Benign vascular sexual headache and exertional headache: interrelationships and long term prognosis.

Silbert, Peter L.; Edis, R. H.; Stewart-Wynne, E G; Gubbay, S S

doi:10.1136/jnnp.54.5.417

Cited by 89 publications

(142 citation statements)

References 16 publications

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“…Her HSA did not recur after pill withdrawal. In the series of Silbert et al [29], a 42-year-old man suffered his first time of HSA after returning from a prolonged posting. Alvaro et al [45] described a 33-year-old man to have his first time of preorgasmic headache after cannabis use.…”

Section: Triggermentioning

confidence: 99%

“…Lance [31] reported that sexual act was intercourse, masturbation and intercourse/masturbation in 18 (85.7%), 1 (4.8%) and 2 (9.5%) patients, respectively. Silbert et al [29] reported the sexual act to be intercourse only in their 45 patients. Chakravarty [25] [40].…”

Section: Sexual Actmentioning

confidence: 99%

Section: Pain Factorsmentioning

confidence: 99%

“…Silbert et al [29] reported that all their HSA patients suffered pain during undertaking the active role in intercourse. Frese et al [29] reported a resolution of pain by passive role in 26 out of 51 patients (51%). On the other hand, Lance [31] and Bandini et al [46] separately reported 1 patient whose preorgasmic headache did not ameliorate after changing from active to passive role.…”

Section: Pain Factorsmentioning

confidence: 99%

“…Two studies were excluded; type of headache was recorded in only 1 out of 6 patients in one study [24] and only orgasmic headache patients were enrolled in another study [29]. In the remaining 10 studies, the frequency of pre-orgasmic headache was 0% -57.9%, orgasmic headache 26.3% -100%, postorgasmic or postural headache 0% -19.2%, mixed headache 0% -13.3%, and uncertain headache 0% -4.8% of HSA patients.…”

Section: Type Of Headachementioning

confidence: 99%

See 4 more Smart Citations

Sexual Behavior, Function and Satisfaction in Headache Associated with Sexual Activity: A Systematic Review of Literature

Chen¹,

Chu²,

Lin³

2017

ASM

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Introduction: Headache associated with sexual activity (HSA) is the painful event of head and neck precipitated only by sexual activity. The negative impact of sexuality is expected to be more severe in HSA patients and their partners than other headache disorder. In addition, social and cultural taboo may conceal sexual problem or hinder seeking counseling for sexual perplexity. A sufficient scientific evidence is therefore needed to clarify the misunderstanding and schedule appropriate education in clinical practice. Methods: A systematic review of literature was completed to elucidate the sexual behavior, function and satisfaction in HSA patients and their partners. Results: A total of 97 publications are eligible after careful screening. However, most of the studies focus on the etiopathogenesis or treatment. Sexual change was mentioned in 23 publications. Orgasmic headache is the most frequent type of HSA. The HSA occurs more frequent in dyadic than extradyadic sexual activity. Intercourse is the leading sexual act for HSA occurrence, following by masturbation. A few patients suffer HSA under specific sexual position, like kneeling, and trigger, such as cannabis. Pain can be rapidly ceased in half of patients when sexual activity was halted. Sexual function and sexual satisfaction may decrease in HSA patient and partner but improve after pain reversal. Conclusions: A shortage of sexuality data of HSA is documented in literature but that still clarifies the extradyadic and masturbatory effect on HSA occurrence. Nevertheless, HSA disturbs sexual function and satisfaction in patients and their partners. The pathogenesis of pain includes two components, the hypersympathetic status and exertional action. Therefore, physician can schedule their education and counseling for HSA according to these findings. Further investigation for sexual function and satisfaction is warranted.

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Section: Triggermentioning

confidence: 99%