The Mysterious Manifestation of Orgasm Headaches

orgasm headache treatment miami

A severe throbbing sensation suddenly occurs in your head as you are about to orgasm in the heat of the moment. There is a pain for several minutes, or perhaps it persists for a few hours.


Orgasm headaches can happen right before or after sexual release and are a rare but harmless type of sex headache.

What is an orgasm headache?

An orgasm headache is a primary headache that some people get during sexual activity. A primary headache is a condition itself, not a symptom of another health issue.


A person may experience an orgasm headache just before or during a sexual climax. These headaches can happen during masturbation or partnered sex. 



  1. Orgasm Headache – when you feel a sudden, severe, throbbing pain in your head before or during sexual release.
  2. Sexual Benign Headache – starts as a dull pain in the head and neck that builds up as you become more sexually aroused, leading to a painful headache.


Both types of headaches may occur simultaneously for some people. While most headaches last several minutes, some can last for several hours or even three days.


It is possible to suffer from a single occurrence of sex headaches or clusters of attacks. Up to half of anyone with sex-related headaches gets them over six months.


There are different types of headaches depending on how and when they happen:


Dull—This type of headache starts as a dull ache that intensifies with increased sexual excitement and gradually subsides once sexual activity ceases. Those suffering from this type of headache may not connect it with sexual activity, which lessens their chance of seeking medical attention.


Explosive—The explosive type of benign sexual headache manifests by sudden, intense pain just before or at the moment of orgasm. Doctors are most likely to see this type.


Postural—A rare type. Like explosive sexual headaches, postural headaches begin with intense pain at orgasm. Once the pain subsides, the person will experience it again when standing up.

What Are Some Causes Of Orgasm Headaches?

The causes of Orgasm headaches are unknown even among doctors. That being said, they may be a type of vascular headache. They result from swelling of blood vessels in the brain.

When a person has an orgasm, their blood pressure increases rapidly. This surge in pressure causes blood vessels in the head to dilate quickly, triggering sudden, intense headaches in some people. An increase in muscle tension is responsible for sexual benign headaches. An individual experiencing sexual stimulation can experience tension headaches when their neck and head muscles contract.

It is more likely an underlying cause for sexual headaches accompanied by loss of consciousness, vomiting, stiff neck, and other neurological symptoms that last more than 24 hours.

Risk factors for Orgasm Headaches

  • Being male. Men are more prone to having sex headaches.
  • History of migraines. Being prone to migraines increases your risk of sex headaches.

Prevention of Orgasm Headaches

Anyone experiencing sex headaches should not engage in strenuous sexual activity. Some doctors may even recommend you abstain from sex for a while to prevent the occurrence of sex headaches.

Treatment of Orgasm Headaches


Preventive headache medications


Daily medications – Beta-blockers, propranolol (Inderal, Innopran XL), or metoprolol (Lopressor, Toprol-XL) are – used to treat high blood pressure, coronary artery disease, and migraines. You may take it daily to prevent sexual headaches.


Occasional medications – Indomethacin (Indocin, Tivorbex), an anti-inflammatory, or one of the triptans, a class of anti-migraine medications, – can be taken an hour before sex to prevent headaches.




An orgasm headache is a type of primary headache that occurs during sexual activity. It may result from a rapid expansion of blood vessels in the brain. This occurs when a person’s blood pressure rises before and during orgasms. Headaches during sex are generally harmless and tend to go away by themselves. Some people only ever have one orgasm headache, but others can experience them repeatedly over several months.



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