Primary headache associated with sexual activity: A case report

Özcan, Tuba Şaziye; E, Yancar Demir; İşcanlı,

doi:10.5505/agri.2015.24654

Cited by 4 publications

(5 citation statements)

References 11 publications

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“…Even though the pathophysiology is not known exactly, one of the theories is to be a mechanism of trigeminovascular effect with the addition of muscular component and impaired cerebrovascular autoregulation (1,7). Some authors suggested an excessive release of neurotransmitters or catecholamines (8,9).…”

Section: Discussionmentioning

confidence: 99%

“…As concerns the treatment, prevention with indomethacin 30 minutes before sexual activity is sufficient in many cases but for the patients that suffer for a long-term period, the prophylaxis could be made with indomethacin with the dosage between 25-50mg/day or propranolol 40-200mg/day for 3 to 6 months (1,3,20).Ergotamine 1-2mg/day, diltiazem 180mg/day, topiramate 50mg/day and greater occipital nerve blockage are alternative options for the patients that can not tolerate drugs (7,(21)(22)(23). We have successfully treated 10 of patients with indomethacin before sexual activity and 3 patients were treated with propranolol prophylaxis.…”

Section: Discussionmentioning

confidence: 99%

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A Rare Primary Headache Disorder: Headache Associated With Sexual Activity

Arı

Domaç

Ulutas

2020

Preprint

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Background: Primary headache associated with sexual activity is a rare type of headache mostly seen in male gender and initiates at the 3rd decade. Even though the pathophysiology is still unknown, it is a benign type of headache and must be reminded on the differential diagnosis of the secondary headache. Materials&Methods: Thirteen patients diagnosed as primary headache associated with sexual activity were evaluated by their clinical and demographic data. Results:Ten male and three female patients were evaluated. The mean age was 37.07± 7.67. Headache was usually localized at bilateral occipital area or diffuse, starting with a severe ache and sudden explosive intensity in association with preorgasm in 8 patients and orgasm in 5 patients with a mean VAS score of 7.8±1.2. The mean duration was 21.53± 15.32 minutes. Five of the patients had a history of migraine, 3 had arteriel hypertension and two were diagnosed as primary thunderclap headache with sudden beginning and high intensity ache. Conclusion: Herein we presented our cases to highlight the importance of differential diagnosis. Patients may have difficulty of explaining the problem therefore their sexual activity could be limited.Apart from pharmacological prevention, counselling and facilitation plays important role in managing.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Rare Primary Headache Disorder: Headache Associated With Sexual Activity

Arı

Domaç

Ulutas

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…17,18 The global reported prevalence of sexual headache is 1.1%. 12,19 Patients, particularly in conservative communities, find it difficult to convey their issues to doctors. It can be terrifying and distressing, but it can also significantly limit their sexual activities.…”

Section: History and Prevalence Of Orgasmic Headachementioning

confidence: 99%

“…NSAIDs have been shown to be beneficial in the treatment of this illness over the years. 19,31 Indomethacin (25-50 mg/day) or propranolol (40-200 mg/day) were found to be effective therapies in a study of various forms of headaches.…”

Section: Treatmentmentioning

confidence: 99%

The physiology of orgasmic headache

Victor,

Korede,

Obidike

et al. 2023

Int J Sci Rep

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Orgasmic headache is a headache caused by sexual activity that emerges as sexual excitement increases (progressive at onset) or as an immediate and powerful headache following orgasm (thunderclap at onset) or combines these two characteristics. The idea that orgasmic headache (OGH) is caused by physiologically inappropriate responses is extremely simplistic. As a result, a complete analysis of the physiological mechanisms is provided here in order to comprehend the complex situation of OGH. The physiology of OGH was studied in humans utilizing peer-reviewed papers from Pubmed, Science direct, EBSCO, Scopus, Cochrane library, Sage Journals, and Google Scholar. Author, year of publication published between 2003 and 2020. OGH can regulate psychophysiological reactions, but it can also cause a rise in blood pressure, persistent pain, intracranial hemorrhage, and cerebral infarction. This review explains two physiological systems: the release of calcitonin gene-related peptide (CGRP), which induces the creation of less serotonin, resulting in an inflammatory response and discomfort. The release of epinephrine and nor-epinephrine can cause cerebral ischemia, which can lead to headaches in headache-prone patients. Fear of an orgasmic headache can lead to lower libido, leading to lower sex pleasure. As a result, the condition may deprive sex of its pleasure and turn it into a ‘headache’. We conduct a literature review to study the physiological processes of OGH in connection to its physiological maladaptive responses. A greater understanding of the physiological mechanisms underlying Orgasmic headache will allow practitioners to properly identify and counsel patients without attributing physiological maladaptive reactions to OGH.

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“…[2] Bestepe et al reported a patient with tension type headache during the sexual intercourse. [10] Özcan et al [19] presented a case of primary headache associated with sexual activity. Furthermore, it is reported that migraine type headaches might be aggravated by sexual abuse.…”

Section: Pain a Rimentioning

confidence: 99%

Factors Influencing Sexual Functions in Turkish Female Patients with Migraine

Ertem

Saatçioğlu

Bingöl

et al. 2020

Agri

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Objectives: Recent studies have shown a more frequent occurrence of sexual dysfunction in patients with headache. The aim of this study was to assess the effects of demographic and clinical characteristics and psychiatric symptoms on sexual dysfunction in Turkish female patients with migraine. Methods: In all, 18 sexually active patients with episodic migraine (EM), 12 patients with chronic migraine (CM), and 22 healthy controls of similar age were enrolled in the study. A numeric rating scale was administered to assess pain intensity. The psychiatric symptoms and sexual function of all of the participants were evaluated using the Beck depression and anxiety scales and the Golombok-Rust Inventory of Sexual Satisfaction (GRISS). Results: The mean GRISS subscale scores did not differ significantly between the migraine groups and the control group (all p values <0.05). A positive correlation was found between the duration of headache and GRISS subscales of noncommunication, dissatisfaction, vaginismus, and anorgasmia in EM patients. In addition, there was a negative correlation with the infrequency and avoidance subscales. No correlation was detected between the GRISS subscale scores and the demographic and clinical characteristics of the patients with CM, with the exception of the level of education. Higher pain intensity scores and the presence of anxiety or depression among the EM and CM patients significantly affected all of the subscale scores of the sexual function inventory. Conclusion:Although there was no relationship between migraine chronicity and sexual dysfunction, our data indicated that patient demographic characteristics, greater pain severity, and comorbidities of depression or anxiety were associated with greater sexual dysfunction among patients with EM and CM.

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Primary headache associated with sexual activity: A case report

Cited by 4 publications

References 11 publications

A Rare Primary Headache Disorder: Headache Associated With Sexual Activity

A Rare Primary Headache Disorder: Headache Associated With Sexual Activity

The physiology of orgasmic headache

Factors Influencing Sexual Functions in Turkish Female Patients with Migraine

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