Sex Headache

A sex headache, also known as a coital cephalalgia or orgasmic headache, is a type of headache that occurs during or after sexual activity.

Types of Sex Headaches

There are two main types of sex headaches:

  • Tension-type sex headache: This type of headache is the most common and is characterized by a dull, aching pain or sensation of pressure in the head and neck. It typically occurs during sexual activity and can be relieved with rest or over-the-counter pain medication.
  • Thunderclap sex headache: This type of headache is less common but more severe. It is characterized by a sudden, intense, and debilitating pain that reaches its maximum intensity within seconds to minutes. Thunderclap headaches can be a sign of a more serious underlying condition, such as a subarachnoid hemorrhage.

Causes and Risk Factors

The exact cause of sex headaches is not fully understood, but several factors are thought to contribute to their development:

  • Physical exertion: Sexual activity can be physically strenuous, leading to increased blood pressure and heart rate, which may trigger a headache.
  • Neurological factors: Changes in brain chemistry and blood flow during sexual activity may also play a role in the development of sex headaches.
  • Psychological factors: Stress, anxiety, and other emotional factors can contribute to the occurrence of sex headaches.

Symptoms

The symptoms of sex headaches can vary depending on the type and severity of the headache. Common symptoms include:

  • Dull, aching pain or sensation of pressure in the head and neck
  • Sudden, intense, and debilitating pain
  • Pain that worsens with physical activity or movement
  • Nausea and vomiting
  • Photophobia (sensitivity to light)
  • Phonophobia (sensitivity to sound)

Diagnosis and Treatment

Diagnosing sex headaches can be challenging, as the symptoms may be similar to those of other types of headaches. A healthcare provider will typically perform a physical examination, take a medical history, and may order imaging tests (such as an MRI or CT scan) to rule out underlying conditions.

Treatment for sex headaches depends on the type and severity of the headache. Over-the-counter pain medication, such as ibuprofen or acetaminophen, may be effective in relieving tension-type sex headaches. Thunderclap headaches, on the other hand, require immediate medical attention to rule out underlying conditions that may be life-threatening.

Prevention

While there is no sure way to prevent sex headaches, some strategies may help reduce their frequency and severity:

  • Avoiding triggers: Identifying and avoiding triggers, such as certain sexual positions or activities, may help prevent sex headaches.
  • Managing stress: Engaging in stress-reducing activities, such as meditation or yoga, may help alleviate psychological factors that contribute to sex headaches.
  • Maintaining a healthy lifestyle: Regular exercise, a balanced diet, and adequate sleep can help reduce the frequency and severity of sex headaches.

Article last updated on: 6th June 2025.
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