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All communities will be placed in read-only mode (you will be able to see and search for posts but not start or reply to discussions) as we conduct maintenance. We will make another announcement when posting is re-opened. Thank you for your continued support and patience, and if you have any further questions, please email

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We answer all types of Neurology/Neurological questions about the brain, spinal cord, and peripheral nerves. Include your age, sex, current meds, and known diagnoses, upcoming/completed appointments, tests, or procedures. We are not physicians. We help explain medical terminology and give support.
Head bursting headache during orgasm
An_204669 posted:
Posting this on the headache community forum, brought a suggestion to check the neurology forum. That makes sense.
Should I be concerned about having a head bursting pain, left side of my head--then all over, but the worst was the left side, right when orgasm peaked! Really hurt badly! Subsiding in probably 1 1/2 mins. but didn't go away completely. This has happened before, but rarely.

Then, withing 24 hours I had flu like symptoms, aching, feeling awful really. Was in bed off and on those 24 hours, and felt like I had a 'bug'.

Was it related or completely separate from this epidsode?

I've had migraines all my life, up until the last few years, though I do have what is called 'silent migraines', all symptoms without the pain.
I'm a female, 70's, except for moderate high b/p and inner ear condition, am in good health. Any comments or suggestions, I would appreciate.
Lifes responded:
There really is a headache type called "sex headache" (unrelated to "honey I have a headache ;-)

A sex headache has several forms. For example, one type of headache builds as excitement builds and becomes full blown at orgasm. Another hits abruptly at orgasm with no warning. Another type starts much earlier in the excitement phase but not close to orgasm. You can read about it here:

Most sex headaches in males and females go away quickly. Some people with migraine history can develop a pattern of having sex headaches, then have them disappear again after months or years.

However, there's also a population that should talk to their doctors after the first sex headache. This population MAY be at risk from high blood pressure, narrowed arteries, high cholesterol, etc. They MAY develop stroke or brain hemmorhage.

Being 70 yrs old, with a history of migraines AND high blood pressure, you have enough risk factors that you should tell your doctor AND have your BP re-checked soon. Doc may want to do tests, or simply have you watch for increased migraines or high BP symptoms. He might believe that medication adjustment or an additional med will give you protection from the common risks. But you won't know unless you ask. The doc may find nothing at all wrong.

I remember in my 20s that I had a BOOM headache (HA) with orgasm. I had a blinding white light with immediate HA that kept me flat in bed a few hours. In my 30s, I injured my neck and had an orgasm-headache that originated from my neck muscles because of my neck wasn't supported well during sex. But, I had zero risk factors at those ages. Now, I'm over 50 with a history of deep vein thrombosis, high cholesterol, and likely some narrowing of other blood vessels. If I got a sex headache now, I'd go to the doc simply because of my risk factors for blood clots, heart attack or stroke.

The aftermath of flu-like symptoms MAY have been an effect of a BP going higher during sex but staying high, and your body trying to adjust to a high BP. Make sure to tell your doc those other symptoms too.

Thank you for posting this personal question. I'm sure it will help other women who experience and are frightened or perplexed by the suddenness of a sex-orgasm headache.

If you wouldn't mind, I'd be interested in knowing what your doc says or suggests.


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