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Doctor insights on: Headache After Orgasm

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What is the cause of having a terrible headache after orgasm?

What is the cause of having a terrible headache after orgasm?

Get checked: There is a type of headaches known as sex headaches, where sexual activity or orgasm can cause a severe headache. Sometimes this is nothing to worry about and can often be prevented with medications, but it is very important to get tested for abnormal blood vessels in the brain (such as aneurysms or arteriovenous malformations). ...Read more

Orgasm (Definition)

Conventionally, orgasm is the culmination of sexual arousal (and may be repeated) and typically produces great pleasure through direct genital stimulation of the male penis and female clitoris. However, orgasm may also be achieved via the brain or as a reflex arc. The physical characteristics are an explosive peak & repeated neuromuscular action causing release of male ...Read more


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I had a crippling, intense headache after orgasming to the point where I could not stand. It eventually went away, returned the next couple of times I orgasmed (diff. days each time) always lessening with each occurrence until it stopped happening?

I had a crippling, intense headache after orgasming to the point where I could not stand. It eventually went away, returned the next couple of times I orgasmed (diff. days each time) always lessening with each occurrence until it stopped happening?

See Below.: Its rare, but a headache associated with sexual activity (including at the time of orgasm) is described. The fact that it stopped happening is a bit re-assuring, but if it recurs, please do get evaluated immediately. If I saw you in clinic, I personally would have done a neurological exam and likely recommended an MRI or CT of the brain prior to attributing it to being an orgasmic headache. ...Read more

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I get really bad Headaches after an orgasm and sex, it's really scary! Should I be worried?

I get really bad Headaches after an orgasm and sex, it's really scary! Should I be worried?

Coital headache: Not necessary to be worried, but should be evaluated. Most experts would recommend that you obtain a head CT since this type of headache has an association with aneurysms. ...Read more

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Thank you for your last response. Could my headache after multiple orgasms be a subarachnoid haemorrhage?

Thank you for your last response.  Could my headache after multiple orgasms be a subarachnoid haemorrhage?

Unlikely hemorrhage: Subarachnoid hemorrhage is usually extremely painful (ie., "The worst headache in my life"). Headaches after orgasm are not unusual, and can be treated/prevented. See your PCM about this problem, a plain CT of the head would be a good test to start the work up, and if your symptoms persist, a Neurology consult would be advised. ...Read more

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I had a sudden onset of the worst headache i've ever experienced and it occurred during orgasm ... It was debilitating?

I had a sudden onset of the worst headache i've ever experienced and it occurred during orgasm   ... It was debilitating?

Coital cephalagia: Occurs at base of neck as a dull headache that gets wore wig climax. Happens 3:1in men to women ratio. Get it checked out to make sure it's not an aneurysm. Treatments are propanolol, indomethacin, time. ...Read more

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I experienced the worst headache with the fastest onset today during orgasm and hours later the headache is still there though less severe?

I experienced the worst headache with the  fastest onset today during orgasm and hours later the headache is still there though less severe?

Thunderclap: Acute severe migraine attack can occur during sex. They can be extreme with prolonged recovery. This has been called thunderclap headache. You may need to have brain scan to exclude hemorrhage or stroke. ...Read more

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Bp averages 185 to 160 over 116 to 90. Just started meds. Had sudden excruciating headache twice pre-orgasm, pain lingering for days. Should i worry?

Bp averages 185 to 160 over 116 to 90.  Just started meds. Had sudden excruciating headache twice pre-orgasm, pain lingering for days. Should i worry?

Hypertensive urgency: Yes, you should. Your blood pressure is not controlled and predisposes you to stroke. Furtjer elevation of blood pressure at time of orgasm can be a ticking time bomb. Coital headache is a known phenomenon, can be treated but the emergent blood pressure management has a priority now. ...Read more

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Why have i been getting headaches right before I have an orgasm?

Why have i been getting headaches right before I have an orgasm?

Thunderclap HA's: Migraine prone individuals can experience such problems, and these can be prevented by a variety of standard anti-migraine meds. Your doc can assist, as outcomes are quite satisfactory. ...Read more

Dr. Bennett Machanic
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Headache (Definition)

The medical term is cephalalgia. It is a feeling of pain that can occur on either both sides or just one side of the head or neck. Headaches can be sharp, dull, or throbbing, and can radiate to different areas of the head. They typically last less than an hour but can ...Read more