It is intense, holocranial, throbbing and accompanied by a stiff neck (as you can see the clinical presentation may resemble that of a post coital headache). [braindiseases.wordpress.com]

[…] headache and orgasmic headache ) were included in ICHD-I and ICHD-II, but clinical studies have since been unable to distinguish these; therefore, 4.3 Primary headache associated with sexual activity is now regarded as a single entity with variable presentation [ichd-3.org]

It becomes very useful when the patient presents few weeks after the onset of headaches. [smjonline.org]

Discussion Sudden severe headache is a common presenting symptom, both in primary and secondary care settings. The stereotypical presentation of subarachnoid haemorrhage is familiar to most clinicians. [academic.oup.com]

Workup Subarachnoid hemorrhage from aneurysm or AVM, and tumors that block the ventricular outflow, such as a colloid cyst of the third ventricle, need to be excluded. [chicagoheadacheclinic.com]

The 2011 Scientific Statement from the AHA/ASA includes an algorithm for workup of suspected CVST. [ahcmedia.com]

“Headache associated with sexual activity: prognosis and treatment options.” Cephalalgia, 2007, 27, 1265–1270 [americanmigrainefoundation.org]

Treatment Headache treatment is divided into two forms: abortive and prophylactic. Abortive treatment addresses a headache in progress, and prophylactic treatment prevents headache occurrence. [medical-dictionary.thefreedictionary.com]

Sexual headaches: Case report, review, and treatment with calcium blocker. Headache 1991;31:141-5. [smjonline.org]

Post coital headache is relatively benign and does not warrant any urgent treatment. [braindiseases.wordpress.com]

• 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. [medlink.com]

Primary HAS has an excellent prognosis. [smjonline.org]

“Headache associated with sexual activity: prognosis and treatment options.” Cephalalgia, 2007, 27, 1265–1270 [americanmigrainefoundation.org]

• Prognosis of primary headache associated with sexual activity is good, with 69% of cases remitting at 3 years. • Non-drug treatments include weight loss, an exercise program, a more passive role during intercourse, variation in positions, or limitation [medlink.com]

Prognosis is generally good. High blood pressure, pre-existing migraine and psychological factors are all significant in the evolution of coital cephalgia. [muscletalk.co.uk]

Headache Associated With Sexual Activity: Prognosis and Treatment Options. Cephalalgia, 2007:1265 -1270 vol. 27: Available at: [migrainesurvival.com]

[…] prolonged overwork or emotional strain, or both, affecting especially the occipital region. toxic headache headache due to systemic poisoning or associated with illness. vascular headache a classification for certain types of headaches, based on a proposed etiology [medical-dictionary.thefreedictionary.com]

Silberstein (2004); Etiology of Coital Headaches by Dr. Randolph Warren Evans (2001); The Migraine Brain by Dr. [relieve-migraine-headache.com]

Headaches precipitated by cough, prolonged exercise or sexual activity: A prospective etiological and clinical study. J Headache Pain 2008;9:259-66. 11. Larner AJ. Transient acute neurologic sequelae of sexual activity: Headache and amnesia. [smjonline.org]

The etiology of NDPH is also of multifactorial origin (5). [webmedcentral.com]

External links [ edit ] Medscape: Etiology of Coital Headaches Dexter, S. (2010). "Benign coital headache relieved by partner's pregnancies with implications for future treatment". Case Reports. 2010 : bcr1020092359. doi : 10.1136/bcr.10.2009.2359. [en.wikipedia.org]

Epidemiological research has further shown that 4.3 Primary headache associated with sexual activity can occur at any sexually active age, is more prevalent in males than in females (ratios range from 1.2:1 to 3:1), occurs independently of the type of [ichd-3.org]

[…] know that coitus has long been identified as the immediate preceding activity in some cases of ruptured aneurysmal subarachnoid haemorrhage and the whole essence of investigating HAS currently is to exclude such a life threatening condition. [4], [5] Epidemiology [smjonline.org]

[…] headaches to the use of certain drugs, including amiodarone, pseudoephedrine, birth control pills, and cannabis. [1] It may be secondary to another condition, such as reversible cerebral vasoconstriction syndrome. [1] It is associated with migraines. [1] Epidemiology [en.wikipedia.org]

This is generally benign and self-limiting but clearly requires investigation. [ 9 ] Epidemiology Little is known about the incidence but studies of neurological patients presenting with headache in France and Denmark have quoted figures of up to 1.3% [patient.info]

Cervical artery dissection: Pathology, epidemiology and management. Thromb Res 2009;123:810-821. Zinkstok SM, Vergouwen MDI, Engelter ST, et al. [ahcmedia.com]

Notes (2): the pathophysiology of TCH in the absence of underlying pathology is not well understood primary TCH has a distinctive clinical and angiographic profile and must be distinguished from central nervous system vasculitis and SAH Reference: BMJ [gpnotebook.co.uk]

The exact pathophysiology of primary HAS is not completely understood, it is however believed that there is both a vascular and a muscular basis for the headache. [17] Local cerebral vasospasm in the concept of Reversible Cerebral Vasoconstriction Syndrome [smjonline.org]

Further studies are warranted to investigate the prevalence, pathophysiology, and management of this debilitating condition. [ncbi.nlm.nih.gov]

Pathophysiology The pathophysiology of POIS is not clear yet and it has been explored by few studies so far; hypotheses include: an immunological phenomenon [2,3,4,5], an opioid-like withdrawal [6], a neuroendocrine response [7], a transient deregulation [bacandrology.biomedcentral.com]

The two primary pathophysiologic mechanisms involve vascular components and muscle contraction. One other patho-physiologic mechanism is the headache with low CSF pressure, noted in a few patients with sexual headaches. [chicagoheadacheclinic.com]

Prevention Some headaches may be prevented by avoiding triggering substances and situations, or by employing alternative therapies, such as yoga and regular exercise. [medical-dictionary.thefreedictionary.com]

Preventing The Migraines Attacks Sometimes varying the type of sexual activity can be helpful in preventing headaches. This is entirely individual and will likely be a trial-and-error process to find what works for you. [headacheexpert.co.uk]

Prevention of Headaches Associated with Sex Similar to most headaches, preventing it from happening is better than trying to relieve the pain; however, in this case the only way to prevent the headaches from happening is to abstain from sex or masturbation [headachemd.net]

Prevention And Treatment Once they occur, the treatments are much the same as any headaches. Again, migraine suffers will likely have a migraine and will want to use their fiorinal, or esgic. [estronaut.com]

Talk to your doctor about which medications may help the pain or prevent the headache. According to Biller, men are three to four times more likely to get sex-related headaches than women. [viamedic.com]