Headache associated with sexual activity

Frese, A.; Eikermann, Astrid; Frese, K.; Schwaag, S; Husstedt, I. W.; Evers, Stefan

doi:10.1212/01.wnl.0000083988.98336.a3

Cited by 129 publications

(186 citation statements)

References 25 publications

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“…The patients were similar to other cohorts of patients with PHSA [8] with respect to sex ratio (M:F=19:6; 76% male), age range (19-56 years), mean (±SEM) age (41.6±8.8 years) and PHSA subtype (preorgasmic:orgasmic=7:18). All patients were offered non-invasive angiography to exclude underlying aneurysm.…”

Section: Resultssupporting

confidence: 81%

Late presentation of primary headache associated with sexual activity: is non-invasive angiography worthwhile?

Larner

2006

J Headache Pain

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The place of angiography in late presentation of headache associated with sexual activity has not been defined, unlike the situation with acute presentations. In a cohort of patients fulfilling diagnostic criteria for primary headache associated with sexual activity and presenting late (at least three weeks after headache onset), those undergoing non-invasive angiography showed no abnormalities. It is suggested that non-invasive angiography is not routinely indicated in late presentations of headache associated with sexual activity.

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Section: Resultssupporting

confidence: 81%

Late presentation of primary headache associated with sexual activity: is non-invasive angiography worthwhile?

Larner

2006

J Headache Pain

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“…The frequency of HSA was 0.28% in 1 health checkup study [14] whereas 6.06% in 1 emergency service-based study of any sexual complication events [15], and ranged from 0.28% to 1.63% (average being 0.36%) in 5 clinic-based studies [16] Table 2). Frese et al [26] suggested the frequency of HSA to be 1% in their database but the total number of headache patients was unknown.…”

Section: Resultsmentioning

confidence: 99%

“…In the series of Frese et al [26], HSA occurred under specific act of intercourse in 5 (8.4%) out of 51 patients, including kneeling position in 2, supine position in 2, and fellatio in 1 patient respectively. In the series of Valença et al [24], a 44-year-old woman suffered HSA under masturbation or intercourse with her husband in standing position.…”

Section: Sexual Positionmentioning

confidence: 91%

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Sexual Behavior, Function and Satisfaction in Headache Associated with Sexual Activity: A Systematic Review of Literature

Chen¹,

Chu²,

Lin³

2017

ASM

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Introduction: Headache associated with sexual activity (HSA) is the painful event of head and neck precipitated only by sexual activity. The negative impact of sexuality is expected to be more severe in HSA patients and their partners than other headache disorder. In addition, social and cultural taboo may conceal sexual problem or hinder seeking counseling for sexual perplexity. A sufficient scientific evidence is therefore needed to clarify the misunderstanding and schedule appropriate education in clinical practice. Methods: A systematic review of literature was completed to elucidate the sexual behavior, function and satisfaction in HSA patients and their partners. Results: A total of 97 publications are eligible after careful screening. However, most of the studies focus on the etiopathogenesis or treatment. Sexual change was mentioned in 23 publications. Orgasmic headache is the most frequent type of HSA. The HSA occurs more frequent in dyadic than extradyadic sexual activity. Intercourse is the leading sexual act for HSA occurrence, following by masturbation. A few patients suffer HSA under specific sexual position, like kneeling, and trigger, such as cannabis. Pain can be rapidly ceased in half of patients when sexual activity was halted. Sexual function and sexual satisfaction may decrease in HSA patient and partner but improve after pain reversal. Conclusions: A shortage of sexuality data of HSA is documented in literature but that still clarifies the extradyadic and masturbatory effect on HSA occurrence. Nevertheless, HSA disturbs sexual function and satisfaction in patients and their partners. The pathogenesis of pain includes two components, the hypersympathetic status and exertional action. Therefore, physician can schedule their education and counseling for HSA according to these findings. Further investigation for sexual function and satisfaction is warranted.

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“…Pre-orgasmic headache may be related tospace-occupyinglesions.Orgasmicheadacheisoftensevereand excruciating, whether due to aneurysm rupture or to the explosive component of benign coital headache. Post-orgasmic headache mayoccurasamanifestationofmigraine (Banerjee,1996).Astudy by Frese et al (2003) stratified headaches associated with sexual activity and found that there was a male preponderance. It has two onset peaks (between 20-24 and 35-44 years).…”

mentioning

confidence: 99%