Sex Headaches: When Doctor's Advice Is Necessary
Jokes about sex and headaches abound. But if you get a sharp
headache during orgasm, it's certainly no joke.
A sexual orgasm can cause a headache. It’s likely you are
conscious of a slight throbbing in the head and neck area which progresses as
sexual excitement increases. Or in general you may experience a sudden
horrible headache just before or during orgasm.
About one in 100 people will have gone through the pain of a sex
headache at some point during his or her lifetime. Men are at least three times
more likely than women to have sex headaches.
According to health experts, most sex headaches shouldn’t be
major concerns. However, some can be the signal to a serious problem, for
instance could issues with the blood vessels that feed the brain.
Symptoms
There are two types of sex headaches. The most common variety
gives no warning and occurs within a few seconds of an orgasm. Pain is often
described as throbbing or stabbing. The other variety of sex headache often
begins as a dull ache on both sides of the head and builds gradually over a
matter of minutes before an orgasm, typically intensifying as sexual excitement
increases.
Most sex headaches last a few minutes. Others may linger for a
few hours. Many people who have sex headaches will experience them in clusters
for a few months, and then go for more than a year without any sex headaches.
Causes
Any type of sexual activity that leads to orgasm can trigger sex
headaches, which include masturbation, oral sex. and sexual intercourse.
The sex headaches that build up for several minutes before
orgasm is likely to be triggered by squeezing the head and neck muscles during
sexual activity, while the sex headaches
which happens suddenly during orgasm is likely to be a response to increased
blood pressure which dilates cerebral blood vessels. It could also be triggered
by a stroke or bleeding into or around the brain.
Other factors that have been associated with sexual headaches
include birth control pills, smoking marijuana, glaucoma, anaemia, sinus
infection, and low blood sugar.
Risk factors
Sex headaches can hit anyone, but they are more prevalent in men
and peoples susceptible to migraines.
When doctor’s advice is necessary
Sex headaches should be cause for anxiety, but it’s important to
seek your doctor’s help if you have headaches during sexual activity,
particularly if it's your first headache.
Tests and diagnosis
Brain scans: An MRI exam or a CT
scan of the brain to detect any underlying causes for your headache may be recommended.
Angiograms: A cerebral angiogram
may be requested, which is a test that can visualize the neck and brain
arteries. It involves threading thin tubing through a blood vessel, usually
starting in the leg, to an artery in your neck. Contrast material is injected
into the tubing to allow an X-ray machine to visualize the arteries in your
neck and brain.
Spinal tap: A spinal tap (lumbar
puncture) may be required particularly when the headache appeared suddenly. In
this procedure, the doctor takes a tiny amount of the fluid that surrounds your
brain and spinal cord, and examine for any evidence of bleeding or infection.
Treatments and drugs
In several cases, the first headache may be the only one,
lasting for a very short period of time and gone before the effect of any
medication taken kicks in. It’s often advised to stop any sexual activity until
the last headache has subsided, because engaging in sex soon after a sex
headache can make the pain worse.
If there’s no known cause for your sex headaches, the doctor may
advise you take preventive medicine, such as indomethacin, an
anti-inflammatory; triptans, a class of anti-migraine medication; and beta
blockers, such as propranolol or metoprolol. Indomethacin and the triptans can
be taken an hour before sex to ward off headaches. The beta blockers must be
taken daily to prevent sex headaches and only recommended in patients with
frequent or prolonged attacks.
Prevention
Sometimes sex headaches can be prevented by stopping sexual
activity before orgasm or taking a more docile role during sex.
Photo Credit: Creative Commons
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