Headaches during sexual activity

Sex headaches are brought on by sexual activity — especially an orgasm. You may notice a dull ache in your head and neck that builds up as sexual excitement increases. Or, more commonly, you may experience a sudden, severe headache just before or during orgasm. Most sex headaches are nothing to worry about. But some can be a sign of something serious, such as problems with the blood vessels that feed your brain. Most sex headaches last at least several minutes.
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Primary Headache Associated with Sexual Activity: Case Report

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Sexual headache - Wikipedia

The pain lasts for several minutes, or maybe it lingers for a couple of hours. What you may have experienced is known as an orgasm headache, a rare — but often harmless — type of sex headache that happens before or at the moment of sexual release. An orgasm headache is one of two types of sex headaches. The second type is a sexual benign headache. Sexual benign headaches start as a dull pain in the head and neck that builds up as you become more sexually aroused, leading to a painful headache.
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Sexual headache

An orgasm headache is intense and it starts suddenly, just before or during an orgasm. These headaches are usually harmless, and a person can often treat them with over-the-counter pain medications. However, headaches during sex can sometimes signal a more serious condition.
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To present a rare case of primary headache associated with sexual activity. A year-old man presented with a severe headache during sexual intercourse, particularly at the time of orgasm. A diagnosis of type 2 primary headache associated with sexual activity was made, and he was started on indomethacin 25 mg to be taken 30 min before intercourse and propranolol 40 mg twice a day, following which he noted a dramatic improvement within in a week. The case highlights the importance of paying attention to the differential diagnosis.
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