Everyone’s heard of the “Sorry, I have a headache” gambit when you’re just not in the mood, but did you know that a special kind of headache could affect your wellness after you have sex? Any kind of sexual activity can negatively impact your wellbeing, but orgasms are especially well-known for causing sex headaches. These headaches can be a serious dampener on your sexual health; after all, would you want to get intimate if you knew a nasty headache was to follow? Let’s take a closer look at the causes of sex headaches, and what you can do to prevent and treat them.
Most sex headaches are nothing to worry about, but if you don’t understand the signs as they’re happening, you may be a bit concerned. Sometimes, sex headaches begin as a dull ache in your head and neck, often on both sides. You might also find that your neck and jaw muscles might tighten up. Then this pain builds over several minutes as your sexual excitement increases. However, the most common form of sex headache is a sudden, severe pain just before or during orgasm. Though this can hurt, sex headaches are usually no more than a general annoyance. However, some sex headaches can be a sign of something serious, such as problems with the blood vessels that feed your brain.
Generally speaking, a sex headache will last for a few minutes, but some can linger for a few hours. For most people, sex headaches will occur in clusters over a period of a few months, and then they’ll disappear for a year or more. While we’ve already established that sex headaches aren’t usually a cause for concern, if you do experience a headache during sexual activity, you should consult your doctor as soon as possible. This is especially true in the case of headaches that begin abruptly, or if it’s your first headache of this type. No matter the kind of sexual activity – be it masturbation, anal sex, oral sex or intercourse – you should speak to your doctor.
If your sex headache comes on abruptly, it may be associated with:
- Intracranial aneurysm: This is a widening or bubble in the wall of an artery inside your head.
- Arteriovenous malformation: This is an abnormal connection between the arteries and veins in your brain that bleeds into the spinal fluid-filled space in and around the brain
- Dissection: This is a case of bleeding into the wall of an artery leading to your brain.
- Stroke
- Coronary artery disease
- Use of some medications: This includes birth control pills
- Inflammation from certain infections
As well as these underlying medical conditions, there are some nasty side effects that can come along with sex headaches. Accompanying symptoms of sex headaches include loss of consciousness, vomiting, stiff neck, other neurological symptoms and severe pain lasting more than 24 hours. If these occur alongside your sex headache, this means that it is more likely to be due to an underlying cause. You’re also more likely to get a sex headache if you’re a man or your generally prone to having migraine headaches. However, sex headaches can affect anyone. If you want to prevent sex headaches, stopping sexual activity before you reach orgasm can help, as can taking a more passive role during sex. For those who have a history of sex headaches and there’s no underlying cause, your doctor may recommend that you take preventive medications regularly. These may include daily medications, such as beta blockers, or occasional medications like indomethacin (Indocin) or one of the triptans.