Materiały źródłowe

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

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

  Sex headache is quite rare, with just 1 to 6 percent of the general population getting affected, according to a 2013 published by the US National Library of Medicine. […] In many cases, orgasm headaches are considered to be benign and not indicative of an underlying health problem. However, it is essential to rule out any secondary causes, especially if the headaches are severe, recurrent or accompanied by neurological symptoms. If you experience orgasm headaches or any concerning symptoms, you need to get yourself checked. […] 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. […] 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.

• #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. […] 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. Treatment, when necessary, is usually indomethacin and/or propranolol.

• #3 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/

  Around 60% of people with migraine reported an improvement of their headaches with sexual activity. […] Unfortunately, about one-third of people with migraine who answered the survey found their headaches worsened with sexual activity. […] The formal name of this condition is Headache Associated with Sexual activity. […] 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. […] If the vessels are reassuringly normal on imaging, then orgasm headache is deemed “benign” or non-harmful. Luckily, there are some good treatment options for it, such as pre-treating 30 minutes before sex with non-steroidal anti-inflammatory drugs.

• #4 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. […] 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. Treatment, when necessary, is usually indomethacin and/or propranolol.

• #5 Ponytail, sex headache and other primary headaches

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

  Dr. Katy Munro [00:15:14] Yeah. So moving on. Were going to talk about sex now, arent we? I think this is the first time weve done this on the podcast, isnt it? […] Dr. Katy Munro [00:15:22] So theres one thing we have talked about and thats- weve talked about the importance of seeking help if you had any of the red flags. I think that was in the Do I need a scan? Episode right at the very beginning. And the people who are having a headache that comes on for the very first time when theyre having sexual activity, always need to go and get that checked out. I think thats a real red flag. To make sure that its not caused by an underlying brain haemorrhage, like a subarachnoid or something like that. So if youve never had a headache when youre having sex before and you suddenly get one, dont ignore it and think, Oh, well, Ill see how I go over the next few days. You do need to go and get that checked out. And that involves casualty or the emergency unit of your local hospital and talking to the doctors about whether you need a scan or more investigations. Would you agree?

• #6 Orgasm Headaches: Why Do They Happen?

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

  Sex-induced headaches are medically known as headaches associated with sexual activity (HAS). Theyre a type of exertion headache, which can happen with sudden or intense physical activity (think running, lifting weights or even sneezing). […] If possible, its better to prevent sex headaches than treat them once theyve already started, Dr. Galvez-Jimenez advises. […] But if you know you get sex headaches, try to prevent them by taking an over-the-counter pain reliever (or migraine medication, if you have it) about 30 minutes before sexual activity.

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

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

  You should absolutely see your healthcare provider after your first episode of a sex headache. While sex headaches are harmless, it’s important to rule out other, more serious conditions. Your provider may refer you to a neurologist for a comprehensive exam, which may include different types of tests to rule out any life-threatening or otherwise serious conditions. […] 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.

• #8 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. […] 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.

• #9 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. 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.

• #10 Sex headaches | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/sex-headaches?content_id=CON-20377462

  Sometimes sex headaches can be prevented by stopping sexual activity before orgasm. Taking a more passive role during sex also may help. […] 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.

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

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

  Prevention of PHASA: 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. […] 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. […] 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.

• #12 Sex headaches | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/sex-headaches?content_id=CON-20377462

  Sometimes sex headaches can be prevented by stopping sexual activity before orgasm. Taking a more passive role during sex also may help. […] 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.

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

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

  Prevention of PHASA: 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. […] 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. […] 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.

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

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

  Prevention of PHASA: 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. […] 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. […] 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.

• #15 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.

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

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

  It’s become a familiar cliche to joke about sex and headaches. The typical trope is a wife rejecting her husband’s advances by saying, “not tonight, honey, I have a headache.” However, headaches associated with sexual activity are very real, not very funny if you’ve ever experienced one, and they happen to be more common in men. […] 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. […] For people who have recurring headaches with sexual activity, healthcare providers might order a preventative medication to be taken every day. Some medications include the following: Indomethacin can stop a headache or be taken daily to prevent them if it doesn’t cause any stomach issues. […] These medications work very well—about 80% of people have good success with preventative medications, especially when taken for about 3–6 months. Your provider will likely tell you to stop the medication at that point to see if the headaches have gone into remission.

• #17 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  Behavioral treatments, such as relaxation training, thermal biofeedback combined with relaxation training, electromyographic biofeedback, and cognitive behavior therapy, are effective options for migraine prevention. […] Once the need for prophylactic treatment is established, adhering to the following consensus-based principles of care may improve the success of preventive therapy. […] Start therapy with medications that have the highest level of evidence-based effectiveness. […] Allow an adequate trial for each treatment. The patient may see improvement in six to eight weeks, but it may take up to six months for full effect. […] If headaches are controlled for at least six to 12 months, consider slowly tapering and discontinuing therapy. […] Several medications have been studied for the prevention of episodic migraines. Based on guidelines from the American Headache Society and the American Academy of Neurology, agents with the most quality evidence to support their use should generally be considered first for migraine prevention.

• #18 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. 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.

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

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

  Prevention of PHASA: 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. […] 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. […] 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.

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

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

  Headaches associated with sexual activity can be prevented or eased by ceasing activity before orgasm. […] Propanolol hydrochloride (Inderal) is effective in the prophylaxis of HSA. […] Naratriptan 2.5mg has been reported as useful prior to sexual activity but due to lower absorption rates needs to be taken more than 60 minutes before sexual activity. […] Indomethacin 25-100mg can be taken 30-60 minutes prior to sexual activity and for acute severe pain management but can cause serious gastrointestinal side-effects and is not tolerated by about 10% of headache patients. […] Long term prophylaxis for longer lasting bouts or continued attacks options include indomethacin 25mg three times a day, propanolol 120-240mg per day, metoprolol 100-200 mg per day and diltiazem 180 mg per day. […] A brief sexual history will outline the love-making practice and modification to sexual positions, especially where neck tension is exaggerated, may help. […] Avoiding sexual activity and strenuous activities until totally symptom free has been recommended by some.

• #21 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. The exact cause is unclear, but some medications may help. […] If a person experiences orgasm headaches, it is best to contact a doctor to discuss how best to manage them. Treatment options for orgasm headaches can include prescription medications such as triptans. Taking triptans before sexual intercourse may prevent orgasm headaches in up to 50% of cases. […] It is best for anybody who experiences orgasm headaches to contact their doctor for an evaluation. The doctor can recommend medications to help treat or prevent headaches.

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

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

  Headaches associated with sexual activity can be prevented or eased by ceasing activity before orgasm. […] Propanolol hydrochloride (Inderal) is effective in the prophylaxis of HSA. […] Naratriptan 2.5mg has been reported as useful prior to sexual activity but due to lower absorption rates needs to be taken more than 60 minutes before sexual activity. […] Indomethacin 25-100mg can be taken 30-60 minutes prior to sexual activity and for acute severe pain management but can cause serious gastrointestinal side-effects and is not tolerated by about 10% of headache patients. […] Long term prophylaxis for longer lasting bouts or continued attacks options include indomethacin 25mg three times a day, propanolol 120-240mg per day, metoprolol 100-200 mg per day and diltiazem 180 mg per day. […] A brief sexual history will outline the love-making practice and modification to sexual positions, especially where neck tension is exaggerated, may help. […] Avoiding sexual activity and strenuous activities until totally symptom free has been recommended by some.

• #23 Does Sex Ease Migraine Attacks or Trigger Them?

  https://www.everydayhealth.com/pain-management/headache/sex-cure-or-trigger-for-migraine.aspx

  When sex or an orgasm directly causes a headache, thats known as a sex headache, according to the Mayo Clinic. A sex headache can develop in someone with or without migraine, and can be brought on by any type of sexual activity. […] If your doctor rules out other potential causes of a headache that occurs during sexual activity, a sex headache may be treated using certain drugs, including indomethacin, triptans, and propranolol. Talk to your doctor about the potential risks and benefits of different treatments for a sex headache. […] Depending on your situation, here are some tips that could help improve your sex life or ease your migraine pain. […] Keep in mind that sex is only one possible trigger or remedy for a migraine attack. Talk to your doctor about other ways to help keep migraine pain at bay.

• #24 Exercise-Induced Headaches: Prevention, Management, and Treatment

  https://www.uspharmacist.com/article/exerciseinduced-headaches-prevention-management-and-treatment

  Patients who experience headache upon strenuous physical activity (exertional headache) may find it difficult to exercise at sufficient durations or intensities. […] First-line therapy for exercise headache is the implementation of appropriate prevention strategies. Since most exercise headaches are caused by a combination of factors, athletes should be mindful of the variety of prevention mechanisms available. […] Proper intensity and duration of warm-up are crucial in preventing headaches related to exercise. […] Although guidelines for the prevention of migraines and headaches do not address potential prophylactic options for exertional headaches, application of these guidelines to exertional headaches may still provide viable options and benefits for these patients. […] Magnesium: Guidelines classify magnesium as probably effective for migraine prevention and note that it should be considered.

• #25 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).

• #26 Exercise-Induced Headaches: Prevention, Management, and Treatment

  https://www.uspharmacist.com/article/exerciseinduced-headaches-prevention-management-and-treatment

  Patients who experience headache upon strenuous physical activity (exertional headache) may find it difficult to exercise at sufficient durations or intensities. […] First-line therapy for exercise headache is the implementation of appropriate prevention strategies. Since most exercise headaches are caused by a combination of factors, athletes should be mindful of the variety of prevention mechanisms available. […] Proper intensity and duration of warm-up are crucial in preventing headaches related to exercise. […] Although guidelines for the prevention of migraines and headaches do not address potential prophylactic options for exertional headaches, application of these guidelines to exertional headaches may still provide viable options and benefits for these patients. […] Magnesium: Guidelines classify magnesium as probably effective for migraine prevention and note that it should be considered.

• #27 Exercise-Induced Headaches: Prevention, Management, and Treatment

  https://www.uspharmacist.com/article/exerciseinduced-headaches-prevention-management-and-treatment

  Riboflavin and CoQ10: Both riboflavin and ubiquinone (coenzyme Q10, or CoQ10) were shown to decrease migraine frequency compared with placebo and are preventive options for exercise-induced migraines. […] Feverfew: Feverfew is another option, and several studies support its use for headaches. […] Indomethacin is the first-line choice for short-term treatment of exercise-induced headache. […] Indomethacin may be taken either on an as-needed basis prior to a known exertional trigger or as scheduled dosing for headache prophylaxis. […] When long-term or daily headache prophylaxis is needed, beta-blockers are recommended. […] Triptans are another treatment option, particularly when there is a known exertional trigger that cannot be avoided or when the patient does not tolerate indomethacin.

• #28 Exercise-Induced Headaches: Prevention, Management, and Treatment

  https://www.uspharmacist.com/article/exerciseinduced-headaches-prevention-management-and-treatment

  Riboflavin and CoQ10: Both riboflavin and ubiquinone (coenzyme Q10, or CoQ10) were shown to decrease migraine frequency compared with placebo and are preventive options for exercise-induced migraines. […] Feverfew: Feverfew is another option, and several studies support its use for headaches. […] Indomethacin is the first-line choice for short-term treatment of exercise-induced headache. […] Indomethacin may be taken either on an as-needed basis prior to a known exertional trigger or as scheduled dosing for headache prophylaxis. […] When long-term or daily headache prophylaxis is needed, beta-blockers are recommended. […] Triptans are another treatment option, particularly when there is a known exertional trigger that cannot be avoided or when the patient does not tolerate indomethacin.

• #29 Exertion Headaches (Exercise Headaches): Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/21959-exertion-headaches

  The best way to prevent exercise-induced headaches is to avoid the activity that triggers them. […] But if that’s not realistic, you can try different strategies to lower the chances. For example: Avoid activity in extreme temperatures, too hot or too cold. Don’t work out in altitudes you’re not used to. Drink plenty of water so you are well-hydrated. Get enough rest every day, including eight hours of sleep. Mix up your exercise routine. Try another type of activity and see if it triggers a headache. Warm up and cool down properly, and build intensity slowly over time. Wear sunglasses if it’s bright outside and moisture-wicking clothes if it’s hot. Eat a healthy diet, and avoid processed foods or foods with preservatives in them. […] Some studies suggest that certain supplements can help prevent exertional headaches, such as: Coenzyme Q10. Feverfew. Magnesium. Riboflavin (vitamin B2). Boswellia (a natural anti-inflammatory if indomethacin is not well-tolerated).

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

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

  Sometimes sex headaches can be prevented by stopping sexual activity before orgasm. Taking a more passive role during sex also may help.

• #31 Sex headaches | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/sex-headaches?content_id=CON-20377462

  Sometimes sex headaches can be prevented by stopping sexual activity before orgasm. Taking a more passive role during sex also may help. […] 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.

• #32 Sex headaches | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/sex-headaches?content_id=CON-20377462

  Sometimes sex headaches can be prevented by stopping sexual activity before orgasm. Taking a more passive role during sex also may help. […] 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.

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

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

  Headaches may be prevented in some patients by weight loss, an exercise program, a more passive role during intercourse, variation in positions, limitation of sexual activity during a given day, and drug therapy. […] 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.

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

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

  Headaches may be prevented in some patients by weight loss, an exercise program, a more passive role during intercourse, variation in positions, limitation of sexual activity during a given day, and drug therapy. […] 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.

• #35 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/

  People having a history of sex headaches are suggested to consult their doctors who may prescribe medications to help prevent such headaches. […] Apart from taking medication, there is nothing much one can do to prevent a sex headache. […] 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.

• #36 Ponytail, sex headache and other primary headaches

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

  Dr. Jessica Briscoe [00:20:59] You can actually give some things to help as well. So if people are getting them quite frequently. You can use the beta blockers like propranolol or atenolol as a preventative. Or you can try some medications prior to sexual activity as well. So the triptans, like we use in migraine and cluster headache conditions, can be used before sex or you can try indomethacin again an hour or so before sex, as long as there arent any reasons not to take it, you know, any gastric issues that would keep people from taking it.

• #37 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.

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

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

  Prevention of PHASA: 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. […] 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. […] 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.

• #39 Headache prevention – Catch it before it starts | Evergreen Life

  https://www.evergreen-life.co.uk/health-wellbeing-library/headache-prevention/

  4. Sex headaches Rarely, sexual activity, especially involving orgasm, can cause a headache, either in the form of a dull ache in the neck and head that builds as sexual excitement does, or a severe headache just prior to orgasm. This can also sometimes be a side-effect of Viagra or similar medications. […] Tips for preventing headaches […] Embrace regular exercise With so many benefits, including headache prevention, frequent aerobic activities like walking, swimming or cycling can boost your physical and mental wellbeing and reduce stress.

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

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

  Prevention of PHASA: 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. […] 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. […] 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.

• #41 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.

• #42 Exertion Headaches (Exercise Headaches): Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/21959-exertion-headaches

  The best way to prevent exercise-induced headaches is to avoid the activity that triggers them. […] But if that’s not realistic, you can try different strategies to lower the chances. For example: Avoid activity in extreme temperatures, too hot or too cold. Don’t work out in altitudes you’re not used to. Drink plenty of water so you are well-hydrated. Get enough rest every day, including eight hours of sleep. Mix up your exercise routine. Try another type of activity and see if it triggers a headache. Warm up and cool down properly, and build intensity slowly over time. Wear sunglasses if it’s bright outside and moisture-wicking clothes if it’s hot. Eat a healthy diet, and avoid processed foods or foods with preservatives in them. […] Some studies suggest that certain supplements can help prevent exertional headaches, such as: Coenzyme Q10. Feverfew. Magnesium. Riboflavin (vitamin B2). Boswellia (a natural anti-inflammatory if indomethacin is not well-tolerated).

• #43 Exertion Headaches (Exercise Headaches): Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/21959-exertion-headaches

  The best way to prevent exercise-induced headaches is to avoid the activity that triggers them. […] But if that’s not realistic, you can try different strategies to lower the chances. For example: Avoid activity in extreme temperatures, too hot or too cold. Don’t work out in altitudes you’re not used to. Drink plenty of water so you are well-hydrated. Get enough rest every day, including eight hours of sleep. Mix up your exercise routine. Try another type of activity and see if it triggers a headache. Warm up and cool down properly, and build intensity slowly over time. Wear sunglasses if it’s bright outside and moisture-wicking clothes if it’s hot. Eat a healthy diet, and avoid processed foods or foods with preservatives in them. […] Some studies suggest that certain supplements can help prevent exertional headaches, such as: Coenzyme Q10. Feverfew. Magnesium. Riboflavin (vitamin B2). Boswellia (a natural anti-inflammatory if indomethacin is not well-tolerated).

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

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

  Sex headache is quite rare, with just 1 to 6 percent of the general population getting affected, according to a 2013 published by the US National Library of Medicine. […] In many cases, orgasm headaches are considered to be benign and not indicative of an underlying health problem. However, it is essential to rule out any secondary causes, especially if the headaches are severe, recurrent or accompanied by neurological symptoms. If you experience orgasm headaches or any concerning symptoms, you need to get yourself checked. […] 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. […] 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.

• #45 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  Behavioral treatments, such as relaxation training, thermal biofeedback combined with relaxation training, electromyographic biofeedback, and cognitive behavior therapy, are effective options for migraine prevention. […] Once the need for prophylactic treatment is established, adhering to the following consensus-based principles of care may improve the success of preventive therapy. […] Start therapy with medications that have the highest level of evidence-based effectiveness. […] Allow an adequate trial for each treatment. The patient may see improvement in six to eight weeks, but it may take up to six months for full effect. […] If headaches are controlled for at least six to 12 months, consider slowly tapering and discontinuing therapy. […] Several medications have been studied for the prevention of episodic migraines. Based on guidelines from the American Headache Society and the American Academy of Neurology, agents with the most quality evidence to support their use should generally be considered first for migraine prevention.

• #46 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  Behavioral treatments, such as relaxation training, thermal biofeedback combined with relaxation training, electromyographic biofeedback, and cognitive behavior therapy, are effective options for migraine prevention. […] Once the need for prophylactic treatment is established, adhering to the following consensus-based principles of care may improve the success of preventive therapy. […] Start therapy with medications that have the highest level of evidence-based effectiveness. […] Allow an adequate trial for each treatment. The patient may see improvement in six to eight weeks, but it may take up to six months for full effect. […] If headaches are controlled for at least six to 12 months, consider slowly tapering and discontinuing therapy. […] Several medications have been studied for the prevention of episodic migraines. Based on guidelines from the American Headache Society and the American Academy of Neurology, agents with the most quality evidence to support their use should generally be considered first for migraine prevention.

• #47 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  Behavioral treatments, such as relaxation training, thermal biofeedback combined with relaxation training, electromyographic biofeedback, and cognitive behavior therapy, are effective options for migraine prevention. […] Once the need for prophylactic treatment is established, adhering to the following consensus-based principles of care may improve the success of preventive therapy. […] Start therapy with medications that have the highest level of evidence-based effectiveness. […] Allow an adequate trial for each treatment. The patient may see improvement in six to eight weeks, but it may take up to six months for full effect. […] If headaches are controlled for at least six to 12 months, consider slowly tapering and discontinuing therapy. […] Several medications have been studied for the prevention of episodic migraines. Based on guidelines from the American Headache Society and the American Academy of Neurology, agents with the most quality evidence to support their use should generally be considered first for migraine prevention.

• #48 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  Behavioral treatments, such as relaxation training, thermal biofeedback combined with relaxation training, electromyographic biofeedback, and cognitive behavior therapy, are effective options for migraine prevention. […] Once the need for prophylactic treatment is established, adhering to the following consensus-based principles of care may improve the success of preventive therapy. […] Start therapy with medications that have the highest level of evidence-based effectiveness. […] Allow an adequate trial for each treatment. The patient may see improvement in six to eight weeks, but it may take up to six months for full effect. […] If headaches are controlled for at least six to 12 months, consider slowly tapering and discontinuing therapy. […] Several medications have been studied for the prevention of episodic migraines. Based on guidelines from the American Headache Society and the American Academy of Neurology, agents with the most quality evidence to support their use should generally be considered first for migraine prevention.

• #49 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  Behavioral treatments, such as relaxation training, thermal biofeedback combined with relaxation training, electromyographic biofeedback, and cognitive behavior therapy, are effective options for migraine prevention. […] Once the need for prophylactic treatment is established, adhering to the following consensus-based principles of care may improve the success of preventive therapy. […] Start therapy with medications that have the highest level of evidence-based effectiveness. […] Allow an adequate trial for each treatment. The patient may see improvement in six to eight weeks, but it may take up to six months for full effect. […] If headaches are controlled for at least six to 12 months, consider slowly tapering and discontinuing therapy. […] Several medications have been studied for the prevention of episodic migraines. Based on guidelines from the American Headache Society and the American Academy of Neurology, agents with the most quality evidence to support their use should generally be considered first for migraine prevention.

• #50 Exercise-Induced Headaches: Prevention, Management, and Treatment

  https://www.uspharmacist.com/article/exerciseinduced-headaches-prevention-management-and-treatment

  Patients who experience headache upon strenuous physical activity (exertional headache) may find it difficult to exercise at sufficient durations or intensities. […] First-line therapy for exercise headache is the implementation of appropriate prevention strategies. Since most exercise headaches are caused by a combination of factors, athletes should be mindful of the variety of prevention mechanisms available. […] Proper intensity and duration of warm-up are crucial in preventing headaches related to exercise. […] Although guidelines for the prevention of migraines and headaches do not address potential prophylactic options for exertional headaches, application of these guidelines to exertional headaches may still provide viable options and benefits for these patients. […] Magnesium: Guidelines classify magnesium as probably effective for migraine prevention and note that it should be considered.

• #51 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  Behavioral treatments, such as relaxation training, thermal biofeedback combined with relaxation training, electromyographic biofeedback, and cognitive behavior therapy, are effective options for migraine prevention. […] Once the need for prophylactic treatment is established, adhering to the following consensus-based principles of care may improve the success of preventive therapy. […] Start therapy with medications that have the highest level of evidence-based effectiveness. […] Allow an adequate trial for each treatment. The patient may see improvement in six to eight weeks, but it may take up to six months for full effect. […] If headaches are controlled for at least six to 12 months, consider slowly tapering and discontinuing therapy. […] Several medications have been studied for the prevention of episodic migraines. Based on guidelines from the American Headache Society and the American Academy of Neurology, agents with the most quality evidence to support their use should generally be considered first for migraine prevention.

• #52 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  Migraines impose significant health and financial burdens. Approximately 38% of patients with episodic migraines would benefit from preventive therapy, but less than 13% take prophylactic medications. Preventive medication therapy reduces migraine frequency, severity, and headache-related distress. Preventive therapy may also improve quality of life and prevent the progression to chronic migraines. Some indications for preventive therapy include four or more headaches a month, eight or more headache days a month, debilitating headaches, and medication-overuse headaches. […] Preventive therapy for episodic migraines may decrease headache frequency, severity, and prevent progression to chronic migraines. […] Preventive therapy should be considered in patients having four or more headaches a month or at least eight headache days a month, significantly debilitating attacks despite appropriate acute management, difficulty tolerating or having a contraindication to acute therapy, medication overuse headache, patient preference, or the presence of certain migraine subtypes (i.e., hemiplegic migraine; migraine with brainstem aura; migrainous infarction; or frequent, persistent, or uncomfortable aura symptoms).

• #53 Passion Despite Pain: 7 Tips for Better Sex for People With Migraine — Migraine Again

  https://www.migraineagain.com/7-tips-for-better-sex-if-you-have-migraine/

  The familiar line „Not tonight, dear, I have a headache” may be more accurate than many realize and it’s not an excuse. There’s evidence of a link between sexual dysfunction and migraine, proving that, for some, trouble in your head can mean trouble in your bed. […] The medications many people take to prevent migraine attacks could also contribute to sexual dysfunction. A 2015 study in Spain found that people with migraine who were on preventive medication experienced more sexual difficulty. This makes sense: Many medications used to prevent migraine attacks have side effects that affect sexual desire and function. Preventive treatments that are commonly prescribed to people with episodic and chronic migraine, such as beta-blockers and antidepressants, have sexual dysfunction as a listed side effect.

• #54 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  Migraines impose significant health and financial burdens. Approximately 38% of patients with episodic migraines would benefit from preventive therapy, but less than 13% take prophylactic medications. Preventive medication therapy reduces migraine frequency, severity, and headache-related distress. Preventive therapy may also improve quality of life and prevent the progression to chronic migraines. Some indications for preventive therapy include four or more headaches a month, eight or more headache days a month, debilitating headaches, and medication-overuse headaches. […] Preventive therapy for episodic migraines may decrease headache frequency, severity, and prevent progression to chronic migraines. […] Preventive therapy should be considered in patients having four or more headaches a month or at least eight headache days a month, significantly debilitating attacks despite appropriate acute management, difficulty tolerating or having a contraindication to acute therapy, medication overuse headache, patient preference, or the presence of certain migraine subtypes (i.e., hemiplegic migraine; migraine with brainstem aura; migrainous infarction; or frequent, persistent, or uncomfortable aura symptoms).

• #55 Passion Despite Pain: 7 Tips for Better Sex for People With Migraine — Migraine Again

  https://www.migraineagain.com/7-tips-for-better-sex-if-you-have-migraine/

  The familiar line „Not tonight, dear, I have a headache” may be more accurate than many realize and it’s not an excuse. There’s evidence of a link between sexual dysfunction and migraine, proving that, for some, trouble in your head can mean trouble in your bed. […] The medications many people take to prevent migraine attacks could also contribute to sexual dysfunction. A 2015 study in Spain found that people with migraine who were on preventive medication experienced more sexual difficulty. This makes sense: Many medications used to prevent migraine attacks have side effects that affect sexual desire and function. Preventive treatments that are commonly prescribed to people with episodic and chronic migraine, such as beta-blockers and antidepressants, have sexual dysfunction as a listed side effect.

• #56 Does Sex Help Relieve Migraine Headaches or Cause Them? | Cove – Cove

  https://www.withcove.com/learn/headaches-migraine-sex-relationships?srsltid=AfmBOoqHQeiqHGr4zrTxFQ1pMe6GD9kogQmtlHN86tSsSNhnRM3YHVTr

  We hate to be the bearer of bad news, but the answer is yes. In fact, sex can trigger two different kinds of headaches: primary sex headaches and (you guessed it) migraine headaches. Distinguishing between the two is important for determining the proper treatment, so allow us to explain. […] Before we dig into the ways migraine headaches can affect relationships, we should mention that headaches after sex that appear suddenly can be a sign of a serious medical issue, such as an aneurysm or brain hemorrhage. People with no prior history of headaches who suddenly experience an explosive headache during or after sex should speak with a doctor to make sure nothing serious is going on. […] Preventive medications like beta blockers and anticonvulsants can help reduce your migraine days and maximize the time you get to spend with the people you love. To learn more about preventive treatments for migraine, talk to a Cove doctor today.

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

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

  You should absolutely see your healthcare provider after your first episode of a sex headache. While sex headaches are harmless, it’s important to rule out other, more serious conditions. Your provider may refer you to a neurologist for a comprehensive exam, which may include different types of tests to rule out any life-threatening or otherwise serious conditions. […] 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.

• #58 Do Orgasms Help With Headaches?

  https://www.verywellhealth.com/orgasm-headache-migraine-1718250

  Other sexually-induced headaches may not be as mild or brief. These include coital headaches, a rare type of headache characterized by sudden and increasing pain in the skull and neck during sexual activity. […] While orgasms may help with headaches in some cases, as mentioned, it is not a cure-all. […] Coital headaches are more common in males than females. […] To make a definitive diagnosis, all other causes of headaches must be explored and excluded. Diagnosis may involve imaging tests such as computerized tomography (CT) or magnetic resonance imaging (MRI). […] While there are no established guidelines for the treatment of coital headaches, your healthcare provider may prescribe a nonsteroidal anti-inflammatory drug (NSAID) called indomethacin if you have recurrent episodes. Indomethacin is commonly used to treat arthritis and may help prevent headache pain if taken one to two hours before sex. […] Having an orgasm may help with migraine and cluster headaches for some people, but for others, orgasms may make headaches worse.

• #59 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  Behavioral treatments, such as relaxation training, thermal biofeedback combined with relaxation training, electromyographic biofeedback, and cognitive behavior therapy, are effective options for migraine prevention. […] Once the need for prophylactic treatment is established, adhering to the following consensus-based principles of care may improve the success of preventive therapy. […] Start therapy with medications that have the highest level of evidence-based effectiveness. […] Allow an adequate trial for each treatment. The patient may see improvement in six to eight weeks, but it may take up to six months for full effect. […] If headaches are controlled for at least six to 12 months, consider slowly tapering and discontinuing therapy. […] Several medications have been studied for the prevention of episodic migraines. Based on guidelines from the American Headache Society and the American Academy of Neurology, agents with the most quality evidence to support their use should generally be considered first for migraine prevention.

• #60 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  Behavioral treatments, such as relaxation training, thermal biofeedback combined with relaxation training, electromyographic biofeedback, and cognitive behavior therapy, are effective options for migraine prevention. […] Once the need for prophylactic treatment is established, adhering to the following consensus-based principles of care may improve the success of preventive therapy. […] Start therapy with medications that have the highest level of evidence-based effectiveness. […] Allow an adequate trial for each treatment. The patient may see improvement in six to eight weeks, but it may take up to six months for full effect. […] If headaches are controlled for at least six to 12 months, consider slowly tapering and discontinuing therapy. […] Several medications have been studied for the prevention of episodic migraines. Based on guidelines from the American Headache Society and the American Academy of Neurology, agents with the most quality evidence to support their use should generally be considered first for migraine prevention.

• #61 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/

  Some treatments used for migraine prevention can affect sexual function, meaning a person may have delayed, infrequent or absent orgasms or erectile dysfunction. […] Talk to your health care provider! There are a variety of new acute and preventive treatments available for people with migraine that may be able to help decrease the severity and/or frequency of migraine attacks. […] Choose a time of day to engage in sexual activity when you have less pain. […] If you are willing to experiment to see if sexual activity makes your migraine attack better or worse, try gentle exploration of foreplay or sex, perhaps on a day with a less severe attack. […] The Mayo Clinic recommends that, if needed, it can help some people to take a more passive role in intercourse if that helps to prevent their headaches, though this doesn’t help for everyone. […] Don’t be afraid to ask your healthcare provider for a referral to a sexual therapist or a psychologist trained in sexual therapy.

• #62 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  For menstrual migraines, starting preventive therapy before the time of expected migraine onset can help prevent disability and reduce severity. […] Guidelines on preventing migraines in pregnancy suggest considering nonpharmacologic options before drug therapy. If drug therapy is needed, an agent with the lowest risk of harm to the fetus can be considered at the lowest effective dose.

• #63 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  For menstrual migraines, starting preventive therapy before the time of expected migraine onset can help prevent disability and reduce severity. […] Guidelines on preventing migraines in pregnancy suggest considering nonpharmacologic options before drug therapy. If drug therapy is needed, an agent with the lowest risk of harm to the fetus can be considered at the lowest effective dose.

• #64 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  For menstrual migraines, starting preventive therapy before the time of expected migraine onset can help prevent disability and reduce severity. […] Guidelines on preventing migraines in pregnancy suggest considering nonpharmacologic options before drug therapy. If drug therapy is needed, an agent with the lowest risk of harm to the fetus can be considered at the lowest effective dose.

• #65 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  For menstrual migraines, starting preventive therapy before the time of expected migraine onset can help prevent disability and reduce severity. […] Guidelines on preventing migraines in pregnancy suggest considering nonpharmacologic options before drug therapy. If drug therapy is needed, an agent with the lowest risk of harm to the fetus can be considered at the lowest effective dose.

• #66 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. 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.

• #67 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. 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.

• #68 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/

  Around 60% of people with migraine reported an improvement of their headaches with sexual activity. […] Unfortunately, about one-third of people with migraine who answered the survey found their headaches worsened with sexual activity. […] The formal name of this condition is Headache Associated with Sexual activity. […] 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. […] If the vessels are reassuringly normal on imaging, then orgasm headache is deemed “benign” or non-harmful. Luckily, there are some good treatment options for it, such as pre-treating 30 minutes before sex with non-steroidal anti-inflammatory drugs.

• #69 Does Sex Help Migraines or Cause Them? 10 Things to Know

  https://www.healthline.com/health/healthy-sex/does-sex-help-migraines

  Sex and masturbation that leads to orgasm may help relieve a migraine episode in some people. Other practices may help relieve symptoms as well. […] Yes! Yes! Oh, yes! Sex really does help relieve migraine attacks in some people. […] Based on what we know so far, it appears that migraine attacks and cluster headaches can be sexed into submission in some people. […] More research is needed to understand exactly how sex relieves headache pain, but orgasm seems to be the magic ingredient for most in this titillating headache remedy. […] According to the Association of Migraine Disorders, they provide rapid pain relief thats even faster than IV morphine. […] Based on the results of the study, 60 percent of the migraine-having participants reported that sexual activity gave them considerable or complete improvement of their migraine attacks.

• #70 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/

  Some treatments used for migraine prevention can affect sexual function, meaning a person may have delayed, infrequent or absent orgasms or erectile dysfunction. […] Talk to your health care provider! There are a variety of new acute and preventive treatments available for people with migraine that may be able to help decrease the severity and/or frequency of migraine attacks. […] Choose a time of day to engage in sexual activity when you have less pain. […] If you are willing to experiment to see if sexual activity makes your migraine attack better or worse, try gentle exploration of foreplay or sex, perhaps on a day with a less severe attack. […] The Mayo Clinic recommends that, if needed, it can help some people to take a more passive role in intercourse if that helps to prevent their headaches, though this doesn’t help for everyone. […] Don’t be afraid to ask your healthcare provider for a referral to a sexual therapist or a psychologist trained in sexual therapy.

• #71 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  For menstrual migraines, starting preventive therapy before the time of expected migraine onset can help prevent disability and reduce severity. […] Guidelines on preventing migraines in pregnancy suggest considering nonpharmacologic options before drug therapy. If drug therapy is needed, an agent with the lowest risk of harm to the fetus can be considered at the lowest effective dose.

• #72 Migraine Headache Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0101/p17.html

  Behavioral treatments, such as relaxation training, thermal biofeedback combined with relaxation training, electromyographic biofeedback, and cognitive behavior therapy, are effective options for migraine prevention. […] Once the need for prophylactic treatment is established, adhering to the following consensus-based principles of care may improve the success of preventive therapy. […] Start therapy with medications that have the highest level of evidence-based effectiveness. […] Allow an adequate trial for each treatment. The patient may see improvement in six to eight weeks, but it may take up to six months for full effect. […] If headaches are controlled for at least six to 12 months, consider slowly tapering and discontinuing therapy. […] Several medications have been studied for the prevention of episodic migraines. Based on guidelines from the American Headache Society and the American Academy of Neurology, agents with the most quality evidence to support their use should generally be considered first for migraine prevention.

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

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

  There aren’t specific guidelines for treating primary sex headaches. […] 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.

• #74 Ponytail, sex headache and other primary headaches

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

  Dr. Katy Munro [00:15:14] Yeah. So moving on. Were going to talk about sex now, arent we? I think this is the first time weve done this on the podcast, isnt it? […] Dr. Katy Munro [00:15:22] So theres one thing we have talked about and thats- weve talked about the importance of seeking help if you had any of the red flags. I think that was in the Do I need a scan? Episode right at the very beginning. And the people who are having a headache that comes on for the very first time when theyre having sexual activity, always need to go and get that checked out. I think thats a real red flag. To make sure that its not caused by an underlying brain haemorrhage, like a subarachnoid or something like that. So if youve never had a headache when youre having sex before and you suddenly get one, dont ignore it and think, Oh, well, Ill see how I go over the next few days. You do need to go and get that checked out. And that involves casualty or the emergency unit of your local hospital and talking to the doctors about whether you need a scan or more investigations. Would you agree?

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

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

  It’s become a familiar cliche to joke about sex and headaches. The typical trope is a wife rejecting her husband’s advances by saying, “not tonight, honey, I have a headache.” However, headaches associated with sexual activity are very real, not very funny if you’ve ever experienced one, and they happen to be more common in men. […] 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. […] For people who have recurring headaches with sexual activity, healthcare providers might order a preventative medication to be taken every day. Some medications include the following: Indomethacin can stop a headache or be taken daily to prevent them if it doesn’t cause any stomach issues. […] These medications work very well—about 80% of people have good success with preventative medications, especially when taken for about 3–6 months. Your provider will likely tell you to stop the medication at that point to see if the headaches have gone into remission.

• #76

  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. […] 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 betablockers, most commonly cited propranolol, but also metoprolol and nadolol. […] Prophylactic success with Indomethacin, oral treatment 25 to 100 mg given 30-60 min prior to sexual activity, has corroborated Raskin’s experience.

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

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

  There aren’t specific guidelines for treating primary sex headaches. […] 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.

• #78 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.

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