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Sexual Health: Sex Matters

Louanne Cole Weston, PhD, shares information and advice on men's and women's sexual health issues from masturbation to erectile dysfunction.

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Friday, May 05, 2006

Orgasm and Migraines
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Although orgasm is generally a pleasant and positive experience, for some it can become very painful. Post-orgasm headaches and muscle cramps are common complaints.

Most headaches that occur related to sex are not serious. Nevertheless, they can be quite painful. It's best for your partner to see his doctor, who can also rule out the relatively rare possibility of it being a tumor or something serious.

The doctor will likely ask questions about the headaches themselves -- whether they occur only after sex, during sex, or after other strenuous activity.

If it turns out to be a sexual headache, the doctor will probably say that these headaches are very common and that they usually occur right after orgasm due to the sudden change in blood flow and blood pressure.

When getting sexually aroused hands, feet, and the head fill with blood. Following orgasm, there is a sudden drop in this pressure. In your partner's case, it may be that the drop in pressure is accompanied by pain.

These headaches seem to occur in men much more than women. They also may be triggered by the adrenaline that floods the body during intense activity.

The doctor may order tests like a CT scan, a special X-ray, to check that there are no problems with the blood vessels in the brain. If the tests come back normal, and they often do, your partner could ask your doctor about taking an over-the-counter pain reliever or a prescription medicine before sex.

Headache specialists may have more knowledge of what pain relievers work best, so encourage your partner to start there if he can.

The muscle cramps may be due to exertion. If this is a problem, I would suggest that you investigate the possibility of increasing potassium intake either with vitamins or bananas. That might relieve some of the muscle cramps.

Related Links: Female Sexual Problems, Male Sexual Problems

Technorati Tags: Orgasm, sex headache, orgasm headache, painful sex, migraines

Posted by: Louanne Cole Weston, PhD at 1:00 PM

36 Comments:

Anonymous Anonymous said...

if a friend of mine has hpv can i get from like drinking a soda after her. Basically can it be transfered by saliva?

9:08 PM  
Anonymous Anonymous said...

Ignore that person.

There are many variations of HPV, some sexual, some not. HPV can cause a wart on a finger, or a foot, or a knee. Location corresponds with type. An HPV finds an opening in the body, like a cut, an enters. It may become dormant and more likely to surface under stress. There are also sexually transmitted types, which may or may not be spread when using a condom depending upon correct use, type of condome, and even then they might still be spread. This is very important, as some sexually transmitted HPVs are correlated with serious forms of cancer. As far as HPV, probably everyone has as least one type of HPV, they are so easy to get. Personally, I would be more concerned about passing something else via saliva, such as a form of hepatitis. However, is these items concern you, ask your doctor the next time you have a visit.

7:37 PM  
Anonymous Anonymous said...

When I get fairly close to an orgasm I get a very specific and localized pain in the back right side of my head. It just started about a week ago and hasn't let up since. The first time was the worst, like I got hit in the back of the head with a hammer. That one did not stop for hours and finally did only after I took medicine. Since then, everytime I get close to an orgasm it starts then when I do orgasm it peaks and stays constant for around an hour, just not as bad as the first time. It might be getting less and less painful the more it happens but I am still worried. It has never happened before but I do have a history of seizures. I'm also worried because the pain is in a very specific spot. I don't know if my age matters at all but just in case, im 20. It would be really difficult to get to a doctor or hospital and get tests done. Do you think it might be something serious or just something like an increased amount of blood?

2:31 PM  
Anonymous Anonymous said...

My regular doctor specializes in migraines. He suggested taking the prescribed meds (ie. Imitrex) before sex as a precaution. I may do that next time. In the meantime, I have definitely noticed a pattern; sex at night (no matter how strong the orgasm) does not trigger a migraine. Orgasm in the morning or generally during daytime hours (that is, when I get up aftewards) triggers it EVERY time. After my 4th episode in a year, I think I've decided (wanh!) to give up achieving orgasms completely during the day. Again, I may take the meds just prior to see if it makes a difference, but needless to say, it's annoying as hell and I wish it didn't happen.

2:09 PM  
Anonymous Anonymous said...

I was diagnosed with HPV a while ago, since my Colposcopy I have had little to no vaginal sensation, can this be linked?

12:56 AM  
Anonymous Anonymous said...

i also have just started having very localized pain in the cerebellar region (back of neck where it meets head) just before orgasm. the pain is very intense and the throbbing is linked to my heart rate. i'm a 25 yr old male. my first time experiencing it was the worst, then less and less until it went away almost all together, then again last night it was as bad as the first time??

4:32 PM  
Anonymous Anonymous said...

I just had a colposcopy today. The Gyno told me to abstain from sexual intercourse for 2 weeks, yet gave me some condoms. I am wondering, is cunnilingus safe after this procedure?

1:06 AM  
Anonymous Anonymous said...

I was wondering is this something that could become common or does it only happen sometimes for some people. Tonight right before i reached orgasm i got the worst headache i have ever had.Right up front of my head. It was the scariest thing i have ever went to and i was about 15 minutes from going to the hospital.

12:28 AM  
Anonymous Anonymous said...

i have been getting severe headaches out of the blue with it starts with stimulation and worsens to the point of naseau even if i don't achieve an orgasm

4:18 AM  
Anonymous Anonymous said...

I am 25. 4 days ago my wife and I were having sex and right before I had an orgasm, the lower left side of the back of my head started to get sore with pressure. It scared me enough to stop before I came, and now since then when I get close to climax I can feel it tightening. I haven't had an orgasm since. I work out and only seem to get it during sex or by myself. For 3-5 days straight about 3 years ago I got really intense migraines when I had an orgasm. I seem to be more prone when I am dehydrated/stressed out, and sleep deprived. I am going to rest, drink plenty of water and try again in a day or so. We'll see...

1:29 AM  
Blogger horiatis said...

My wife had a negative Pap exam but the HPV came in positive..she had a negative one three years ago.I believe she ahs not fooled around outside our marriage and neither have I ..We have been monogamous...I asked her to ratake the test in a local Planned parenhood location...If it comes negative the all is good ..If it comes positive then it will create a lot of tension in teh marriage as she is suspecting foul play of me and I of her...is there any other possibilitities? could someone have the HPV virus and be dormant 3 years ago when she had the first HPV test ...does it always show on an HPV test if there is no current signs ...could it be dormant for years and years and sowed up out of the blue all of a sudden?how could it be negative three years ago and positive now if none of us had sexual relations outside our marriage ?

9:35 PM  
Anonymous Anonymous said...

When i get close to an orgasm the back of my head feels like it is going to explode. After It then works its way to the front leaving my temples throbbing. and a very painful migraine for atleast an hour. This has happened four times in the past week and they keep getting more intense. I have had a dull headache for about the same week but it only intensifys around an orgasm I am a 24 yr old female. what should i do?

6:18 PM  
Anonymous Anonymous said...

I have been reading the comments regarding headaches during sex. I too am experiencing this as of last week. Upon getting close to an orgasm, I suddenly got the most painful headache I've ever had - it started in the front of my head and I "heard" a fizzing noise as the pain shot from the front of my head to the top and back, and even "smelled" a scent that smelled like flowers left in a vase till they dried up. I was unable to orgasm due to the extremem pain. This was on a Thursday evening. I had the headache Fri, Sat & Sun, even though I was taking OTC medications to alleviate the headache. Nothing worked and Saturday I had taken so many by the afternoon, I made myself sick to my stomach. Come Monday, I could not get out of bed the headache was so severe, so I went to the Doctor. He said it was a 'migraine stress headache' which is common in men. He prescribed Vicodin to break the cycle of pain [which worked] and then also gave me Imitrex and Maxalt. He told me to take either one about an hour before sex. I've tried both since and neither work. The pain is so severe, I feel like I'm having a stroke and am about to bleed out my eyes... Needless to say I'm unable to orgasm. Is anyone aware of anything that works? Is this it as far as sex goes? If it's a choice between stopping having sex or having a stroke and dying, I'd rather have the stroke and die. Is anyone aware of any other type of medication or cure for whatever this is?

2:18 PM  
Anonymous Anonymous said...

I'd love if somebody knew what this problem is because I just started getting these a few days ago, the back right of my head. It lasted for hours and I can still feel it a little bit this morning. I have TMJ so I get headaches pretty regularly but this was very localized and lasted much longer.

8:11 AM  
Anonymous Anonymous said...

i have had the same problem ass the one guy with a migraine coming from one spot in the back of the head a little before a migraine and a whole lot worse afterwards it usually acurs when i am standing up when the migraine acurs and it was only once and ever since it only happens when im standing up but laying down im fine. the migrain only lasted about an hour them as fast as it came it went away.

6:40 PM  
Anonymous Anonymous said...

i will have multiple orgasms and then get really weak, almost to the point of passing out. is there such a thing as having to many orgasms?

1:34 AM  
Anonymous gigi said...

My 51 yr old husband has experienced left sided head(throbbing) pain when approaching climax. This started within the last month. At first it happened, then didn't happen again for a couple of weeks, now it is happening every time. The pain is in the center, left side top of his head. He say's it's like brain freeze times 10. It lasts for approx. 10 minutes, starts out severe and as he relaxes, it slowly goes away. He is in good health. We went to his family doctor who ordered an immediate MRI of the head to rule out aneurysm and the MRI results came back normal and is now ordering blood work. My husband wants to wait a couple of weeks to have this blood work performed, but I'm concerned that he is waiting too long. I shared this event with a trusted family member of mine and she stated she had a similar experience 10 yrs ago and it turned out that she had a blockage in the abdominal aortic artery (which is why her MRI of the head was normal) and within 3 days was having abdominal bypass surgery. I would rather find out now what the problem is, than wait until he collapses and has less of a chance of full recovery. Can you tell me if this is a symptom of something serious, that requires immediate attention?

11:03 AM  
Blogger WebMD Blog Admin said...

gigi,

Try reading this article. Of course, there's no substitute for following doctor's orders and pursuing a diagnosis, but perhaps it will explain at least one possibility.

1:41 AM  
Anonymous Anonymous said...

horiatis had left a comment about his wife coming up positive for HPV. I was tested for HPV over a year ago, it was positive. I was just recently tested again and it was negative. It is important for you to know that it isn't ALL caused by having sex with an infected person. I had planters warts on my feet as a child (walked around a lot without shoes on) and was told by my doctor that you can get HPV from normal warts on your feet, hands, wherever. Some people that have caught it by having sex will have genital warts on or inside the sex organs. You should have that checked out before pointing a finger at her and before assuming she cheated on you!! I hope that this helps..

10:46 PM  
Anonymous Anonymous said...

Re: the hpv If it is sexually transmitted hpv please know it can be dormant forever and never surface. hpv is a virus and unpredictable. A strong immunes system can keep it suppressed, Or even fight it if it has attacked. so basically just know that either of you could have had been exposed to it long before you knew eachother. And the virus just did not surface until recently. I hope this helps~I have seen many a marriage upset by this virus when it should not have been.

10:08 AM  
Blogger zizi said...

I'm a 24 year old female an d never experience an orgasm. what can be the problem?

12:27 PM  
Anonymous kenny said...

im a 24 year old male and have had problems with the severe pain in the back of my neck, then leading to a throbbing headace, right before orgasm. Then the other day i got into a fight, and as my blood pressure rose the same thing happened. sharp pain in the right side of my head/neck. back in 2003 i was involved in a home invasion and got hit in the back of the head with a baseball bat. im am scared this might have something to do with it. about two years ago i had an mri and catscan. they said there was nothing abnormal, but this was before the pain i get now. i have determined that it happens when i get excited or mad. any help or suggestions?

11:56 AM  
Blogger Gary said...

I am a 61 year old man and just have an active sex life. In the past week whenever I have had an orgasm I get a server headache in the front of my head, in the forehead area. It is very strong at first but as time goes on it weekens. But I do have a slight dull ache for hours after it happens. I do take blood pressure meds but I have been taking them for a long time and this never happened before. Before I can get to a Doctor do you recomend that I abstain from sex. What could be the problem

7:20 PM  
Anonymous Anonymous said...

I donated blood 5 days ago, then woke up the next morning with the flu. The next day I masturbated and right before Orgasm this sharp intense pain went to the back right of my brain and was intense for about an hour. The next three days after I have tried to masturbate and it always happens right before. Will this eventually go away? what is causing this? help please?

7:20 PM  
Anonymous mono said...

um... i thought HPV was human pappiloma virus. are you people referring to HSV, herpes simplex virus? HBV, hepatitis B virus? HPV causes cancer, not warts.

2:28 PM  
Blogger WebMD Blog Admin said...

mono,

HPV causes genital warts. The virus can also cause cervical cancer.

2:47 PM  
Anonymous Anonymous said...

"When I get fairly close to an orgasm I get a very specific and localized pain in the back right side of my head. It just started about a week ago and hasn't let up since. The first time was the worst, like I got hit in the back of the head with a hammer. That one did not stop for hours and finally did only after I took medicine. Since then, everytime I get close to an orgasm it starts then when I do orgasm it peaks and stays constant for around an hour, just not as bad as the first time. It might be getting less and less painful the more it happens but I am still worried. It has never happened before but I do have a history of seizures. I'm also worried because the pain is in a very specific spot. I don't know if my age matters at all but just in case, im 20. It would be really difficult to get to a doctor or hospital and get tests done. Do you think it might be something serious or just something like an increased amount of blood?"

i have the exact same problem.

its happened before and lasted about a week, i cut down on masturbating a lot during that period and it randomly just went away. that was about 2 months ago.

since its happened before and gone away, i don't think its too serious , or else it wouldn't have gone away but i'm still sort of worried

any help would be great,

thanks a lot

3:09 PM  
Anonymous Anonymous said...

I am a 42 yo male and for the past three or four years I have also sometimes experienced intense headaches at the moment of orgasm. The experience tends to coincide with the arrival of allergy season in the fall and spring for me (I live in Texas). Has anyone else noticed the timing of their headaches??

8:02 PM  
Anonymous Anonymous said...

My husband has had a headache the last 3 times we have had sex. It hits him in the forehead and is so bad he has to stop right before orgasim. I'm worried he's gonna kill over during sex. Help!

7:09 PM  
Anonymous Anonymous said...

WOW I AM SO RELEIVED TO KNOW I AM NOT ALONE! I HAVE HAD THESE HEADACHES FOR 10 YEARS. I HAVE SPOKEN TO MANY DOCTORS ABOUT THIS AND NONE HEARD OF IT TILL JUST RECENTLY. I WAS TOLD TO TAKE A PERSCRIBED PAIN PILL 1 HR BEFORE SEX. IT TAKES CARE OF THE PAIN BUT I CANT HAVE AN ORGASAM NOW. WITH SO MANY PEOPLE HAVING THIS WHY CANT THEY FIND WHAT CAUSES IT AND CURE IT.SEX IS NO FUN ANYMORE.

12:03 AM  
Anonymous Anonymous said...

pelvic muscle cramp comes on strong as I am plateauing towards orgasm - this may sound weird, but i have also been woken up by pelvic muscle pain because of what i have, what i would describe as similiar to a mans' wet dream, only i am a 40 year old woman! the pain normally goes away after a few minutes, but is quite severe whilst the cramp is happening. Anyone else experience this??
Lola

4:22 PM  
Anonymous Anonymous said...

to lola & others discussing muscle cramping upon orgasm--i am 29 and frequently get lower ab cramps that feel like menstrual cramps RIGHT after i orgasm. but just last night, i had a very intense orgasm that started cramping me up IMMEDIATELY and i literally had to stop the sex and started shaking and sweating for about an hour...it was like food poisoning territory or severe cramps, as far as pain goes...it was very intense...and sorry to be so detailed but the ONLY thing that finally stopped the pain was going to the bathroom! is it possible that an orgasm that intense could lead to intenstinal irritation??? i feel like i'm crazy! and i hadn't eaten hardly anything that day...i don't think it was food poisoning...and today i'm still pretty uncomfortable...
anyways, thanks for any advice!

-Ouch

1:02 PM  
Anonymous Anonymous said...

my husband has had moderate to severe migraines for years they never have been really bad until last night he had a siezure and for 45 min he wouldnt wake up when he did he was very mean very unlike himself and refused to go to the hospital he is going to go now but what could cause something like this he has never had ne thing like this before please help me i want him to be ok

8:04 PM  
Anonymous Anonymous said...

It happens to me when I masturbate in the bath. I wonder if it has something to do with the body temperature. The pain is so intense and pounding as if to have to throw out.

2:05 AM  
Anonymous Anonymous said...

could someone tell me what's going on... i'm a 17 yr old Female and when i get close to orgasm i feel almost pressury in my head, which leads to a headache that feels as if i just got slammed by a baseball bat. this may last for over an hour, please help.

3:43 AM  
Blogger curator said...

I am 44 m. I too get the severe throbbing pain that almost makes me to throw up. It happens after the orgasm, when my body is wet, that is if I have masturbated during the bath.

9:47 PM  

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