Materiały źródłowe

• #1 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 commonly described as bilateral (on both sides of head) and often located occipitally (back of the head). Primary headache associated with sexual activity generally lasts from 1 minute to 24 hours with severe pain and up to 72 hours with mild pain. […] Studies have shown that up to 40% of all cases of primary headache associated with sexual activity run a chronic course over more than a year. […] 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.

• #2 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 symptoms can resemble significant causes of secondary headache including subarachnoid haemorrhage (and warning bleeds for subarachnoid haemorrhage) and reversible cerebral vasoconstriction syndromes. Neuroimaging is therefore needed to distinguish primary, benign causes of sexual headache from secondary, potentially life-threatening causes. […] Headache is precipitated by sexual activity, often beginning with a dull bilateral ache as sexual excitement increases. It suddenly becomes intense at orgasm, in the absence of any intracranial disorder. […] PHASA can be recurrent with bouts that self-resolve, may relapse and remit in some patients or be chronic in others, but may also only occur occasionally.

• #3 Headaches Associated With Sex Are No Joke

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

  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. […] 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. […] The following are the 3 main types of sex-related headaches:

• #4 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. You may notice a dull ache in the head and neck that builds up as sexual excitement increases. Or, more commonly, you may experience a sudden, severe headache just before or during orgasm. […] There are two types of sex headaches: A dull ache in the head and neck that intensifies as sexual excitement increases […] 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.

• #5 Sex headaches | UM Health-Sparrow

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

  In rare instances, headaches can be brought on by sexual activity especially with orgasm. You may notice a dull ache in the head and neck that builds up as sexual excitement increases. Or, more commonly, you may experience a sudden, severe headache just before or during orgasm. […] There are two types of sex headaches: A dull ache in the head and neck that intensifies as sexual excitement increases […] 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. […] Sex headaches associated with loss of consciousness, vomiting, stiff neck, other neurological symptoms and severe pain lasting more than 24 hours are more likely to be due to an underlying cause.

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

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

  The International Headache Society calls sex headaches a primary headache disorder and divides them into two subtypes (Bahra, 2020; Utku, 2013): Pre-orgasmic headaches usually present as a dull ache in the head and neck that gradually increases in severity as sexual excitement increases and the person approaches orgasm. About 20% of people with sex headaches experience these. […] Orgasmic headaches are a sudden onset of severe pain (similar to a thunderclap headache) immediately before or at the moment of orgasm. About 80% of sex headaches present this way. […] Sex headaches don’t usually occur with every sexual encounter and sometimes only happen with very specific types of sex. They can occur during sex with a partner or with masturbation. Some sex headache sufferers have reported only experiencing them while watching pornography or having an extramarital affair (Bahra, 2020).

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

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

  The International Headache Society calls sex headaches a primary headache disorder and divides them into two subtypes (Bahra, 2020; Utku, 2013): Pre-orgasmic headaches usually present as a dull ache in the head and neck that gradually increases in severity as sexual excitement increases and the person approaches orgasm. About 20% of people with sex headaches experience these. […] Orgasmic headaches are a sudden onset of severe pain (similar to a thunderclap headache) immediately before or at the moment of orgasm. About 80% of sex headaches present this way. […] Sex headaches don’t usually occur with every sexual encounter and sometimes only happen with very specific types of sex. They can occur during sex with a partner or with masturbation. Some sex headache sufferers have reported only experiencing them while watching pornography or having an extramarital affair (Bahra, 2020).

• #8 Everything You Wanted to Know About Sex and Migraine (But Were Afraid to Ask!) – Association of Migraine Disorders

  https://www.migrainedisorders.org/everything-you-wanted-to-know-about-sex-and-migraines-but-were-afraid-to-ask/

  It may start as a dull headache that builds with excitement. Or it can be suddenly intense, usually around the time of climax/orgasm. This is the more concerning form of orgasm headache. […] While usually harmless, it can be a sign of something more ominous, such as a problem with the blood vessels in the brain. […] For people who experience sex headache that starts intensely and suddenly, they should seek emergency medical care, especially if it’s their first time ever experiencing it, and/or if it is the worst headache of their life. […] It can be a sign of aneurysm (out-pouching of an artery), dissection (tear), or spasm of an artery (a condition called Reversible Cerebral Vasoconstriction Syndrome or RCVS for short). […] If the vessels are reassuringly normal on imaging, then orgasm headache is deemed “benign” or non-harmful. […] The other good news is that orgasm headache is usually limited: Half of patients with sex headache will have it for about 6 months after which it resolves and never returns. Some people only have one attack in their life.

• #9 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. […] An orgasm headache is one of two types of sex headaches. Youll know youre having an orgasm headache if you feel a sudden, severe, throbbing pain in your head before or during sexual release. […] Some people may experience both types of headaches at once. They usually last several minutes, but some headaches can continue for hours or even up to three days. […] 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. […] A sexual benign headache happens because the increase in sexual excitement causes the muscles to contract in your head and neck, resulting in head pain. A orgasm headache, on the other hand, occurs because of a spike in blood pressure that causes your blood vessels to dilate.

• #10 Headache Associated with Sexual Activity—A Narrative Review of Literature

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8400207/

  The pain is bilateral in two-thirds of patients, typically occipital or diffuse, and of a dull (47%), throbbing (47%), or stabbing (45%) quality. […] The etiopathogenesis of HAWSA is unknown. It was hypothesized that it is a form of vascular headache. The mechanism of action might be mainly due to trigeminal-vascular effect with a distinct muscular component. In addition, some factors such as hypertension, pre-existing migraine, and psychological features are thought to be important in the development of HAWSA. […] The most important diagnostic methods are magnetic resonance imaging (MRI), computed tomography of the brain (CT) and CT angiography (CTA). Lumbar puncture and CSF analysis may also be a useful diagnostic method. […] Primary headache associated with sexual activity usually does not present with other abnormalities, e.g., disturbances in consciousness, vomiting, or visual, sensory or motor symptoms, whereas secondary HAWSA can do so. When HAWSA first occurs, it is critical to exclude secondary causes of headache. The differential diagnosis of secondary HAWSA should include all potential causes of thunderclap headache, e.g., subarachnoid hemorrhage, arterial dissection, reversible cerebral vasoconstriction, cerebral ischemic or hemorrhagic stroke, and cerebral venous sinus thrombosis.

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

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

  An orgasm headache is a sudden, intense headache before or during an orgasm. It is also called a primary headache associated with sexual activity. […] A person may experience an orgasm headache just before or during sexual climax. These headaches can happen during masturbation or partnered sex. […] People typically experience orgasm headaches just before or during an orgasm. […] The pain may feel: intense, explosive, throbbing. […] An orgasm headache may be painful behind or around the eye area. […] The condition can often cause pain on both sides of the head. Moving around may make the pain worse. […] The pain can occur abruptly, and after it diminishes a person may feel a throbbing in their head, which can sometimes last for several hours or even days. […] Unlike migraine headaches, orgasm headaches do not usually occur with nausea or sensitivity to light or sound.

• #12 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. You may notice a dull ache in the head and neck that builds up as sexual excitement increases. Or, more commonly, you may experience a sudden, severe headache just before or during orgasm. […] There are two types of sex headaches: A dull ache in the head and neck that intensifies as sexual excitement increases […] 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.

• #13 Sex headaches | UM Health-Sparrow

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

  In rare instances, headaches can be brought on by sexual activity especially with orgasm. You may notice a dull ache in the head and neck that builds up as sexual excitement increases. Or, more commonly, you may experience a sudden, severe headache just before or during orgasm. […] There are two types of sex headaches: A dull ache in the head and neck that intensifies as sexual excitement increases […] 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. […] Sex headaches associated with loss of consciousness, vomiting, stiff neck, other neurological symptoms and severe pain lasting more than 24 hours are more likely to be due to an underlying cause.

• #14 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 commonly described as bilateral (on both sides of head) and often located occipitally (back of the head). Primary headache associated with sexual activity generally lasts from 1 minute to 24 hours with severe pain and up to 72 hours with mild pain. […] Studies have shown that up to 40% of all cases of primary headache associated with sexual activity run a chronic course over more than a year. […] 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.

• #15 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. You may notice a dull ache in the head and neck that builds up as sexual excitement increases. Or, more commonly, you may experience a sudden, severe headache just before or during orgasm. […] There are two types of sex headaches: A dull ache in the head and neck that intensifies as sexual excitement increases […] 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.

• #16 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 symptoms can resemble significant causes of secondary headache including subarachnoid haemorrhage (and warning bleeds for subarachnoid haemorrhage) and reversible cerebral vasoconstriction syndromes. Neuroimaging is therefore needed to distinguish primary, benign causes of sexual headache from secondary, potentially life-threatening causes. […] Headache is precipitated by sexual activity, often beginning with a dull bilateral ache as sexual excitement increases. It suddenly becomes intense at orgasm, in the absence of any intracranial disorder. […] PHASA can be recurrent with bouts that self-resolve, may relapse and remit in some patients or be chronic in others, but may also only occur occasionally.

• #17 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

  The unpredictable clinical course falls into 2 temporal patterns: an episodic course with remitting bouts, and a chronic course. In most cases the headaches occur in bouts that recur over periods of weeks to months before resolving. The episodic type is defined as a bout of at least 2 attacks occurring in 50% of sexual activity followed by no attack for 4 weeks despite continuing sexual activity. The chronic course is defined as ongoing HSA attacks for 12 months without remission of 4 weeks. Further uncertainty is experienced by the patient as HSA does not necessarily occur in every sexual encounter. A characteristic of HSA is the sporadic vulnerability of patients to the headache. Episodes can occur singly, in clusters or at irregular intervals. Recurrence can occur years later. The acute HSA attacks are usually short lasting but the overall duration of pain can vary widely. The mean duration of severe pain in HSA is similar (30 minutes) in type 1 and type 2 but the mean duration of milder pain is more prolonged with type 2 (4 hours vs 1 hour). About 15% of patients suffer from severe pain for 4 hours needing acute treatment. Severe pain continuing for 2-24 hours occurs in up to 25% of patients with HSA.

• #18 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

  The unpredictable clinical course falls into 2 temporal patterns: an episodic course with remitting bouts, and a chronic course. In most cases the headaches occur in bouts that recur over periods of weeks to months before resolving. The episodic type is defined as a bout of at least 2 attacks occurring in 50% of sexual activity followed by no attack for 4 weeks despite continuing sexual activity. The chronic course is defined as ongoing HSA attacks for 12 months without remission of 4 weeks. Further uncertainty is experienced by the patient as HSA does not necessarily occur in every sexual encounter. A characteristic of HSA is the sporadic vulnerability of patients to the headache. Episodes can occur singly, in clusters or at irregular intervals. Recurrence can occur years later. The acute HSA attacks are usually short lasting but the overall duration of pain can vary widely. The mean duration of severe pain in HSA is similar (30 minutes) in type 1 and type 2 but the mean duration of milder pain is more prolonged with type 2 (4 hours vs 1 hour). About 15% of patients suffer from severe pain for 4 hours needing acute treatment. Severe pain continuing for 2-24 hours occurs in up to 25% of patients with HSA.

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

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

  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. […] Sex headaches can affect anyone. But risk factors for these headaches include: Being male. Men are more prone to having sex headaches. […] History of migraines. Being prone to migraines increases your risk of sex headaches. […] Sometimes sex headaches can be prevented by stopping sexual activity before orgasm. Taking a more passive role during sex also may help.

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

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

  Doctors do not know what causes orgasm headaches, but they may be a type of vascular headache. These result from blood vessels swelling in the brain. […] When a person has an orgasm, their blood pressure increases rapidly. This surge in pressure causes blood vessels in the head to dilate quickly, which can trigger sudden, intense headaches in some people. […] Anyone can experience orgasm headaches. However, males are up to four times more likely to experience primary headaches associated with sexual activity than females. […] The mean age of onset is 39.2 years, though they can begin earlier or later. […] People with a history of migraine headaches, exertional headaches, or cough headaches may be more likely to get orgasm headaches. […] If a person experiences orgasm headaches, it is best to contact a doctor to discuss how best to manage them.

• #21 Headache Associated with Sexual Activity—A Narrative Review of Literature

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8400207/

  Headache associated with sexual activity can run in families. One study described four sisters suffering from this type of pain. Another study described two cases of familial primary HAWSA suffered by a mother and daughter. These reports suggest the existence of a genetic factor that could determine the familial occurrence of the condition. […] The duration of the headache varies from person to person. It can last as long as a few minutes, or as long as 224 h in more severe cases. In HAWSA of milder severity, it can last up to 72 h. The common denominator in all cases is intense pain during the first 5 to 15 min, then gradually decreasing. The duration of pain is usually longer in headache with onset during orgasm than in a headache preceding it. Nausea and phono- or photophobia are rather rare.

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

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

  Doctors do not know what causes orgasm headaches, but they may be a type of vascular headache. These result from blood vessels swelling in the brain. […] When a person has an orgasm, their blood pressure increases rapidly. This surge in pressure causes blood vessels in the head to dilate quickly, which can trigger sudden, intense headaches in some people. […] Anyone can experience orgasm headaches. However, males are up to four times more likely to experience primary headaches associated with sexual activity than females. […] The mean age of onset is 39.2 years, though they can begin earlier or later. […] People with a history of migraine headaches, exertional headaches, or cough headaches may be more likely to get orgasm headaches. […] If a person experiences orgasm headaches, it is best to contact a doctor to discuss how best to manage them.

• #23 Headache Associated with Sexual Activity—A Narrative Review of Literature

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8400207/

  According to the ICHD-3, diagnostic criteria for HAWSA include at least two episodes of pain in the head and/or neck fulfilling the following criteria: (1) the headache is brought on by and occurring only during sexual activity, (2) the pain in the head increases in intensity with increasing sexual arousal, and/or it has abrupt explosive intensity just before or with orgasm, (3) the pain lasts from one minute to 24 h with severe intensity and/or up to 72 h with mild intensity, (4) the pain cannot be better accounted for by another ICHD-3 diagnosis. […] Epidemiological studies have shown that HAWSA occurs in 11.6% of the population of all sexually active ages, more commonly in men a male to female ratio of 1.24:1, who are middle-aged, in poor physical shape, mild to moderately overweight and mild to moderately hypertensive. The mean age of onset is 39.2 (11.1) years, and it has two peaks: the first between 20 and 24 years of age, and the second between 35 and 44 years of age. However, symptoms can occur at a very young age: a boy has been described who first experienced HAWSA at the age of 12 years. It occurred with his first sexual experiences (masturbation, orgasm), suggesting that the headache was not the result of learning or behavioral conditioning.

• #24 Headache Associated with Sexual Activity—A Narrative Review of Literature

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8400207/

  For patients who have been diagnosed with a primary headache during sexual activity, conservative, pharmacologic, or surgical management may be recommended. Conservative management consists of sexual restraint (usually for 3 months). Many patients can stop the headache or reduce its intensity by taking a more passive role during coitus. […] The exact pathophysiologic relationship between headache and sexual activity is still debated. HAWSA may be accompanied by other complaints, such as migraine, hypnic headache or hemicrania continua. There may be a common pathophysiological mechanism for these complaints, but this has not been identified to date.

• #25 Sex headaches | UM Health-Sparrow

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

  In rare instances, headaches can be brought on by sexual activity especially with orgasm. You may notice a dull ache in the head and neck that builds up as sexual excitement increases. Or, more commonly, you may experience a sudden, severe headache just before or during orgasm. […] There are two types of sex headaches: A dull ache in the head and neck that intensifies as sexual excitement increases […] 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. […] Sex headaches associated with loss of consciousness, vomiting, stiff neck, other neurological symptoms and severe pain lasting more than 24 hours are more likely to be due to an underlying cause.

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

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

  Treating your orgasm headache will depend on the cause. Sex headaches usually arent associated with an underlying condition, so taking a pain reliever should be enough to ease symptoms. […] If your sex headache is accompanied by neurological problems such as a stiff neck or vomiting, it could mean youre dealing with: brain hemorrhage, stroke, tumor, bleeding into the spinal fluid, aneurysm, coronary heart disease, inflammation, medication side effects. […] Orgasm headaches are normal and usually nothing to worry about. However, a sex headache can sometimes be a symptom of an underlying condition. You should see your doctor if its your first-ever sex headache or if it begins abruptly. […] An orgasm headache often doesnt last long. Many people only experience a sex headache once and never again.

• #27 Primary Sexual Headaches – Not a Joke! Information, Symptoms, and Causes | Yoxly Store

  https://yoxly.com/blogs/yoxly-news/primary-sexual-headaches-not-a-joke-information-symptoms-and-causes

  The symptoms of sex headaches differ according to their cause. But in general, if you experience any other symptoms during a sex headache, then it could be due to an underlying condition. Concerning symptoms that may accompany a sex headache and could indicate something more serious include: Loss of consciousness: Bleeding or blood clots in the brain could cause you to pass out. Nausea or vomiting: Bleeding in the brain increases the pressure in your skull and may cause you to experience nausea or vomiting. Neck pain or stiffness: Bleeding in the brain or dissection of arteries that supply the brain may cause your neck to hurt or feel stiff. Double vision: If there’s damage to the nerves that play a role in moving the muscles that control eye movements, you might experience double vision. Numbness or weakness: Bleeding or blood clots in the brain can cause numbness and weakness in other areas of the body.

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

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

  Treating your orgasm headache will depend on the cause. Sex headaches usually arent associated with an underlying condition, so taking a pain reliever should be enough to ease symptoms. […] If your sex headache is accompanied by neurological problems such as a stiff neck or vomiting, it could mean youre dealing with: brain hemorrhage, stroke, tumor, bleeding into the spinal fluid, aneurysm, coronary heart disease, inflammation, medication side effects. […] Orgasm headaches are normal and usually nothing to worry about. However, a sex headache can sometimes be a symptom of an underlying condition. You should see your doctor if its your first-ever sex headache or if it begins abruptly. […] An orgasm headache often doesnt last long. Many people only experience a sex headache once and never again.

• #29 Sexual headache – Wikipedia

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

  Sudden, severe headaches during sexual activity may also be caused by intracerebral hemorrhage, subarachnoid hemorrhage, or cerebral infarction, which require immediate medical attention. […] For some patients, the headaches may be related to general exertion. About 40% of patients with sexual headaches in one study also experienced headaches from non-sexual exertion. A pressor response to exercise has been suggested as a mechanism. For other patients, the pain appears to be specifically activated by sexual excitement and contraction of facial and neck muscles. […] These headaches are estimated to appear in roughly 1% of the population. They can occur with sexual activity at any age. It is more common in men than women, with studies putting the gender ratio between 1.2:1 and 3:1.

• #30 Everything You Wanted to Know About Sex and Migraine (But Were Afraid to Ask!) – Association of Migraine Disorders

  https://www.migrainedisorders.org/everything-you-wanted-to-know-about-sex-and-migraines-but-were-afraid-to-ask/

  It may start as a dull headache that builds with excitement. Or it can be suddenly intense, usually around the time of climax/orgasm. This is the more concerning form of orgasm headache. […] While usually harmless, it can be a sign of something more ominous, such as a problem with the blood vessels in the brain. […] For people who experience sex headache that starts intensely and suddenly, they should seek emergency medical care, especially if it’s their first time ever experiencing it, and/or if it is the worst headache of their life. […] It can be a sign of aneurysm (out-pouching of an artery), dissection (tear), or spasm of an artery (a condition called Reversible Cerebral Vasoconstriction Syndrome or RCVS for short). […] If the vessels are reassuringly normal on imaging, then orgasm headache is deemed “benign” or non-harmful. […] The other good news is that orgasm headache is usually limited: Half of patients with sex headache will have it for about 6 months after which it resolves and never returns. Some people only have one attack in their life.

• #31 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

  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. It is usually better if there has been only one attack, especially if it was not associated with any other type of headache. Frese concluded that episodic HSA occurs in approximately 75% and chronic HSA in approximately 25% of patients. However even in chronic HSA, the prognosis is favourable, with remission rates of 69% in patients followed over 3 years.

• #32 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

  The unpredictable clinical course falls into 2 temporal patterns: an episodic course with remitting bouts, and a chronic course. In most cases the headaches occur in bouts that recur over periods of weeks to months before resolving. The episodic type is defined as a bout of at least 2 attacks occurring in 50% of sexual activity followed by no attack for 4 weeks despite continuing sexual activity. The chronic course is defined as ongoing HSA attacks for 12 months without remission of 4 weeks. Further uncertainty is experienced by the patient as HSA does not necessarily occur in every sexual encounter. A characteristic of HSA is the sporadic vulnerability of patients to the headache. Episodes can occur singly, in clusters or at irregular intervals. Recurrence can occur years later. The acute HSA attacks are usually short lasting but the overall duration of pain can vary widely. The mean duration of severe pain in HSA is similar (30 minutes) in type 1 and type 2 but the mean duration of milder pain is more prolonged with type 2 (4 hours vs 1 hour). About 15% of patients suffer from severe pain for 4 hours needing acute treatment. Severe pain continuing for 2-24 hours occurs in up to 25% of patients with HSA.

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

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

  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. […] Many patients will experience only one episode but the condition may be recurrent. The official diagnosis requires a minimum of two episodes to have occurred. In one study, out of 45 patients who had experienced single attacks or bouts prior to baseline examination, 37 had no further attacks. Seven patients experienced at least one further bout with an average duration of 2.1 months. One patient developed a chronic course of the disease after an episodic start. In 69% of patients experiencing recurrent PHASA the condition resolved completely over three years.

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

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

  Sex headaches are harmless, but since they can mimic other serious medical conditions, you should have a medical workup after your first sex headache to be certain it’s nothing more serious (Redelman, 2010). […] Most sex headaches go away on their own without treatment. They typically last only a few hours at the most. Many people only have one episode, while others may have them every few months or years (Bahra, 2020). […] 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. […] These medications work very well—about 80% of people have good success with preventative medications, especially when taken for about 3–6 months.

• #35 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. You may notice a dull ache in the head and neck that builds up as sexual excitement increases. Or, more commonly, you may experience a sudden, severe headache just before or during orgasm. […] There are two types of sex headaches: A dull ache in the head and neck that intensifies as sexual excitement increases […] 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.

• #36 Sex headaches | UM Health-Sparrow

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

  In rare instances, headaches can be brought on by sexual activity especially with orgasm. You may notice a dull ache in the head and neck that builds up as sexual excitement increases. Or, more commonly, you may experience a sudden, severe headache just before or during orgasm. […] There are two types of sex headaches: A dull ache in the head and neck that intensifies as sexual excitement increases […] 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. […] Sex headaches associated with loss of consciousness, vomiting, stiff neck, other neurological symptoms and severe pain lasting more than 24 hours are more likely to be due to an underlying cause.

• #37 Headaches Associated With Sex Are No Joke

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

  Sexual activity is comparable to mild- to moderate-intensity exercise, he noted. […] Headaches associated with sexual activity can be extremely painful and scary, Biller said. They also can be very frustrating, both to the individual suffering the headache and to the partner. […] 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. […] Headaches usually are caused by disorders such as migraines or tension, and the vast majority of headaches associated with sexual activity are benign. But headaches also can be secondary to other life-threatening conditions. In a small percentage of cases, these headaches can result from a serious underlying condition, such as a hemorrhage, brain aneurysm, stroke, cervical artery dissection, or subdural hematoma.

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

  https://www.bangkokhospital.com/en/bangkok-bone-brain/content/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. Many couples consider such headaches normal during sex, but overlooking them and lacking timely check-ups can be more serious than thought. […] Sexual headache is a type of headache that can occur during sexual activity, whether it be before, during intercourse, masturbation, or even oral sex. The duration of the headache varies among individuals, which can affect family life and lead to health problems if not treated promptly. […] Headaches that may occur during sexual activity can be divided into 2 types: […] Headache nearing climax will have a dull, heavy sensation at the back of the head. The headache is usually not severe, but if the sexual activity increases in intensity, the headache can worsen.

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

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

  Interestingly, this type of headache tends to resolve with repeated sexual activity. The problem is it’s such an uncomfortable headache and so disabling in severity that it makes people very reluctant to want to engage in sexual activity after an episode. […] Any kind of headache attack that comes on very suddenly, where it reaches maximal pain intensity within seconds, is one where healthcare practitioners are concerned about potential vascular causes or increased brain pressure. The first time a primary sex headache happens, it’s important to seek medical advice and consider evaluation by a healthcare provider to rule out secondary vascular causes or other causes. […] Primary sex headaches are more common than many realize and can be both inconvenient and scary. These headaches occur only during sexual activity and can be characterized by increasing intensity with sexual excitement or a sudden, explosive intensity just before or with orgasm. While the exact cause is not fully understood, it is believed to be related to the release of specific chemicals during sex.

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

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

  If experiencing a sudden, severe headache during sexual activity, it is important to seek medical advice, particularly if it is the first occurrence or if there are accompanying symptoms such as stiff neck, back pain, fever, or persistent severe pain. Openly discussing primary sex headaches with a healthcare provider is essential for proper diagnosis and management.

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

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

  Sex headache attacks tend to last a few hours at most. They frequently come in bouts, sometimes with months or even years between attacks. Unlike migraines, there are rarely any other symptoms besides headaches (Bahra, 2020). […] Medical researchers don’t exactly know what causes sex headaches, but they have come up with many theories over the years. […] Some of the causes of sex headaches that have been proposed include (Cutrer, 2020): They may be caused by clenching the neck and jaw muscles during sex. […] It could be due to increased blood pressure and heart rate that happens during orgasm. […] They may be a variant of migraines. […] They may be related to exertional headaches (headaches that happen with exercise). […] We don’t know if any of these are correct, but sex headaches tend to occur more frequently in people who also have a history of migraines or exertional headaches (Cutrer, 2020).

• #42 Everything You Wanted to Know About Sex and Migraine (But Were Afraid to Ask!) – Association of Migraine Disorders

  https://www.migrainedisorders.org/everything-you-wanted-to-know-about-sex-and-migraines-but-were-afraid-to-ask/

  Whether you have migraine or not, some people experience a rare headache disorder called Sex Headache. […] The formal name of this condition is Headache Associated with Sexual activity. […] In two-thirds of people who experience sex headache the pain occurs on both sides of the head rather than one side of the head. […] In 80% of people, the pain is either widespread or located on the back of the head (occipital region). […] It usually lacks migraine features and is described as very intense pressure, the feeling as if one’s head might explode. […] According to a paper published in 2010, Sex Headache occurs four times more often in men, and they are usually in their 40s when it first happens. […] People with a history of migraine, exertional headaches, or cough headaches may be more likely to get orgasm headaches.

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

  https://www.bangkokhospital.com/en/bangkok-bone-brain/content/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. Many couples consider such headaches normal during sex, but overlooking them and lacking timely check-ups can be more serious than thought. […] Sexual headache is a type of headache that can occur during sexual activity, whether it be before, during intercourse, masturbation, or even oral sex. The duration of the headache varies among individuals, which can affect family life and lead to health problems if not treated promptly. […] Headaches that may occur during sexual activity can be divided into 2 types: […] Headache nearing climax will have a dull, heavy sensation at the back of the head. The headache is usually not severe, but if the sexual activity increases in intensity, the headache can worsen.

• #44 Headaches Associated With Sex Are No Joke

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

  Sexual activity is comparable to mild- to moderate-intensity exercise, he noted. […] Headaches associated with sexual activity can be extremely painful and scary, Biller said. They also can be very frustrating, both to the individual suffering the headache and to the partner. […] 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. […] Headaches usually are caused by disorders such as migraines or tension, and the vast majority of headaches associated with sexual activity are benign. But headaches also can be secondary to other life-threatening conditions. In a small percentage of cases, these headaches can result from a serious underlying condition, such as a hemorrhage, brain aneurysm, stroke, cervical artery dissection, or subdural hematoma.

• #45 Sexual headache – Wikipedia

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

  Sudden, severe headaches during sexual activity may also be caused by intracerebral hemorrhage, subarachnoid hemorrhage, or cerebral infarction, which require immediate medical attention. […] For some patients, the headaches may be related to general exertion. About 40% of patients with sexual headaches in one study also experienced headaches from non-sexual exertion. A pressor response to exercise has been suggested as a mechanism. For other patients, the pain appears to be specifically activated by sexual excitement and contraction of facial and neck muscles. […] These headaches are estimated to appear in roughly 1% of the population. They can occur with sexual activity at any age. It is more common in men than women, with studies putting the gender ratio between 1.2:1 and 3:1.

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

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

  Coital cephalgia can be considered an exertion headache or a headache related to overexertion and exercise. The exact cause of coital cephalgia has not been identified yet; however, it is attributed to the rise in blood pressure and tension in the muscles experienced during sex. As the blood pressure increases, the pressure in the head also increases, causing the dull pain felt on the base of the skull. Although it is rare, headaches experienced during and after sex may be a symptom of something worse. Aneurysms, tumors, meningitis, strokes, bleeding in the skull, and several endocrine disorders can also trigger sex headaches. In cases where doctors suspect any of the serious illnesses to be the trigger of the headache, an MRI or CT scan may be ordered to determine if it is indeed a symptom of something more dangerous. […] Most of the time, the first time you experience coital cephalgia is also your last; 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.

• #47 Sex headaches – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/sex-headaches/diagnosis-treatment/drc-20377481

  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. […] 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. […] 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.

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