Primary headache associated with sexual activity is also known as or subsumes Benign coital cephalgia, Coital headache, and Orgasmic cephalgia. -ed.
Sexually related headache may be primary or secondary. In this clinical article, Dr. Paul A Shanahan and Dr. Manjit S Matharu from The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK review primary sexually related headache. For primary headache, benign coital cephalgia is the most common and severe. The headache occurs at orgasm with explosive onset and variable duration. Preorgasmic muscle tension may produce a less severe headache. Subarachnoid hemorrhage due to rupture of aneurysm or arteriovenous malformation or intraparenchymal hemorrhage must be considered and ruled out. Other complications may include dural tear and cerebrospinal leak occurring with the effort of sexual activity. Finally, orgasm may relieve migraine in some cases.