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Post-Coital Headache

BSH


Presentation

  • 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]
  • […] of presenting headaches.[patient.info]
  • These subforms were merged into one entity with varying presentation because clinical studies could not distinguish them. [2] Post-orgasmic headaches associated with posture may be better attributed to a spontaneous cerebrospinal fluid leak . [2] Sudden[en.wikipedia.org]
Episodic Course
  • Those who suffer from episodic courses usually notice the condition disappearing within weeks to months after it first began, often without receiving any specific treatment.[soc.ucsb.edu]
  • Course of the disease The unpredictable clinical course falls into 2 temporal patterns: an episodic course with remitting bouts, and a chronic course [20] .[bjmp.org]
Episodic Pain
  • According to Migraine Survival this is because migraines and post-coital headaches are considered to include episodic pain, which occurs 75% of the time; and chronic pain, which occurs 25% of the time.[surryhillstherapy.com]
Sighing
  • *sigh* Very frustrated and confused.......and in severe pain at this point. The headaches are only part of it. I will NOT go into the rest of it here. THANKS to ANYONE who posts to this or has had a similar event happen to them.[medhelp.org]
Food Poisoning
  • Grosse session de surf et bodyboard Labenne. i have poor sleep moderate headache thirst and super We may have noticed that the trend of cases of food poisoning is on the rise.[sunflowerjewels.eu]
Metallic Taste
  • When you add in the metallic taste in your mouth the next morning it becomes a deadly combination. As mentioned abdominal migraine causes pain in the abdomen that can be severe and debilitating.[sunflowerjewels.eu]
Scotoma
  • This kind of blurred vision is called a positive scotoma. Alternatively you can sit down in a straight backed chair and have someone look down on your head as you rotate it fully to both sides.[sunflowerjewels.eu]
Benign Paroxysmal Positional Vertigo
  • This situation nearly always is due to a very common ear condition -- benign paroxysmal positional vertigo ( BPPV ), which fortunately is generally easily treated.[dizziness-and-balance.com]
Suggestibility
  • I suggest he take it seriously. However, in most of the cases, it is coital cephalgia. Google it and you will find out. I realized that was what I had atleast. And it is the most common cause for these types of headaches.[enotalone.com]
  • Historical note and terminology Headache related to sexual activity has been recognized since the time of Hippocrates, who first suggested that headache might be brought on by "immoderate venery ."[medlink.com]
  • A doctor suggested I might want to consider medication since we were trying to conceive and had some difficulty with the second child, but we were successful without it.[braindiseases.info]
  • Most of the vital systems are developed now Headaches. 15 2012 he suggests contacting the American College for Advancement in Medicine Suffered neck shoulder back light and loss. Diarrhea Treatment and Causes. July 4 2014 No Comments.[sunflowerjewels.eu]
  • About 40% of patients with sexual headaches in one study also experienced headaches from non-sexual exertion. [1] A pressor response to exercise has been suggested as a mechanism. [4] For other patients, the pain appears to be specifically activated by[en.wikipedia.org]
Anger
  • Episodic tension-type headache Episodic tension-type headache can occur randomly and is triggered by temporary nerve tension such as stress anxiety anger etc. and are defined as tension-type headaches occurring fewer than 15 days a month B Field-testing[sunflowerjewels.eu]
  • Read more about how to control your anger . 3 – Poor posture Poor posture causes tension in your upper back, neck and shoulders, which can lead to a headache.[nhs.uk]
Headache
  • […] of the International Headache Society 2013 ; Headache Classification Committee of the International Headache Society 2018).[medlink.com]
  • Previously used terms: Benign sex headache; benign vascular sexual headache; coital cephalalgia; coital headache; intercourse headache; orgasmic cephalalgia; orgasmic headache; sexual headache.[ichd-3.org]
  • The Basics 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.[americanmigrainefoundation.org]
  • headache G44.59 Other complicated headache syndrome G44.8 Other specified headache syndromes G44.82 Headache associated with sexual activity G44.83 Primary cough headache G44.84 Primary exertional headache G44.85 Primary stabbing headache G44.89 Other[icd10data.com]
  • Headache with or without pain in one or more regions of the face fulfilling criteria C and D. Post Coital Headache Mayo Clinic Relief Gatorade when you have a headache it is not your ain that is hurting.[sunflowerjewels.eu]
Orgasmic Headache
  • Previously, primary headache with sexual activity was sub-classified into: Pre-orgasmic headache (classically described as a dull, usually occipital pressure pain that appears during sexual activity and increases with mounting sexual excitement) Orgasmic[americanmigrainefoundation.org]
  • Cerebral vasospasm and headache during sexual intercourse and masturbatory orgasms. Headache. 2004 Mar;44(3):244-8. Links: subarachnoid haemorrhage indomethacin[gpnotebook.co.uk]
  • Previously used terms: Benign sex headache; benign vascular sexual headache; coital cephalalgia; coital headache; intercourse headache; orgasmic cephalalgia; orgasmic headache; sexual headache.[ichd-3.org]
  • Let us discuss post-coital headache also at times referred to as orgasmic headache. What is post coital headache? The history is quite typical. This is a throbbing and at times intense headache which comes on at or near the height of orgasm.[braindiseases.wordpress.com]
  • Applicable To Orgasmic headache Preorgasmic headache The following code(s) above G44.82 contain annotation back-references Annotation Back-References In this context, annotation back-references refer to codes that contain: Applicable To annotations, or[icd10data.com]
Tingling
  • Typhoid fever is contracted when people eat food or drink water that has been infected with headache numbness tingling face results urs survey self-reported symptoms Salmonella typhi. (BPPV) even after the migraine headache event has ceased.[sunflowerjewels.eu]
  • The more severe the pain is and the more the woman has other symptoms (tingling, weakness, numbness, changes in her vision, disorientation) the more she should consider seeing her doctor.[estronaut.com]
Screaming
  • But the headaches come with screaming, migraine-type intensity, are concentrated mostly on the back of the skull, and only last for a few to 20 minutes before they are gone. I'm feeling incredibly frustrated because I know sex can help labor.[babycenter.com]
Motor Symptoms
  • Notes: 4.3 Primary headache associated with sexual activity is not associated with disturbance of consciousness, vomiting or visual, sensory or motor symptoms, whereas symptomatic sexual headache may be.[ichd-3.org]

Workup

  • 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]
Xanthochromia
  • In the setting of a subarachnoid hemorrhage, blood is found in the spinal fluid (xanthochromia in CSF) thus confirming the diagnosis of a subarachnoid bleed.[braindiseases.info]
Salmonella Typhi
  • Typhoid fever is contracted when people eat food or drink water that has been infected with headache numbness tingling face results urs survey self-reported symptoms Salmonella typhi. (BPPV) even after the migraine headache event has ceased.[sunflowerjewels.eu]

Treatment

  • “Headache associated with sexual activity: prognosis and treatment options.” Cephalalgia, 2007, 27, 1265–1270[americanmigrainefoundation.org]
  • Section 4.2 now states that in patients treated with GnRH analogues for metastatic prostate cancer, treatment is usually continued upon development of castrate-resistant prostate cancer. Reference...[evidence.nhs.uk]
  • . • 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]
  • Post coital headache is relatively benign and does not warrant any urgent treatment.[braindiseases.wordpress.com]
  • Diarrhea Treatment and Causes. July 4 2014 No Comments. Migraines usually last for minutes or hours headaches & dizziness after heavy exercise.[sunflowerjewels.eu]

Prognosis

  • “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]
  • Headache Associated With Sexual Activity: Prognosis and Treatment Options. Cephalalgia, 2007:1265 -1270 vol. 27: Available at:[migrainesurvival.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]
  • Even in those with chronic courses, 69% of these patients reached remission over the course of 3 years. 3 Therefore, sexual headaches typically have a favorable prognosis.[soc.ucsb.edu]

Etiology

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

Epidemiology

  • 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]
  • […] 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]
Sex distribution
Age distribution

Pathophysiology

  • 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 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]
  • Pathophysiology HSA are not clearly understood but by definition lack serious underlying disease. They are however, unpleasant, frightening, repetitive and episodic.[bjmp.org]

Prevention

  • 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]
  • If orgasmic headache happens infrequently, it can often be prevented with prescription-strength nonsteroidal anti-inflammatories.[migrainesurvival.com]
  • Regular exercise can help prevent tension headaches. Insurance plans negotiate lower medication prices with suppliers.[sunflowerjewels.eu]

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