular sexual headache; coital cephalalgia; coital headache; intercourse headache; orgasmic cephalalgia; orgasmic headache; sexual headache. […] Coded elsewhere: Postural headache occurring after coitus should be coded as 7.2.3 Headache attributed to spontaneous intracranial hypotension because it is most probably due to CSF leakage. […] Description: Headache precipitated by sexual activity, usually starting as a dull bilateral ache as sexual excitement increases and suddenly becoming intense at orgasm, in the absence of any intracranial disorder. […] Diagnostic criteria: […] 1. At least two episodes of pain in the head and/or neck fulfilling criteria B-D […] 2. Brought on by and occurring only during sexual activity

• #47

  https://link.springer.com/article/10.1007/s00415-020-09728-0

  Landtblom has provided the only population-based data citing an incidence of 43 per 100,000 persons (18 years) per year of all sudden onset headache (within 10 s) with primary TCH (PTCH) being cited as occurring in 38 per 100,000 persons per year. […] The population prevalence of sexual headache is cited as 11.6%. […] Primary headache associated with sexual activity is divided into pre- and post-orgasmic forms. […] The most consistent treatment is Indometacin, effective over a dose range between 25-250 mg. […] The majority of patients with sexual headache present with thunderclap onset headache and therefore will need to be managed for a possible secondary precipitant.

• #48 Primary headache associated with sexual activity (Orgasmic headache)

  https://americanmigrainefoundation.org/resource-library/orgasmic-pre-orgasmic-headache/

  Primary headache associated with sexual activity, previously known as orgasmic or pre-orgasmic headache, is a rare headache type brought on by or occurring only during or after sexual activity. […] Primary headache associated with sexual activity is termed “primary” because it’s not caused by another condition or disorder. People with new or never-evaluated headache associated with sexual activity should be carefully assessed by their doctor for an underlying cause and considered for imaging of their brain and the blood vessels in their head to exclude conditions like subarachnoid hemorrhage, arterial dissection and reversible cerebral vasoconstriction syndrome. […] Primary headache associated with sexual activity is more common among men than women. When diagnosing, care must be taken to rule out other, more serious conditions such as subarachnoid hemorrhage, arterial dissection and reversible cerebral vasoconstriction syndrome.

• #49 From the Journal: The Prevalence of… | American Headache Society

  https://americanheadachesociety.org/research/library/from-the-journal-the-prevalence-of-migraine-and-severe-headache

  Migraine and severe headache disproportionately affects women, with the overall prevalence being 20.7% in females and 9.7% in males. […] Researchers found that over the last decade, the sex prevalence ratio has varied slightly between 2 and 2.4. […] The data also displayed a high prevalence of head pain in members of families with an annual income less than or equal to $35,000 and families that live below the poverty line. […] The authors emphasize that migraine disproportionately impacts historically underserved populations who may have less access to such treatments.

• #50 Frontiers | Cluster headache: an update on clinical features, epidemiology, pathophysiology, diagnosis, and treatment

  https://www.frontiersin.org/journals/pain-research/articles/10.3389/fpain.2024.1373528/full

  Cluster headache (CH) affects 0.1% of the population with an incidence of 2.07–9.8/100,00 person-years-habitants, a mean prevalence of 53/100,000 inhabitants (3–150/100,000 inhabitants). […] A typical feature of CH is the circannual variation in its incidence (more frequent in the spring and the autumn). […] The incidence has been difficult to estimate due to the relatively low frequency of CH and systematic underdiagnosis. […] Fischera et al. reported in a meta-analysis of 16 studies that examined prevalence frequencies from 3 to 150/100,000 persons, and the combined lifetime prevalence was 124/100,000 (95% CI: 101–151), and the mean annual prevalence was 53/100,000 (95% CI: 26–95). […] The lifetime prevalence of CH is stable: approximately 1 in 1,000 persons suffer from CH, and the prevalence is independent of region and population.

• #51 Cluster Headache: Background, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/1142459-overview

  The exact prevalence of cluster headache (CH) in the United States is unknown; Kudrow estimated it to be 0.4% in men and 0.08% in women. […] Its occurrence varies across geographical regions and has been reported to be as high as 1 in 500. […] Compared with classic migraine, CH is relatively uncommon, with an incidence equivalent to only 29% of that of migraine. […] Prevalence in males is 0.41%. […] In an extensive study of 100,000 inhabitants of the republic of San Marino, the prevalence was 0.07%. […] The incidence of CH in the United Kingdom is equivalent to that of multiple sclerosis. […] For unknown reasons, men are afflicted by CH three times more often than are women. […] Presentations in females may differ from those in males, according to data from the United States Cluster Headache Survey. […] Racial and ethnic differences have not been well studied, but CH may be slightly more prevalent in African Americans and may be underdiagnosed in black women.

• #52 Cluster Headache: Background, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/1142459-overview

  The exact prevalence of cluster headache (CH) in the United States is unknown; Kudrow estimated it to be 0.4% in men and 0.08% in women. […] Its occurrence varies across geographical regions and has been reported to be as high as 1 in 500. […] Compared with classic migraine, CH is relatively uncommon, with an incidence equivalent to only 29% of that of migraine. […] Prevalence in males is 0.41%. […] In an extensive study of 100,000 inhabitants of the republic of San Marino, the prevalence was 0.07%. […] The incidence of CH in the United Kingdom is equivalent to that of multiple sclerosis. […] For unknown reasons, men are afflicted by CH three times more often than are women. […] Presentations in females may differ from those in males, according to data from the United States Cluster Headache Survey. […] Racial and ethnic differences have not been well studied, but CH may be slightly more prevalent in African Americans and may be underdiagnosed in black women.

• #53 From the Journal: The Prevalence of… | American Headache Society

  https://americanheadachesociety.org/research/library/from-the-journal-the-prevalence-of-migraine-and-severe-headache

  Migraine and severe headache disproportionately affects women, with the overall prevalence being 20.7% in females and 9.7% in males. […] Researchers found that over the last decade, the sex prevalence ratio has varied slightly between 2 and 2.4. […] The data also displayed a high prevalence of head pain in members of families with an annual income less than or equal to $35,000 and families that live below the poverty line. […] The authors emphasize that migraine disproportionately impacts historically underserved populations who may have less access to such treatments.

• #54 From the Journal: The Prevalence of… | American Headache Society

  https://americanheadachesociety.org/research/library/from-the-journal-the-prevalence-of-migraine-and-severe-headache

  Migraine and severe headache disproportionately affects women, with the overall prevalence being 20.7% in females and 9.7% in males. […] Researchers found that over the last decade, the sex prevalence ratio has varied slightly between 2 and 2.4. […] The data also displayed a high prevalence of head pain in members of families with an annual income less than or equal to $35,000 and families that live below the poverty line. […] The authors emphasize that migraine disproportionately impacts historically underserved populations who may have less access to such treatments.

• #55 New Details of Sex Headaches Identifiedlogo-32logo-40logo-60NEJM Journal WatchnejmJW_1L_RGB-b

  https://www.jwatch.org/jn200311070000010/2003/11/07/new-details-sex-headaches-identified

  Sex headaches are among the more unpleasant of nature’s quirks. At best, they spoil an otherwise pleasurable activity; at worst, they precede sudden death from subarachnoid hemorrhage. Researchers analyzed the case histories and structured-interview data of 51 patients with headaches associated with sexual activity (HSAs) diagnosed at 2 headache clinics over a 5-year period. […] This is a comprehensive survey of a fairly common problem that affects about 1% of the population. As the authors emphasize, such headaches should be investigated when they first appear, to exclude an enlarging aneurysm or subarachnoid hemorrhage.

• #56

  https://link.springer.com/article/10.1007/s00415-020-09728-0

  Landtblom has provided the only population-based data citing an incidence of 43 per 100,000 persons (18 years) per year of all sudden onset headache (within 10 s) with primary TCH (PTCH) being cited as occurring in 38 per 100,000 persons per year. […] The population prevalence of sexual headache is cited as 11.6%. […] Primary headache associated with sexual activity is divided into pre- and post-orgasmic forms. […] The most consistent treatment is Indometacin, effective over a dose range between 25-250 mg. […] The majority of patients with sexual headache present with thunderclap onset headache and therefore will need to be managed for a possible secondary precipitant.

• #57 Headaches Associated With Sex Are No Joke

  https://www.neurologylive.com/view/headaches-associated-sex-are-no-joke

  Despite comedians assertions to the contrary, sex-associated headaches are not funny. But medications can help relieve or even prevent them. […] Many people who experience headaches during sexual activity are too embarrassed to tell their physicians, and doctors often dont ask, said Jos Biller, MD, FACP, FAAN, FANA, FAHA, Chair of the Department of Neurology with the Loyola University Chicago Stritch School of Medicine and certified in Headache Medicine by the United Council for Neurologic Subspecialties. […] About 1% of adults report that they have experienced headaches associated with sexual activity and that such headaches can be severe. But the actual incidence is certainly higher, Biller noted. […] In 2004, the International Headache Society classified headaches associated with sexual activity as a distinct form of primary headache, and the 2018 International Classification of Headache Disorders, Third Edition notes that it can be diagnosed with least 2 episodes of pain in the head and/or neck which are brought on by and occurring only during sexual activity, and either, or both, increase in intensity with increasing sexual excitement and are abruptly explosive in intensity just before or with orgasm.

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