Cerebral Vasospasm and Headache During Sexual Intercourse and Masturbatory Orgasms

Valênça, Marcelo Moraes; Valença, Luciana P A A; Bordini, Carlos Alberto; Silva, Wilson Farias da; Leite, João P.; Antunes‐Rodrigues, José; Speciali, José Geraldo

doi:10.1111/j.1526-4610.2004.04054.x

Cited by 57 publications

(37 citation statements)

References 23 publications

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“…There has also been speculation that the orgasmic type might be related to migraine, but no large clinical studies have been done to confirm this possible connection [3,10,11]. Some authors have found that orgasmic headache may be associated with segmental vasospasm that improved spontaneously, similar to reversible cerebral vasoconstriction syndrome (RCVS) [9,12]. RCVS has been reported in a myriad of conditions, including orgasmic headache.…”

Section: Discussionmentioning

confidence: 96%

“…Indeed, an impaired metabolic cerebrovascular autoregulation in orgasmic headache has been described [7]. Arterial vasospasm secondary to an impaired myogenic mechanism of cerebral autoregulation has been hypothesized to play a role [8,9]. There has also been speculation that the orgasmic type might be related to migraine, but no large clinical studies have been done to confirm this possible connection [3,10,11].…”

Section: Discussionmentioning

confidence: 97%

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Huge supratentorial arachnoid cyst presenting as an orgasmic headache

et al. 2011

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 97%

Huge supratentorial arachnoid cyst presenting as an orgasmic headache

et al. 2011

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“…The place of angiography in acute presentation of PHSA is established, not only to identify headaches symptomatic of underlying aneurysm, but also to exclude a reversible angiopathy ("cerebral vasospasm"), which has been identified in some patients with acute PHSA [9] or recurrent thunderclap headache triggered by coitus [10]. Such findings may have implications for future treatment, including avoidance of potential vasoconstrictors such as medicines prescribed for rhinitis, SSRIs and recreational drugs such as cannabis.…”

Section: Discussionmentioning

confidence: 99%

Late presentation of primary headache associated with sexual activity: is non-invasive angiography worthwhile?

Larner

2006

J Headache Pain

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The place of angiography in late presentation of headache associated with sexual activity has not been defined, unlike the situation with acute presentations. In a cohort of patients fulfilling diagnostic criteria for primary headache associated with sexual activity and presenting late (at least three weeks after headache onset), those undergoing non-invasive angiography showed no abnormalities. It is suggested that non-invasive angiography is not routinely indicated in late presentations of headache associated with sexual activity.

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“…HSA was limited to masturbation alone in 8 patients, masturbation and intercourse in 22 patients, and uncertainty in 1 patient. Intracranial abnormality was found in only 2 of them; aneurysmal subarachnoid hemorrhage in 1 patient [35] and right middle cerebral artery spasm and posterior fossa arachnoid cyst in another 1 patient [39].…”

Section: Sexual Actmentioning

confidence: 99%

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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Cerebral Vasospasm and Headache During Sexual Intercourse and Masturbatory Orgasms

Cited by 57 publications

References 23 publications

Huge supratentorial arachnoid cyst presenting as an orgasmic headache

Huge supratentorial arachnoid cyst presenting as an orgasmic headache

Late presentation of primary headache associated with sexual activity: is non-invasive angiography worthwhile?

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

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