Materiały źródłowe

• #1 Successful treatment of primary headache associated with sexual activity using erenumab: Case report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9109243/

  Primary headache associated with sexual activity is a rare benign headache disorder that is provoked by sexual excitement. […] Several acute and prophylactic options with good clinical response have been described in the case series. […] The most commonly reported preventive treatments are indomethacin and triptans 3060 minutes prior to sexual activity and beta-blockers (such as propranolol, metoprolol, nadolol). […] Monoclonal antibodies (MAbs) targeting calcitonin gene-related peptide (CGRP) or its receptors have not been previously described as a treatment option for HSA. […] This resulted not only in migraine improvement but also in HSA remission. […] Anti-CGRP acting medications could be effective in preventing HSA.

• #2 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. […] Treatments that have been used for primary headache associated with sexual activity include indomethacin, triptans and propranolol. […] Treatment, when necessary, is usually indomethacin and/or propranolol.

• #3 Sex Headache – RefHelp

  https://apps.nhslothian.scot/refhelp/guidelines/neurology/headache/other-headaches/sex-headache/

  Sex headache can mimic other life-threatening neurological disorders, especially brain haemorrhage, therefore often needs to be investigated with a scan and other tests the first time it occurs. In some situations even a second or third sex headache may need urgent investigation. […] When sex headache occurs on a more frequent or predictable basis, there is no need for further investigation and it is entirely harmless. […] The vast majority of sex headaches are of this harmless (or benign) type. […] Treatment: Whilst sex headache is nearly always benign, they can cause significant physical and psychological stress. If the headaches last longer than half an hour, the patient may benefit from a tablet. Indometacin is the most common medication used. If the headaches are happening very frequently, the patient may benefit from a tablet to prevent them. Beta-blockers, for example Propanolol, are sometimes used for this purpose.

• #4 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. […] Depending on the type of headache, medications can help relieve the pain or even prevent the headache, he said. […] 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.

• #5 Sex headaches | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/sex-headaches

  In some cases, your first sex headache may also be your only one. Some sex headaches improve rapidly, so the pain is gone before any pain reliever can work. […] If you have a history of sex headaches and there’s no underlying cause, your doctor may recommend that you take preventive medications regularly. These may include: […] Daily medications. Beta blockers, for example, propranolol (Inderal, Innopran XL) or metoprolol (Lopressor, Toprol-XL) which are used to treat high blood pressure, coronary artery disease and migraines may be taken daily to prevent sex headaches. They’re recommended only if you have frequent or prolonged attacks. A calcium channel blocker, such as verapamil hydrochloride (Calan SR) which is also used to treat high blood pressure may be an option. In people who have a history of migraine, other migraine preventive medications may be used. […] Occasional medications. Indomethacin, an anti-inflammatory, or one of the triptans, a class of anti-migraine medications, can be taken an hour before sex to prevent headaches.

• #6 Sex headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/sex-headaches

  In some cases, your first sex headache may also be your only one. Some sex headaches improve rapidly, so the pain is gone before any pain reliever can work. […] If you have a history of sex headaches and there’s no underlying cause, your doctor may recommend that you take preventive medications regularly. These may include: […] Daily medications. Beta blockers, for example, propranolol (Inderal, Innopran XL) or metoprolol (Lopressor, Toprol-XL) which are used to treat high blood pressure, coronary artery disease and migraines may be taken daily to prevent sex headaches. […] Occasional medications. Indomethacin, an anti-inflammatory, or one of the triptans, a class of anti-migraine medications, can be taken an hour before sex to prevent headaches.

• #7 Sex headaches | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/sex-headaches

  In some cases, your first sex headache may also be your only one. Some sex headaches improve rapidly, so the pain is gone before any pain reliever can work. […] If you have a history of sex headaches and there’s no underlying cause, your doctor may recommend that you take preventive medications regularly. These may include: […] Daily medications. Beta blockers, for example, propranolol (Inderal, Innopran XL) or metoprolol (Lopressor, Toprol-XL) which are used to treat high blood pressure, coronary artery disease and migraines may be taken daily to prevent sex headaches. They’re recommended only if you have frequent or prolonged attacks. A calcium channel blocker, such as verapamil hydrochloride (Calan SR) which is also used to treat high blood pressure may be an option. In people who have a history of migraine, other migraine preventive medications may be used. […] Occasional medications. Indomethacin, an anti-inflammatory, or one of the triptans, a class of anti-migraine medications, can be taken an hour before sex to prevent headaches.

• #8 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 primary treatment is usually reassurance as the headaches are often not recurrent. Drug management can be offered. All of the following are supported by randomised trials or case reports: Propranolol – 40-240 mg a day. This can be used on a preventative basis. […] Indometacin – 25-75 mg a day can be used on an intermittent or regular basis. Use of indometacin 60 minutes before planned sexual activity showed benefit in 90% of patients. […] Triptans have been shown to be of some benefit in people unable to tolerate indometacin when used 60 minutes before planned sexual activity. […] Topiramate (50 g daily) may be another useful option.

• #9 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 primary treatment is usually reassurance as the headaches are often not recurrent. Drug management can be offered. All of the following are supported by randomised trials or case reports: Propranolol – 40-240 mg a day. This can be used on a preventative basis. […] Indometacin – 25-75 mg a day can be used on an intermittent or regular basis. Use of indometacin 60 minutes before planned sexual activity showed benefit in 90% of patients. […] Triptans have been shown to be of some benefit in people unable to tolerate indometacin when used 60 minutes before planned sexual activity. […] Topiramate (50 g daily) may be another useful option.

• #10 Ask the Experts – Etiology of Coital Headaches

  https://www.medscape.com/viewarticle/413710

  Headaches can be triggered by coughing, exertion, and sexual activity. […] Furthermore, 3 types of headache are precipitated by sexual excitement (masturbation or coitus), all bilateral at onset, prevented or eased by ceasing sexual activity before orgasm, and not associated with any intracranial disorder such as aneurysm. […] In a study of patients with the explosive type of headache, those who stopped sexual activity before orgasm experienced a headache duration of 5 minutes to 2 hours. […] A personal or family history of migraine is common in sexual headaches. […] Headaches may be prevented in some patients by weight loss, an exercise program, a more passive role during intercourse, variation in posture, limitation of additional sexual activity on the same day, and medications. […] Indomethacin, ergotamine tartrate, methylsergide, or naratriptan taken before sexual activity have been reported as preventive. […] Propranolol (40-200 mg total per day) and diltiazem (60 mg 3 times daily) can be given as a daily preventive if this headache type occurs frequently.

• #11 Sex headaches | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/sex-headaches

  In some cases, your first sex headache may also be your only one. Some sex headaches improve rapidly, so the pain is gone before any pain reliever can work. […] If you have a history of sex headaches and there’s no underlying cause, your doctor may recommend that you take preventive medications regularly. These may include: […] Daily medications. Beta blockers, for example, propranolol (Inderal, Innopran XL) or metoprolol (Lopressor, Toprol-XL) which are used to treat high blood pressure, coronary artery disease and migraines may be taken daily to prevent sex headaches. They’re recommended only if you have frequent or prolonged attacks. A calcium channel blocker, such as verapamil hydrochloride (Calan SR) which is also used to treat high blood pressure may be an option. In people who have a history of migraine, other migraine preventive medications may be used. […] Occasional medications. Indomethacin, an anti-inflammatory, or one of the triptans, a class of anti-migraine medications, can be taken an hour before sex to prevent headaches.

• #12 Sex headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/sex-headaches

  In some cases, your first sex headache may also be your only one. Some sex headaches improve rapidly, so the pain is gone before any pain reliever can work. […] If you have a history of sex headaches and there’s no underlying cause, your doctor may recommend that you take preventive medications regularly. These may include: […] Daily medications. Beta blockers, for example, propranolol (Inderal, Innopran XL) or metoprolol (Lopressor, Toprol-XL) which are used to treat high blood pressure, coronary artery disease and migraines may be taken daily to prevent sex headaches. […] Occasional medications. Indomethacin, an anti-inflammatory, or one of the triptans, a class of anti-migraine medications, can be taken an hour before sex to prevent headaches.

• #13 Orgasm Headache: Why It Happens and Treatment

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

  Sex headaches can occur right before or immediately after orgasm. […] Treatment may depend on the type of headache that you have. […] Over-the-counter (OTC) medicines: Pain relievers like Tylenol (acetaminophen), Advil (ibuprofen), or Aleve (naproxen) can help manage headache symptoms. […] Indomethacin: This nonsteroidal anti-inflammatory drug (NSAID) requires a prescription and can be taken before sexual activity. […] Propranolol, metoprolol, or nadolol: These are beta-blockers that lower blood pressure and require a prescription. […] If no underlying cause or condition exists, you can try taking beta blockers daily or preemptively medicating with OTC pain relievers or indomethacin an hour before sexual activity. […] Medications can be taken daily or before sexual activity to offset a sex headache.

• #14

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

  This article reviews the disorders of thunderclap, cough, exertional and sexual headache. […] The most consistent preventative treatment seems to be Indometacin. […] This review will focus on primary thunderclap, cough, exertional, and sexual headache. Each disorder can occur in primary and secondary forms. […] The most consistent treatment is Indometacin, effective over a dose range between 25-250 mg. […] The aim is to achieve an optimal dose which successfully suppresses the symptoms and then periodically reduce the dose to see whether the symptoms have become quiescent. […] In isolated cough headache, whether primary or secondary, preventative treatment with Indomethacin can be considered. […] The most consistently reported responses in sexual headache are for Indomethacin and beta-blockers, most commonly cited propranolol, but also metoprolol and nadolol.

• #15 Sex headaches | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/sex-headaches

  In some cases, your first sex headache may also be your only one. Some sex headaches improve rapidly, so the pain is gone before any pain reliever can work. […] If you have a history of sex headaches and there’s no underlying cause, your doctor may recommend that you take preventive medications regularly. These may include: […] Daily medications. Beta blockers, for example, propranolol (Inderal, Innopran XL) or metoprolol (Lopressor, Toprol-XL) which are used to treat high blood pressure, coronary artery disease and migraines may be taken daily to prevent sex headaches. They’re recommended only if you have frequent or prolonged attacks. A calcium channel blocker, such as verapamil hydrochloride (Calan SR) which is also used to treat high blood pressure may be an option. In people who have a history of migraine, other migraine preventive medications may be used. […] Occasional medications. Indomethacin, an anti-inflammatory, or one of the triptans, a class of anti-migraine medications, can be taken an hour before sex to prevent headaches.

• #16 Sexual headaches: case report, review, and treatment with calcium blocker – PubMed

  https://pubmed.ncbi.nlm.nih.gov/2071390/

  A case is reported in which a patient with sexual and orgasmic headaches was treated successfully with a calcium channel blocker, diltiazem. […] To the best of our knowledge, this is the first case of successful treatment of sexual headaches with calcium channel blockers reported in the English medical literature. […] The literature on sexually related headaches is reviewed, and classification, evaluation, differential diagnosis, pathophysiology, differential diagnosis, and treatment of sexual headaches are discussed.

• #17 Sex headaches | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/sex-headaches

  In some cases, your first sex headache may also be your only one. Some sex headaches improve rapidly, so the pain is gone before any pain reliever can work. […] If you have a history of sex headaches and there’s no underlying cause, your doctor may recommend that you take preventive medications regularly. These may include: […] Daily medications. Beta blockers, for example, propranolol (Inderal, Innopran XL) or metoprolol (Lopressor, Toprol-XL) which are used to treat high blood pressure, coronary artery disease and migraines may be taken daily to prevent sex headaches. They’re recommended only if you have frequent or prolonged attacks. A calcium channel blocker, such as verapamil hydrochloride (Calan SR) which is also used to treat high blood pressure may be an option. In people who have a history of migraine, other migraine preventive medications may be used. […] Occasional medications. Indomethacin, an anti-inflammatory, or one of the triptans, a class of anti-migraine medications, can be taken an hour before sex to prevent headaches.

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

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

  Calcium-channel blockers (eg, diltiazem 60 mg tds, nimodipine, nifedipine twice a day) have been helpful in some patients, particularly where cerebral vasoconstriction is the probable cause. […] One case report described benefit from erenumab in a patient with PHASA and migraines, where propranolol alone was ineffective in managing her PHASA. […] Another case report described benefit from spinal manipulation. […] Weight reduction, increase in exercise, taking the passive role in intercourse and avoidance of drugs which act as trigger factors are all thought to be helpful.

• #19 Ask the Experts – Etiology of Coital Headaches

  https://www.medscape.com/viewarticle/413710

  Headaches can be triggered by coughing, exertion, and sexual activity. […] Furthermore, 3 types of headache are precipitated by sexual excitement (masturbation or coitus), all bilateral at onset, prevented or eased by ceasing sexual activity before orgasm, and not associated with any intracranial disorder such as aneurysm. […] In a study of patients with the explosive type of headache, those who stopped sexual activity before orgasm experienced a headache duration of 5 minutes to 2 hours. […] A personal or family history of migraine is common in sexual headaches. […] Headaches may be prevented in some patients by weight loss, an exercise program, a more passive role during intercourse, variation in posture, limitation of additional sexual activity on the same day, and medications. […] Indomethacin, ergotamine tartrate, methylsergide, or naratriptan taken before sexual activity have been reported as preventive. […] Propranolol (40-200 mg total per day) and diltiazem (60 mg 3 times daily) can be given as a daily preventive if this headache type occurs frequently.

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

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

  Calcium-channel blockers (eg, diltiazem 60 mg tds, nimodipine, nifedipine twice a day) have been helpful in some patients, particularly where cerebral vasoconstriction is the probable cause. […] One case report described benefit from erenumab in a patient with PHASA and migraines, where propranolol alone was ineffective in managing her PHASA. […] Another case report described benefit from spinal manipulation. […] Weight reduction, increase in exercise, taking the passive role in intercourse and avoidance of drugs which act as trigger factors are all thought to be helpful.

• #21 Successful treatment of primary headache associated with sexual activity using erenumab: Case report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9109243/

  Primary headache associated with sexual activity is a rare benign headache disorder that is provoked by sexual excitement. […] Several acute and prophylactic options with good clinical response have been described in the case series. […] The most commonly reported preventive treatments are indomethacin and triptans 3060 minutes prior to sexual activity and beta-blockers (such as propranolol, metoprolol, nadolol). […] Monoclonal antibodies (MAbs) targeting calcitonin gene-related peptide (CGRP) or its receptors have not been previously described as a treatment option for HSA. […] This resulted not only in migraine improvement but also in HSA remission. […] Anti-CGRP acting medications could be effective in preventing HSA.

• #22 Successful treatment of primary headache associated with sexual activity using erenumab: Case report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9109243/

  Primary headache associated with sexual activity is a rare benign headache disorder that is provoked by sexual excitement. […] Several acute and prophylactic options with good clinical response have been described in the case series. […] The most commonly reported preventive treatments are indomethacin and triptans 3060 minutes prior to sexual activity and beta-blockers (such as propranolol, metoprolol, nadolol). […] Monoclonal antibodies (MAbs) targeting calcitonin gene-related peptide (CGRP) or its receptors have not been previously described as a treatment option for HSA. […] This resulted not only in migraine improvement but also in HSA remission. […] Anti-CGRP acting medications could be effective in preventing HSA.

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

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

  Calcium-channel blockers (eg, diltiazem 60 mg tds, nimodipine, nifedipine twice a day) have been helpful in some patients, particularly where cerebral vasoconstriction is the probable cause. […] One case report described benefit from erenumab in a patient with PHASA and migraines, where propranolol alone was ineffective in managing her PHASA. […] Another case report described benefit from spinal manipulation. […] Weight reduction, increase in exercise, taking the passive role in intercourse and avoidance of drugs which act as trigger factors are all thought to be helpful.

• #24 Sex headaches | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/sex-headaches

  In some cases, your first sex headache may also be your only one. Some sex headaches improve rapidly, so the pain is gone before any pain reliever can work. […] If you have a history of sex headaches and there’s no underlying cause, your doctor may recommend that you take preventive medications regularly. These may include: […] Daily medications. Beta blockers, for example, propranolol (Inderal, Innopran XL) or metoprolol (Lopressor, Toprol-XL) which are used to treat high blood pressure, coronary artery disease and migraines may be taken daily to prevent sex headaches. They’re recommended only if you have frequent or prolonged attacks. A calcium channel blocker, such as verapamil hydrochloride (Calan SR) which is also used to treat high blood pressure may be an option. In people who have a history of migraine, other migraine preventive medications may be used. […] Occasional medications. Indomethacin, an anti-inflammatory, or one of the triptans, a class of anti-migraine medications, can be taken an hour before sex to prevent headaches.

• #25 Sex headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/sex-headaches

  In some cases, your first sex headache may also be your only one. Some sex headaches improve rapidly, so the pain is gone before any pain reliever can work. […] If you have a history of sex headaches and there’s no underlying cause, your doctor may recommend that you take preventive medications regularly. These may include: […] Daily medications. Beta blockers, for example, propranolol (Inderal, Innopran XL) or metoprolol (Lopressor, Toprol-XL) which are used to treat high blood pressure, coronary artery disease and migraines may be taken daily to prevent sex headaches. […] Occasional medications. Indomethacin, an anti-inflammatory, or one of the triptans, a class of anti-migraine medications, can be taken an hour before sex to prevent headaches.

• #26 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 primary treatment is usually reassurance as the headaches are often not recurrent. Drug management can be offered. All of the following are supported by randomised trials or case reports: Propranolol – 40-240 mg a day. This can be used on a preventative basis. […] Indometacin – 25-75 mg a day can be used on an intermittent or regular basis. Use of indometacin 60 minutes before planned sexual activity showed benefit in 90% of patients. […] Triptans have been shown to be of some benefit in people unable to tolerate indometacin when used 60 minutes before planned sexual activity. […] Topiramate (50 g daily) may be another useful option.

• #27 Focus on therapy of the Chapter IV headaches provoked by exertional factors: primary cough headache, primary exertional headache and primary headache associated with sexual activity | The Journal of Headache and Pain | Full Text

  https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1007/s10194-010-0261-9

  Primary cough headache, primary exertional headache and primary headache associated with sexual activity are distinct entities, even though they share several features: acute onset, the absence of structural brain disease and exertional factors as precipitating events. […] In the following paragraphs, we review treatment strategies for primary cough headache, primary exertional headache and primary headache associated with sexual activity, on the basis of information collected from a systematic analysis of the international literature. […] In view of the short duration of the pain after the precipitating event, the most important therapeutic approach is prevention. […] The efficacy of indomethacin was confirmed in subsequent studies at therapeutic doses ranging 50250 mg daily, usually in association with a proton pump inhibitor in patients requiring long-term treatment.

• #28

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

  This article reviews the disorders of thunderclap, cough, exertional and sexual headache. […] The most consistent preventative treatment seems to be Indometacin. […] This review will focus on primary thunderclap, cough, exertional, and sexual headache. Each disorder can occur in primary and secondary forms. […] The most consistent treatment is Indometacin, effective over a dose range between 25-250 mg. […] The aim is to achieve an optimal dose which successfully suppresses the symptoms and then periodically reduce the dose to see whether the symptoms have become quiescent. […] In isolated cough headache, whether primary or secondary, preventative treatment with Indomethacin can be considered. […] The most consistently reported responses in sexual headache are for Indomethacin and beta-blockers, most commonly cited propranolol, but also metoprolol and nadolol.

• #29 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 primary treatment is usually reassurance as the headaches are often not recurrent. Drug management can be offered. All of the following are supported by randomised trials or case reports: Propranolol – 40-240 mg a day. This can be used on a preventative basis. […] Indometacin – 25-75 mg a day can be used on an intermittent or regular basis. Use of indometacin 60 minutes before planned sexual activity showed benefit in 90% of patients. […] Triptans have been shown to be of some benefit in people unable to tolerate indometacin when used 60 minutes before planned sexual activity. […] Topiramate (50 g daily) may be another useful option.

• #30

  https://www.nbcnews.com/id/wbna16832762

  A type of migraine drug can be helpful for patients who suffer from orgasmic headaches, researchers report. […] But anyone who experiences a severe headache upon orgasm for the first time must seek medical attention to ensure that it is not due to a type of bleeding on the brain called subarachnoid hemorrhage, Dr. Achim Frese of the University of Munster, Germany, and colleagues advise. […] There are two types of sex-associated headaches: pre-orgasmic, dull headaches that increase with sexual excitement, and orgasmic headaches, which are sudden, severe headaches that occur upon orgasm and can last for hours. […] Among four patients who experienced headaches lasting for longer than two hours, two were successfully treated with triptans. […] The standard preventive treatment for orgasmic headaches has been indomethacin taken 30 to 60 minutes before sex, but many patients cant tolerate the drugs intestinal side effects, Frese and colleagues note.

• #31 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. […] Research on PHASA treatment options is somewhat limited, but there are medications that can help reduce the symptoms. In particular, a nonsteroidal anti-inflammatory drug (NSAID) called indomethacin has demonstrated good results in acute and preemptive treatment of PHASA. Triptans, which are used to treat migraines, are also an effective treatment option for sex headaches. Finally, for patients with chronic cases of PHASA and less predictable sexual activity, a preventative measure of daily -blockers over the course of 2-6 months can be an effective treatment strategy.

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

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

  Orgasm headaches are typically benign. […] Treating your orgasm headache will depend on the cause. Sex headaches usually aren’t associated with an underlying condition, so taking a pain reliever should be enough to ease symptoms. Your doctor may also prescribe daily or as-needed medication to prevent the onset of sex headaches. […] Your doctor will determine the best course of treatment after identifying the root cause. This may mean starting or stopping medications, having surgery, draining fluids, or undergoing radiation therapy. […] If you have a history of sex headaches but don’t have an underlying condition, your doctor may prescribe a daily medication to help prevent future headaches.

• #33 Headaches After Sex Causes & Treatment | OB-GYN Specialists of South Miami

  https://www.toplinemd.com/obgyn-specialists-of-south-miami/headaches-after-sex-causes-treatment/

  Experiencing headaches after sex is not uncommon, and there can be various reasons for this phenomenon. […] If you experience severe headaches during sex, migraines after sex, or if the headaches are persistent or accompanied by other symptoms like nausea, vomiting, or neurological changes, it’s important to seek medical advice promptly. […] Most headaches after sex are harmless. This said, persistent or severe headaches, especially those accompanied by other concerning symptoms, should prompt a visit to a healthcare professional. […] Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can be effective in alleviating the pain associated with headaches after sex. […] Making adjustments to lifestyle factors, such as managing stress, ensuring proper hydration, and getting sufficient sleep, can contribute to reducing the frequency and intensity of post-coital headaches. […] Experimenting with different sexual positions may help minimize the physical strain that contributes to headaches.

• #34 Orgasm Headache: Why It Happens and Treatment

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

  Sex headaches can occur right before or immediately after orgasm. […] Treatment may depend on the type of headache that you have. […] Over-the-counter (OTC) medicines: Pain relievers like Tylenol (acetaminophen), Advil (ibuprofen), or Aleve (naproxen) can help manage headache symptoms. […] Indomethacin: This nonsteroidal anti-inflammatory drug (NSAID) requires a prescription and can be taken before sexual activity. […] Propranolol, metoprolol, or nadolol: These are beta-blockers that lower blood pressure and require a prescription. […] If no underlying cause or condition exists, you can try taking beta blockers daily or preemptively medicating with OTC pain relievers or indomethacin an hour before sexual activity. […] Medications can be taken daily or before sexual activity to offset a sex headache.

• #35

  https://www.nbcnews.com/id/wbna16832762

  A type of migraine drug can be helpful for patients who suffer from orgasmic headaches, researchers report. […] But anyone who experiences a severe headache upon orgasm for the first time must seek medical attention to ensure that it is not due to a type of bleeding on the brain called subarachnoid hemorrhage, Dr. Achim Frese of the University of Munster, Germany, and colleagues advise. […] There are two types of sex-associated headaches: pre-orgasmic, dull headaches that increase with sexual excitement, and orgasmic headaches, which are sudden, severe headaches that occur upon orgasm and can last for hours. […] Among four patients who experienced headaches lasting for longer than two hours, two were successfully treated with triptans. […] The standard preventive treatment for orgasmic headaches has been indomethacin taken 30 to 60 minutes before sex, but many patients cant tolerate the drugs intestinal side effects, Frese and colleagues note.

• #36 Sex Headaches – Causes, Symptoms, Prevention and Treatment

  https://headachemd.net/types-of-headaches/sex-headaches/

  Treating this type of headache is much simpler than trying to stop it from happening. Taking pain relievers or analgesics containing caffeine may help, as does applying cold compress to the affected area or resting in a quiet and dark room. […] However, if it happens quite often and the sex headaches become more severe, it is best to see your doctor immediately for proper diagnosis and treatment.

• #37 Sex Headaches – Causes, Symptoms, Prevention and Treatment

  https://headachemd.net/types-of-headaches/sex-headaches/

  Treating this type of headache is much simpler than trying to stop it from happening. Taking pain relievers or analgesics containing caffeine may help, as does applying cold compress to the affected area or resting in a quiet and dark room. […] However, if it happens quite often and the sex headaches become more severe, it is best to see your doctor immediately for proper diagnosis and treatment.

• #38 Headaches After Sex Causes & Treatment | OB-GYN Specialists of South Miami

  https://www.toplinemd.com/obgyn-specialists-of-south-miami/headaches-after-sex-causes-treatment/

  Experiencing headaches after sex is not uncommon, and there can be various reasons for this phenomenon. […] If you experience severe headaches during sex, migraines after sex, or if the headaches are persistent or accompanied by other symptoms like nausea, vomiting, or neurological changes, it’s important to seek medical advice promptly. […] Most headaches after sex are harmless. This said, persistent or severe headaches, especially those accompanied by other concerning symptoms, should prompt a visit to a healthcare professional. […] Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can be effective in alleviating the pain associated with headaches after sex. […] Making adjustments to lifestyle factors, such as managing stress, ensuring proper hydration, and getting sufficient sleep, can contribute to reducing the frequency and intensity of post-coital headaches. […] Experimenting with different sexual positions may help minimize the physical strain that contributes to headaches.

• #39 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. […] Depending on the type of headache, medications can help relieve the pain or even prevent the headache, he said. […] 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.

• #40 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. […] Sex headaches aren’t usually a cause for concern. But consult your health care provider right away if you experience a headache during sexual activity especially if it begins abruptly or it’s your first headache of this type. […] Any type of sexual activity that leads to orgasm can trigger sex headaches. […] Sometimes sex headaches can be prevented by stopping sexual activity before orgasm. Taking a more passive role during sex also may help.

• #41 Sex or Orgasm Headaches- Causes, Treatment, Prevention and Home Remedies  – Pristyn Care

  https://www.pristyncare.com/blog/sex-or-orgasm-headaches-causes-treatment-prevention-and-home-remedies-pc0101/

  Sex or orgasm headaches are commonly described as bilateral (pain on both sides of the head) and mostly located at the back of the head. […] Treatment for sex headaches depends on the cause and type of headache. Sex headaches usually aren’t a cause of concern, so taking a painkiller usually helps ease the symptoms. […] People having a history of sex headaches are suggested to consult their doctors who may prescribe medications to help prevent such headaches. […] People having frequent or long sex headaches can get some relief by taking a beta-blocker such as propranol every day. […] Some patients also get relief by taking indomethacin, an anti-inflammatory drug an hour before having intercourse. […] Other things to help prevent or reduce sex headaches are- Stop sexual activity when the headache begins. Take a more passive role during sexual activity. Massage your head and neck muscles before sex to relieve tension.

• #42 Headaches After Sex Causes & Treatment | OB-GYN Specialists of South Miami

  https://www.toplinemd.com/obgyn-specialists-of-south-miami/headaches-after-sex-causes-treatment/

  Experiencing headaches after sex is not uncommon, and there can be various reasons for this phenomenon. […] If you experience severe headaches during sex, migraines after sex, or if the headaches are persistent or accompanied by other symptoms like nausea, vomiting, or neurological changes, it’s important to seek medical advice promptly. […] Most headaches after sex are harmless. This said, persistent or severe headaches, especially those accompanied by other concerning symptoms, should prompt a visit to a healthcare professional. […] Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can be effective in alleviating the pain associated with headaches after sex. […] Making adjustments to lifestyle factors, such as managing stress, ensuring proper hydration, and getting sufficient sleep, can contribute to reducing the frequency and intensity of post-coital headaches. […] Experimenting with different sexual positions may help minimize the physical strain that contributes to headaches.

• #43 Primary headache associated with sexual activity | MedLink Neurology

  https://www.medlink.com/articles/primary-headache-associated-with-sexual-activity

  Non-drug treatments include weight loss, an exercise program, a more passive role during intercourse, variation in positions, or limitation of sexual activity during a given day. […] Drug treatments include propranolol, indomethacin, and triptans. […] The therapy of headaches associated with sexual activity is difficult to evaluate because of the capricious nature of the disorder. Treatment approaches are either nonpharmacological, such as abstinence, a passive role during intercourse, varying positions during sexual activities, weight reduction, increased exercise, biofeedback and relaxation therapy; or pharmacological, such as analgesics, antihistamines, antidepressants, as well as beta blockers and calcium channel blockers. […] For sex-induced vascular headaches that are severe and occur regularly, treatment with propranolol (40 to 240 mg a day) or other beta blockers has been successfully used in some patients. Indomethacin (25 to 75 mg/day on a regular or intermittent basis) has also been recommended, and triptans may be helpful in some cases if used preemptively for benign orgasmic headache.

• #44 Sex or Orgasm Headaches- Causes, Treatment, Prevention and Home Remedies  – Pristyn Care

  https://www.pristyncare.com/blog/sex-or-orgasm-headaches-causes-treatment-prevention-and-home-remedies-pc0101/

  Sex or orgasm headaches are commonly described as bilateral (pain on both sides of the head) and mostly located at the back of the head. […] Treatment for sex headaches depends on the cause and type of headache. Sex headaches usually aren’t a cause of concern, so taking a painkiller usually helps ease the symptoms. […] People having a history of sex headaches are suggested to consult their doctors who may prescribe medications to help prevent such headaches. […] People having frequent or long sex headaches can get some relief by taking a beta-blocker such as propranol every day. […] Some patients also get relief by taking indomethacin, an anti-inflammatory drug an hour before having intercourse. […] Other things to help prevent or reduce sex headaches are- Stop sexual activity when the headache begins. Take a more passive role during sexual activity. Massage your head and neck muscles before sex to relieve tension.

• #45 Sex or Orgasm Headaches- Causes, Treatment, Prevention and Home Remedies  – Pristyn Care

  https://www.pristyncare.com/blog/sex-or-orgasm-headaches-causes-treatment-prevention-and-home-remedies-pc0101/

  Sex or orgasm headaches are commonly described as bilateral (pain on both sides of the head) and mostly located at the back of the head. […] Treatment for sex headaches depends on the cause and type of headache. Sex headaches usually aren’t a cause of concern, so taking a painkiller usually helps ease the symptoms. […] People having a history of sex headaches are suggested to consult their doctors who may prescribe medications to help prevent such headaches. […] People having frequent or long sex headaches can get some relief by taking a beta-blocker such as propranol every day. […] Some patients also get relief by taking indomethacin, an anti-inflammatory drug an hour before having intercourse. […] Other things to help prevent or reduce sex headaches are- Stop sexual activity when the headache begins. Take a more passive role during sexual activity. Massage your head and neck muscles before sex to relieve tension.

• #46 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. […] Depending on the type of headache, medications can help relieve the pain or even prevent the headache, he said. […] 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.

• #47 Primary headache associated with sexual activity | MedLink Neurology

  https://www.medlink.com/articles/primary-headache-associated-with-sexual-activity

  Non-drug treatments include weight loss, an exercise program, a more passive role during intercourse, variation in positions, or limitation of sexual activity during a given day. […] Drug treatments include propranolol, indomethacin, and triptans. […] The therapy of headaches associated with sexual activity is difficult to evaluate because of the capricious nature of the disorder. Treatment approaches are either nonpharmacological, such as abstinence, a passive role during intercourse, varying positions during sexual activities, weight reduction, increased exercise, biofeedback and relaxation therapy; or pharmacological, such as analgesics, antihistamines, antidepressants, as well as beta blockers and calcium channel blockers. […] For sex-induced vascular headaches that are severe and occur regularly, treatment with propranolol (40 to 240 mg a day) or other beta blockers has been successfully used in some patients. Indomethacin (25 to 75 mg/day on a regular or intermittent basis) has also been recommended, and triptans may be helpful in some cases if used preemptively for benign orgasmic headache.

• #48 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. […] Depending on the type of headache, medications can help relieve the pain or even prevent the headache, he said. […] 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.

• #49 Headaches and sex

  https://headache.com.au/headaches-and-sex/

  Headaches associated with sexual activity have been reported by about 1 percent of adults. […] Many people who experience headaches during sexual activity are too embarrassed to tell their physicians and doctors often dont ask, said Dr. Jos Biller, who has treated dozens of patients for headaches associated with sexual activity (HAS). […] The vast majority of headaches associated with sexual activity are benign. But in a small percentage of cases, these headaches can be due to a serious underlying condition, such as a hemorrhage, brain aneurysm, stroke, cervical artery dissection or subdural hematoma. So we recommend that patients undergo a thorough neurological evaluation to rule out secondary causes, which can be life-threatening, Biller said. This is especially important when the headache is a first occurrence. […] Depending on the type of headache, certain medications can help relieve the pain or even prevent the headache, Biller said. […] Individuals can reduce their risk of sex headaches by exercising, avoiding excessive alcohol intake, keeping a healthy weight and counseling, Biller said.

• #50 Orgasm headache: Types, Causes and Treatment | HealthShots

  https://www.healthshots.com/intimate-health/sexual-health/orgasm-headache/

  Orgasm headaches come suddenly and mostly last for a few minutes. There are no known ways to prevent them, but if you get migraines and also experience orgasm headaches, you should avoid known triggers such as irregular sleep schedule, alcohol and caffeine. As for the treatment for orgasm headache, it depends on its type. […] In case of primary orgasm headaches, over-the-counter pain relievers may provide relief. In some cases, avoiding sexual activity or adopting a more relaxed approach during sexual activity may also help reduce the likelihood of these headaches. […] You need to address the underlying medical condition if you don’t want orgasm headache. A neurologist can conduct a thorough evaluation to determine the cause and recommend appropriate treatment. This may include medications, lifestyle adjustments or other interventions targeted at the specific issue.

• #51 Sexual Headaches! Not a Joke – Dr. Emel Gökmen

  https://www.emelgokmen.com/en/sexual-headache/

  A considerable amount of people suffer from sexual headaches. This may show itself during or after sexual activity (orgasmic). These headaches are mostly benign but even if just a bit, they may pose danger. […] Orgasmic headache is very common and affects sexual life severely. Although in most cases it causes the patient to avoid sexual activity, a lot of patients do not consider seeing a physician. […] Sexual headaches are very common. After experiencing a severe pain for the first time, one must immediately visit the emergency service. However, if the patient is already a migraineur, or having tension type headaches, this one might not be that severe. But if it is causing the patient to avoid sexual activity, a physician must be visited. […] The most effective solution here, is a treatment based on the reasons. But since this kind of treatment will take some time, it could be better to have a break or at least avoid multiple intercourses in one day and specific positions that trigger the pain. […] Sexual headaches are common and affect life negatively. Thus, they need to be treated. Patients must definitely go to a hospital when an emergency like this first appears and an operation must be performed if necessary.

• #52 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. […] Sex headaches aren’t usually a cause for concern. But consult your health care provider right away if you experience a headache during sexual activity especially if it begins abruptly or it’s your first headache of this type. […] Any type of sexual activity that leads to orgasm can trigger sex headaches. […] Sometimes sex headaches can be prevented by stopping sexual activity before orgasm. Taking a more passive role during sex also may help.

• #53 Sex Headache: What Is It, Causes, Prevention, Treatment | RoRoRo

  https://ro.co/health-guide/sex-headache/

  Sex headaches are usually harmless, but the symptoms can mimic more serious underlying conditions. […] That’s why it’s so important to know about what causes sex headaches, how to prevent them, and how you can treat them if they happen to you. […] The medication most commonly prescribed to treat sex headaches is indomethacin, a prescription-strength nonsteroidal anti-inflammatory drug (NSAID). […] For people who have recurring headaches with sexual activity, healthcare providers might order a preventative medication to be taken every day. […] You should absolutely see your healthcare provider after your first episode of a sex headache. […] Once your provider is sure that you have no underlying causes, you can work together to develop a treatment plan to keep them from coming back so sex headaches don’t get in the way of a satisfying sex life.

• #54 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. […] Sex headaches aren’t usually a cause for concern. But consult your health care provider right away if you experience a headache during sexual activity especially if it begins abruptly or it’s your first headache of this type. […] Any type of sexual activity that leads to orgasm can trigger sex headaches. […] Sometimes sex headaches can be prevented by stopping sexual activity before orgasm. Taking a more passive role during sex also may help.

• #55 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

  As-needed medications: Indomethacin (Indocin, Tivorbex), an anti-inflammatory drug, or one of the triptans, a group of migraine medications, can be taken an hour before intercourse to prevent headaches. […] The following lifestyle changes and home remedies can help you cope with sexual headaches: When experiencing this condition, it is best to abstain from sexual activity until the pain completely subsides. […] 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.

• #56 Orgasmic Headaches – BioBalance Health

  https://biobalancehealth.com/orgasmic-headaches/

  If you stop taking those drugs, you will stop having the HSAs. […] If you would classify the HAS as the worst headache of your life, you should immediately go to the ER to be checked for the risk of stroke. Do not fail to report HSAs and seek advice. HSAs are nothing to be ashamed of and usually there is nothing to be afraid of, but why take a chance?

• #57 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? […] Sexual headache is a type of headache that can occur during sexual activity, whether it be before, during intercourse, masturbation, or even oral sex. […] Treatment methods […] Mild headache from sexual activity and occurs infrequently can be treated with non-steroidal anti-inflammatory drugs before having sex. […] Severe headache from sexual activity, especially if its the first time, it is advised to see a doctor immediately to find the potentially dangerous cause, such as brain hemorrhage, temporary constriction of brain blood vessels, torn blood vessel walls. […] In cases where no dangerous cause is found and symptoms occur every time there is sexual activity, it is recommended to consult with a specialist for preventive medication. […] 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.

• #58 Orgasm Headaches: Why Do They Happen?

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

  If the headache is bad and doesnt go away, or it gets worse, its time for a trip to the ER. […] If possible, its better to prevent sex headaches than treat them once theyve already started, Dr. Galvez-Jimenez advises. […] But sex is not something we would suggest as a headache treatment, he says. […] If you get a severe headache for any reason, Dr. Galvez-Jimenez advises getting medical attention right away.

• #59 Headaches After Sex Causes & Treatment | OB-GYN Specialists of South Miami

  https://www.toplinemd.com/obgyn-specialists-of-south-miami/headaches-after-sex-causes-treatment/

  Experiencing headaches after sex is not uncommon, and there can be various reasons for this phenomenon. […] If you experience severe headaches during sex, migraines after sex, or if the headaches are persistent or accompanied by other symptoms like nausea, vomiting, or neurological changes, it’s important to seek medical advice promptly. […] Most headaches after sex are harmless. This said, persistent or severe headaches, especially those accompanied by other concerning symptoms, should prompt a visit to a healthcare professional. […] Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can be effective in alleviating the pain associated with headaches after sex. […] Making adjustments to lifestyle factors, such as managing stress, ensuring proper hydration, and getting sufficient sleep, can contribute to reducing the frequency and intensity of post-coital headaches. […] Experimenting with different sexual positions may help minimize the physical strain that contributes to headaches.

• #60 Post Coital Headache? Symptoms, Causes & Prevention

  https://e-surgery.com/post-coital-headache-symptoms-causes/

  Headaches after sex can be a sign that something is wrong. […] If you suffer from post coital headaches, you maybe wondering what your treatment options are. There are many different options for treating headaches. These include prescription medications and home remedies. […] Rizatriptan and Sumatriptan are part of a class of drugs called triptans, which are designed to work quickly to counteract the symptoms of migraines. […] However, both options are effective at treating the symptoms of post-sexual headaches. […] If you experience recurrent or severe headaches during sex, its important to see a doctor for a proper diagnosis. […] Orgasm headaches are often harmless and go away on their own, but if you experience severe or recurring headaches, be sure to see your doctor. […] If you do experience a post coital headache, know that there are treatments available.

• #61 Sex Headaches – Causes, Symptoms, Prevention and Treatment

  https://headachemd.net/types-of-headaches/sex-headaches/

  Treating this type of headache is much simpler than trying to stop it from happening. Taking pain relievers or analgesics containing caffeine may help, as does applying cold compress to the affected area or resting in a quiet and dark room. […] However, if it happens quite often and the sex headaches become more severe, it is best to see your doctor immediately for proper diagnosis and treatment.

• #62

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

  This article reviews the disorders of thunderclap, cough, exertional and sexual headache. […] The most consistent preventative treatment seems to be Indometacin. […] This review will focus on primary thunderclap, cough, exertional, and sexual headache. Each disorder can occur in primary and secondary forms. […] The most consistent treatment is Indometacin, effective over a dose range between 25-250 mg. […] The aim is to achieve an optimal dose which successfully suppresses the symptoms and then periodically reduce the dose to see whether the symptoms have become quiescent. […] In isolated cough headache, whether primary or secondary, preventative treatment with Indomethacin can be considered. […] The most consistently reported responses in sexual headache are for Indomethacin and beta-blockers, most commonly cited propranolol, but also metoprolol and nadolol.

• #63

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

  Prophylactic success with Indomethacin, oral treatment 25 to 100 mg given 30-60 min prior to sexual activity, has corroborated Raskin’s experience. […] The majority of patients with sexual headache present with thunderclap onset headache and therefore will need to be managed for a possible secondary precipitant. […] These disorders can be viewed as modes of onset of a headache, with the subsequent headache most commonly having characteristics of migraine or, tension-type headache. […] The most consistent treatment responses across the group are seen with Indometacin.

• #64 Sex Headache – RefHelp

  https://apps.nhslothian.scot/refhelp/guidelines/neurology/headache/other-headaches/sex-headache/

  Sex headache can mimic other life-threatening neurological disorders, especially brain haemorrhage, therefore often needs to be investigated with a scan and other tests the first time it occurs. In some situations even a second or third sex headache may need urgent investigation. […] When sex headache occurs on a more frequent or predictable basis, there is no need for further investigation and it is entirely harmless. […] The vast majority of sex headaches are of this harmless (or benign) type. […] Treatment: Whilst sex headache is nearly always benign, they can cause significant physical and psychological stress. If the headaches last longer than half an hour, the patient may benefit from a tablet. Indometacin is the most common medication used. If the headaches are happening very frequently, the patient may benefit from a tablet to prevent them. Beta-blockers, for example Propanolol, are sometimes used for this purpose.

• #65 Orgasmic Headaches – BioBalance Health

  https://biobalancehealth.com/orgasmic-headaches/

  It is frightening to be in the middle of a wonderful sexual experience, reach the point of orgasm, and then experience a blinding headache at the moment of release. […] If you suffer from headaches at the moment of orgasmic release, it is necessary to discuss it with your doctor and let them evaluate you for risks. You need to get a CT scan to assess this to rule out tumors and vascular abnormality. […] The overwhelming majority of individuals reporting these types of headaches (HSA) also report that they tend to disappear after a few weeks and they don’t get them again. […] There are treatments that can diminish or block these headaches with minimal or no side-effects, You do not have to swear off of sex because you are afraid of the pain or the potential for a stroke. The meds that are commonly used to treat HSAs are beta-blockers and NSAIDS (Motrin and other non steroidal anti inflammatory drugs)

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

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

  Getting a sudden headache during sex is inconvenient, at best, and can even be downright scary. […] Primary sex headaches also don’t have the specific features of a migraine attack like light and sound sensitivity or nausea. […] Once the secondary causes have been ruled out, these headaches tend to be very responsive to pretreatment with indomethacin. […] A common scenario would be that a healthcare provider would, partly in order to reassure their patient, have them use indomethacin for two or three episodes of sexual activity and then have them stop. […] However, for those who may continue to have attacks, medications such as beta blockers can sometimes be used for prevention when indomethacin is ineffective, doses are difficult to time, or it is poorly tolerated. […] It’s also important to consider the possibility with your healthcare provider, even though it’s a small possibility, that there is some other more serious underlying cause of a headache associated with sexual activity.

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

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

  Getting a sudden headache during sex is inconvenient, at best, and can even be downright scary. […] Primary sex headaches also don’t have the specific features of a migraine attack like light and sound sensitivity or nausea. […] Once the secondary causes have been ruled out, these headaches tend to be very responsive to pretreatment with indomethacin. […] A common scenario would be that a healthcare provider would, partly in order to reassure their patient, have them use indomethacin for two or three episodes of sexual activity and then have them stop. […] However, for those who may continue to have attacks, medications such as beta blockers can sometimes be used for prevention when indomethacin is ineffective, doses are difficult to time, or it is poorly tolerated. […] It’s also important to consider the possibility with your healthcare provider, even though it’s a small possibility, that there is some other more serious underlying cause of a headache associated with sexual activity.

• #68 Focus on therapy of the Chapter IV headaches provoked by exertional factors: primary cough headache, primary exertional headache and primary headache associated with sexual activity | The Journal of Headache and Pain | Full Text

  https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1007/s10194-010-0261-9

  The treatment of exertional headache has not been adequately studied and current evidence is not sufficient to allow the development of treatment guidelines. […] This behavioural measure of avoiding or reducing the precipitating factor is considered the preventive treatment of choice for exertional headache. […] No meta-analyses are available on the treatment of this type of headache. Randomised trials and case reports showed good efficacy of short-term prophylaxis with indomethacin 25100 mg 12 h before intercourse in patients with regular and predictable sexual activity. […] Therefore, it seems possible to propose triptans as a possible alternative for patients not tolerating indomethacin. […] If the problem persists or in patients with longer lasting bouts, beta-blockers (propranolol 120240 mg per day, metopropolol 100200 mg per day and diltiazem 180 mg per day) are recommended as a prophylactic therapy.

• #69 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 primary treatment is usually reassurance as the headaches are often not recurrent. Drug management can be offered. All of the following are supported by randomised trials or case reports: Propranolol – 40-240 mg a day. This can be used on a preventative basis. […] Indometacin – 25-75 mg a day can be used on an intermittent or regular basis. Use of indometacin 60 minutes before planned sexual activity showed benefit in 90% of patients. […] Triptans have been shown to be of some benefit in people unable to tolerate indometacin when used 60 minutes before planned sexual activity. […] Topiramate (50 g daily) may be another useful option.

• #70 Focus on therapy of the Chapter IV headaches provoked by exertional factors: primary cough headache, primary exertional headache and primary headache associated with sexual activity | The Journal of Headache and Pain | Full Text

  https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1007/s10194-010-0261-9

  The treatment of exertional headache has not been adequately studied and current evidence is not sufficient to allow the development of treatment guidelines. […] This behavioural measure of avoiding or reducing the precipitating factor is considered the preventive treatment of choice for exertional headache. […] No meta-analyses are available on the treatment of this type of headache. Randomised trials and case reports showed good efficacy of short-term prophylaxis with indomethacin 25100 mg 12 h before intercourse in patients with regular and predictable sexual activity. […] Therefore, it seems possible to propose triptans as a possible alternative for patients not tolerating indomethacin. […] If the problem persists or in patients with longer lasting bouts, beta-blockers (propranolol 120240 mg per day, metopropolol 100200 mg per day and diltiazem 180 mg per day) are recommended as a prophylactic therapy.

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

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

  Calcium-channel blockers (eg, diltiazem 60 mg tds, nimodipine, nifedipine twice a day) have been helpful in some patients, particularly where cerebral vasoconstriction is the probable cause. […] One case report described benefit from erenumab in a patient with PHASA and migraines, where propranolol alone was ineffective in managing her PHASA. […] Another case report described benefit from spinal manipulation. […] Weight reduction, increase in exercise, taking the passive role in intercourse and avoidance of drugs which act as trigger factors are all thought to be helpful.

• #72 Successful treatment of primary headache associated with sexual activity using erenumab: Case report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9109243/

  Primary headache associated with sexual activity is a rare benign headache disorder that is provoked by sexual excitement. […] Several acute and prophylactic options with good clinical response have been described in the case series. […] The most commonly reported preventive treatments are indomethacin and triptans 3060 minutes prior to sexual activity and beta-blockers (such as propranolol, metoprolol, nadolol). […] Monoclonal antibodies (MAbs) targeting calcitonin gene-related peptide (CGRP) or its receptors have not been previously described as a treatment option for HSA. […] This resulted not only in migraine improvement but also in HSA remission. […] Anti-CGRP acting medications could be effective in preventing HSA.

• #73 Sex or Orgasm Headaches- Causes, Treatment, Prevention and Home Remedies  – Pristyn Care

  https://www.pristyncare.com/blog/sex-or-orgasm-headaches-causes-treatment-prevention-and-home-remedies-pc0101/

  Sex or orgasm headaches are commonly described as bilateral (pain on both sides of the head) and mostly located at the back of the head. […] Treatment for sex headaches depends on the cause and type of headache. Sex headaches usually aren’t a cause of concern, so taking a painkiller usually helps ease the symptoms. […] People having a history of sex headaches are suggested to consult their doctors who may prescribe medications to help prevent such headaches. […] People having frequent or long sex headaches can get some relief by taking a beta-blocker such as propranol every day. […] Some patients also get relief by taking indomethacin, an anti-inflammatory drug an hour before having intercourse. […] Other things to help prevent or reduce sex headaches are- Stop sexual activity when the headache begins. Take a more passive role during sexual activity. Massage your head and neck muscles before sex to relieve tension.

• #74 Primary headache associated with sexual activity | MedLink Neurology

  https://www.medlink.com/articles/primary-headache-associated-with-sexual-activity

  Non-drug treatments include weight loss, an exercise program, a more passive role during intercourse, variation in positions, or limitation of sexual activity during a given day. […] Drug treatments include propranolol, indomethacin, and triptans. […] The therapy of headaches associated with sexual activity is difficult to evaluate because of the capricious nature of the disorder. Treatment approaches are either nonpharmacological, such as abstinence, a passive role during intercourse, varying positions during sexual activities, weight reduction, increased exercise, biofeedback and relaxation therapy; or pharmacological, such as analgesics, antihistamines, antidepressants, as well as beta blockers and calcium channel blockers. […] For sex-induced vascular headaches that are severe and occur regularly, treatment with propranolol (40 to 240 mg a day) or other beta blockers has been successfully used in some patients. Indomethacin (25 to 75 mg/day on a regular or intermittent basis) has also been recommended, and triptans may be helpful in some cases if used preemptively for benign orgasmic headache.

• #75

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

  This article reviews the disorders of thunderclap, cough, exertional and sexual headache. […] The most consistent preventative treatment seems to be Indometacin. […] This review will focus on primary thunderclap, cough, exertional, and sexual headache. Each disorder can occur in primary and secondary forms. […] The most consistent treatment is Indometacin, effective over a dose range between 25-250 mg. […] The aim is to achieve an optimal dose which successfully suppresses the symptoms and then periodically reduce the dose to see whether the symptoms have become quiescent. […] In isolated cough headache, whether primary or secondary, preventative treatment with Indomethacin can be considered. […] The most consistently reported responses in sexual headache are for Indomethacin and beta-blockers, most commonly cited propranolol, but also metoprolol and nadolol.

• #76 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. […] Research on PHASA treatment options is somewhat limited, but there are medications that can help reduce the symptoms. In particular, a nonsteroidal anti-inflammatory drug (NSAID) called indomethacin has demonstrated good results in acute and preemptive treatment of PHASA. Triptans, which are used to treat migraines, are also an effective treatment option for sex headaches. Finally, for patients with chronic cases of PHASA and less predictable sexual activity, a preventative measure of daily -blockers over the course of 2-6 months can be an effective treatment strategy.

• #77 Successful treatment of primary headache associated with sexual activity using erenumab: Case report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9109243/

  Primary headache associated with sexual activity is a rare benign headache disorder that is provoked by sexual excitement. […] Several acute and prophylactic options with good clinical response have been described in the case series. […] The most commonly reported preventive treatments are indomethacin and triptans 3060 minutes prior to sexual activity and beta-blockers (such as propranolol, metoprolol, nadolol). […] Monoclonal antibodies (MAbs) targeting calcitonin gene-related peptide (CGRP) or its receptors have not been previously described as a treatment option for HSA. […] This resulted not only in migraine improvement but also in HSA remission. […] Anti-CGRP acting medications could be effective in preventing HSA.

• #78 Sexual headaches: case report, review, and treatment with calcium blocker – PubMed

  https://pubmed.ncbi.nlm.nih.gov/2071390/

  A case is reported in which a patient with sexual and orgasmic headaches was treated successfully with a calcium channel blocker, diltiazem. […] To the best of our knowledge, this is the first case of successful treatment of sexual headaches with calcium channel blockers reported in the English medical literature. […] The literature on sexually related headaches is reviewed, and classification, evaluation, differential diagnosis, pathophysiology, differential diagnosis, and treatment of sexual headaches are discussed.

• #79 Successful treatment of primary headache associated with sexual activity using erenumab: Case report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9109243/

  Primary headache associated with sexual activity is a rare benign headache disorder that is provoked by sexual excitement. […] Several acute and prophylactic options with good clinical response have been described in the case series. […] The most commonly reported preventive treatments are indomethacin and triptans 3060 minutes prior to sexual activity and beta-blockers (such as propranolol, metoprolol, nadolol). […] Monoclonal antibodies (MAbs) targeting calcitonin gene-related peptide (CGRP) or its receptors have not been previously described as a treatment option for HSA. […] This resulted not only in migraine improvement but also in HSA remission. […] Anti-CGRP acting medications could be effective in preventing HSA.

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

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

  Calcium-channel blockers (eg, diltiazem 60 mg tds, nimodipine, nifedipine twice a day) have been helpful in some patients, particularly where cerebral vasoconstriction is the probable cause. […] One case report described benefit from erenumab in a patient with PHASA and migraines, where propranolol alone was ineffective in managing her PHASA. […] Another case report described benefit from spinal manipulation. […] Weight reduction, increase in exercise, taking the passive role in intercourse and avoidance of drugs which act as trigger factors are all thought to be helpful.

• #81 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 primary treatment is usually reassurance as the headaches are often not recurrent. Drug management can be offered. All of the following are supported by randomised trials or case reports: Propranolol – 40-240 mg a day. This can be used on a preventative basis. […] Indometacin – 25-75 mg a day can be used on an intermittent or regular basis. Use of indometacin 60 minutes before planned sexual activity showed benefit in 90% of patients. […] Triptans have been shown to be of some benefit in people unable to tolerate indometacin when used 60 minutes before planned sexual activity. […] Topiramate (50 g daily) may be another useful option.

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

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

  Calcium-channel blockers (eg, diltiazem 60 mg tds, nimodipine, nifedipine twice a day) have been helpful in some patients, particularly where cerebral vasoconstriction is the probable cause. […] One case report described benefit from erenumab in a patient with PHASA and migraines, where propranolol alone was ineffective in managing her PHASA. […] Another case report described benefit from spinal manipulation. […] Weight reduction, increase in exercise, taking the passive role in intercourse and avoidance of drugs which act as trigger factors are all thought to be helpful.

• #83 Headache and Migraine Impacting Your Sex Life? – The Headache Clinic — The Headache Clinic

  https://www.headacheclinic.co.nz/latest/sex-and-migraines

  But here’s some good news there are treatments for this kind of migraine. […] So, fixing the alignment of the neck becomes a crucial part of effective treatment. […] By focusing on treatments that target the brainstem’s sensitivity through the neck, we can not only manage the symptoms but also get to the root cause of many sexual-associated migraines. […] In summary, tackling sexual-associated migraines involves understanding their root causes and tailoring treatments to address both the brainstem and neck alignment.

• #84 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 usually benign, but occasionally are caused by intracranial hemorrhage and cerebral infarction, especially if the pain is sudden and severe. Most cases can be successfully treated with medication. […] A physician may recommend engaging in sexual activity less strenuously. Case series have found indomethacin and beta blockers to be successful in treating these headaches. Propranolol, Bellergal, and triptans have also been used with success. Anecdotal and indirect evidence suggests a trial of magnesium supplementation may improve symptoms (in subjects with known or suspected low Mg levels).

• #85 Sex Headaches: Symptoms, Causes, And Treatment | Glamour

  https://www.glamour.com/story/the-bizarre-side-effect-1-in-100-people-experience-during-sex

  If you or someone you love (having sex with) is dealing with sex headaches, it might help to chow down on magnesium-rich foods like almonds and cashews, dark leafy greens, avocado, and whole grains. „Lifestyle modifications may also help, like [lowering] blood pressure and drinking less alcohol,” says Ali. […] But no matter what, anyone who gets sex headaches should make a visit to the doctor. There are treatments a person can take as needed before engaging in sexual activity or on a daily basis,” says Ali.

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

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

  Orgasm headaches are typically benign. […] Treating your orgasm headache will depend on the cause. Sex headaches usually aren’t associated with an underlying condition, so taking a pain reliever should be enough to ease symptoms. Your doctor may also prescribe daily or as-needed medication to prevent the onset of sex headaches. […] Your doctor will determine the best course of treatment after identifying the root cause. This may mean starting or stopping medications, having surgery, draining fluids, or undergoing radiation therapy. […] If you have a history of sex headaches but don’t have an underlying condition, your doctor may prescribe a daily medication to help prevent future headaches.

• #87 Primary headache associated with sexual activity | MedLink Neurology

  https://www.medlink.com/articles/primary-headache-associated-with-sexual-activity

  Sexually related headache may be primary or secondary. In this article, the author updates the discussion of primary headache associated with sexual activity. This headache can start as a dull bilateral ache with increasing sexual excitement or suddenly become intense with orgasm. Neuroimaging studies of both brain parenchyma and cerebral vasculature are recommended for all patients to exclude secondary causes. On the first onset, subarachnoid hemorrhage must be ruled out. Reversible cerebral vasoconstriction syndrome should be considered until proven otherwise in those with multiple attacks of sexual headache. […] Evaluation of new-onset headache associated with sexual activity should exclude secondary causes. […] Prognosis of primary headache associated with sexual activity is good, with 69% of cases remitting at three years.

• #88 Primary headache associated with sexual activity | MedLink Neurology

  https://www.medlink.com/articles/primary-headache-associated-with-sexual-activity

  Sexually related headache may be primary or secondary. In this article, the author updates the discussion of primary headache associated with sexual activity. This headache can start as a dull bilateral ache with increasing sexual excitement or suddenly become intense with orgasm. Neuroimaging studies of both brain parenchyma and cerebral vasculature are recommended for all patients to exclude secondary causes. On the first onset, subarachnoid hemorrhage must be ruled out. Reversible cerebral vasoconstriction syndrome should be considered until proven otherwise in those with multiple attacks of sexual headache. […] Evaluation of new-onset headache associated with sexual activity should exclude secondary causes. […] Prognosis of primary headache associated with sexual activity is good, with 69% of cases remitting at three years.

• #89 Sex headaches | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/sex-headaches

  In some cases, your first sex headache may also be your only one. Some sex headaches improve rapidly, so the pain is gone before any pain reliever can work. […] If you have a history of sex headaches and there’s no underlying cause, your doctor may recommend that you take preventive medications regularly. These may include: […] Daily medications. Beta blockers, for example, propranolol (Inderal, Innopran XL) or metoprolol (Lopressor, Toprol-XL) which are used to treat high blood pressure, coronary artery disease and migraines may be taken daily to prevent sex headaches. They’re recommended only if you have frequent or prolonged attacks. A calcium channel blocker, such as verapamil hydrochloride (Calan SR) which is also used to treat high blood pressure may be an option. In people who have a history of migraine, other migraine preventive medications may be used. […] Occasional medications. Indomethacin, an anti-inflammatory, or one of the triptans, a class of anti-migraine medications, can be taken an hour before sex to prevent headaches.

• #90 Sex headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/sex-headaches

  In some cases, your first sex headache may also be your only one. Some sex headaches improve rapidly, so the pain is gone before any pain reliever can work. […] If you have a history of sex headaches and there’s no underlying cause, your doctor may recommend that you take preventive medications regularly. These may include: […] Daily medications. Beta blockers, for example, propranolol (Inderal, Innopran XL) or metoprolol (Lopressor, Toprol-XL) which are used to treat high blood pressure, coronary artery disease and migraines may be taken daily to prevent sex headaches. […] Occasional medications. Indomethacin, an anti-inflammatory, or one of the triptans, a class of anti-migraine medications, can be taken an hour before sex to prevent headaches.

• #91 Orgasmic Headaches – BioBalance Health

  https://biobalancehealth.com/orgasmic-headaches/

  It is frightening to be in the middle of a wonderful sexual experience, reach the point of orgasm, and then experience a blinding headache at the moment of release. […] If you suffer from headaches at the moment of orgasmic release, it is necessary to discuss it with your doctor and let them evaluate you for risks. You need to get a CT scan to assess this to rule out tumors and vascular abnormality. […] The overwhelming majority of individuals reporting these types of headaches (HSA) also report that they tend to disappear after a few weeks and they don’t get them again. […] There are treatments that can diminish or block these headaches with minimal or no side-effects, You do not have to swear off of sex because you are afraid of the pain or the potential for a stroke. The meds that are commonly used to treat HSAs are beta-blockers and NSAIDS (Motrin and other non steroidal anti inflammatory drugs)

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

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

  Treatment options for primary sex headaches include pretreatment with indomethacin, which is often effective in preventing these headaches. […] By seeking medical advice, exploring treatment options, and addressing any underlying concerns, individuals can empower themselves to manage and overcome these headaches, ultimately enjoying a fulfilling and satisfying sex life.

• #93 Sexual Headaches: What They Are and How to Get Rid of Them

  https://www.lovepanky.com/my-life/better-life/sexual-headaches-after-orgasm

  Sexual headaches are referred to as headaches associated with sexual activity, or HSA. […] If you are one of the unlucky ones who have recurring sex headaches post-O, you may want to consult your doctor to make sure there are no underlying issues. […] You can decrease your chance of a headache after orgasm by: […] Your doctor may also recommend the use of certain medications to ease your migraines. […] Effective treatments are readily available to help cure sex headaches, so don’t let your sex life give you a headache! If you’re suffering from any form of sexual headache, you need to get to the root of it ASAP so you can start enjoying your sex life again.

• #94 Sex Headache: What Is It, Causes, Prevention, Treatment | RoRoRo

  https://ro.co/health-guide/sex-headache/

  Sex headaches are usually harmless, but the symptoms can mimic more serious underlying conditions. […] That’s why it’s so important to know about what causes sex headaches, how to prevent them, and how you can treat them if they happen to you. […] The medication most commonly prescribed to treat sex headaches is indomethacin, a prescription-strength nonsteroidal anti-inflammatory drug (NSAID). […] For people who have recurring headaches with sexual activity, healthcare providers might order a preventative medication to be taken every day. […] You should absolutely see your healthcare provider after your first episode of a sex headache. […] Once your provider is sure that you have no underlying causes, you can work together to develop a treatment plan to keep them from coming back so sex headaches don’t get in the way of a satisfying sex life.

• #95 Orgasm Headache: Symptoms, Causes, and Treatment

  https://www.businessinsider.com/guides/health/sex-relationships/orgasm-headache

  Prescription medications that treat migraines like Sumatriptan may help prevent orgasm headaches if you take them an hour before having sex. […] Your doctor may also recommend a painkiller like Aleve to take a half-hour before sex, Ahmed says. […] Orgasm headaches can be a painful and frightening experience, but there are treatments that can help ease your symptoms.

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