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]
[…] of presenting headaches. [patient.info]
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]
Respiratoric
- 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]
Gastrointestinal
- Hiccup
Musculoskeletal: muscle and joint pain Respiratory: cough, dyspnea, Pneumocystis jiroveci pneumonia, bronchospasm Skin: acne, hirsutism, brittle fingernails, hair breakage, night sweats Other: gum hyperplasia, flulike symptoms, edema, fever, weight loss, hiccups [medical-dictionary.thefreedictionary.com]
Neurologic
- Headache
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]
[…] of the International Headache Society 2013 ; Headache Classification Committee of the International Headache Society 2018). [medlink.com]
headache, other associated symptoms, history of exertional headaches, history of hypertension and drugs and history of primary headaches like migraine or tension type headache or cluster headaches. [smjonline.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]
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]
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]
The 2011 Scientific Statement from the AHA/ASA includes an algorithm for workup of suspected CVST. [ahcmedia.com]
Serum
- Abnormal Renal Function
renal function, uncontrolled hypertension, cancer (Gengraf, Neoral) • Active ocular infections (ophthalmic use) Precautions Use cautiously in: • hepatic impairment, renal dysfunction, active infection, hypertension • herpes keratitis (ophthalmic use) [medical-dictionary.thefreedictionary.com]
Microbiology
- 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
Treatment, when necessary, is usually indomethacin and/or propranolol. [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]
Treatment with propranolol hydrochloride is often most successful in the management of coital cephalgia because the drug may alleviate the hypertension that can accompany this type of headache. [muscletalk.co.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]
Prognosis
Primary HAS has an excellent prognosis. [smjonline.org]
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: http://cep.sagepub.com/cgi/content/abstract/27/11/1265 [migrainesurvival.com]
“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]
Etiology
Silberstein (2004); Etiology of Coital Headaches by Dr. Randolph Warren Evans (2001); The Migraine Brain by Dr. [relieve-migraine-headache.com]
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]
[…] 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]
Thunderclap headache may be the main symptom in approximately 10% of patients with CVST. 55-57 Important keys to diagnosing this headache etiology partly lie with the past medical history. [ahcmedia.com]
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]
[…] 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]
[…] 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]
Cervical artery dissection: Pathology, epidemiology and management. Thromb Res 2009;123:810-821. Zinkstok SM, Vergouwen MDI, Engelter ST, et al. [ahcmedia.com]
Pathophysiology
Further studies are warranted to investigate the prevalence, pathophysiology, and management of this debilitating condition. [ncbi.nlm.nih.gov]
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]
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
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 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]
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]