J Korean Neurol Assoc.  1989 Dec;7(2):352-356.

Benign Headache Related to Sexual Activity

• Kim JS

Abstract

Seven patients who experienced headache related to sexual activity were reviewed. There were three males and four females with average age of 40. All patients experienced vascular-type headache during sexual excitement which were followed by prolonged tension-type headache in five cases. No evidence of any structural lesions was obtained on neurological examinations and appropriate investigations. One patient belongs to so called 'benign coital cephalgia', and one to 'exertional headache'. Although the others also had concomitant exertional headache, their sex-related headaches were different in nature from usual exertional headache. Two patients had histories of migraine. The patients were medicated with propranolol, amitriptyline or both ; all of them had favorabel responses. Possible pathogenesis of this disorder and problems in detecting the sufferers were discussed.

MeSH Terms

Amitriptyline
Female
Headache*
Humans
Male
Migraine Disorders
Neurologic Examination
Propranolol
Sexual Behavior*
Tension-Type Headache
Amitriptyline
Propranolol