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In some cases, to initiate actions leading to sexual intercourse or, worse, at the right time of orgasm appears inappropriate, severe headache that surprises and frightens the person who has it. It’s called “headache associated with sexual activity.”

This is not a very common ailment. According to several international surveys, there is only 1% of people at some time in their lives, predominantly in young men but also can get them, to a lesser extent, adolescents or women. And not only appears to keep sex with a partner, you can also surprise you masturbate alone.

This headache led to many speculations about possible causes psychological, who traveled all the theories ranging from sin to the subconscious sense of guilt. However, it is a medical issue to be discussed seriously, although it is generally benign, could be announcing a severe impairment and that 5% of people are carriers of a vascular malformation in her brain (for example, aneurysm ), which constitutes a threat. In fact, some researchers say that 11% of cerebral hemorrhages occur during orgasm.

Headaches related to sexual activity can also occur during the “romp” preliminary. So called “preorgasmic headaches” and are not as ominous. But sometimes occur during orgasm as a “ray” are sudden, severe, causing much fear can alter consciousness, lasting minutes or continue for hours and can be repeated in sex the next few days.

These “orgasmic headache” are more common in men 25 to 45 years and should always be studied with images (magnetic resonance imaging of brain with magnetic resonance angiography program of cephalic and neck vessels) to rule out cerebral circulatory compromise, not only breaking aneurysm but also the narrowing of cerebral vessels, which can last hours or days to be reversible.

In recent years there appeared another provocative cause of these headaches: sildenafil, a vasoactive substance consumed to solve erectile dysfunction can cause severe headache, especially if you have a history of migraines.

Headache during sexual activity is benign in most cases, usually short-lived and requires no medication, but this is very variable and there is 15% of patients in whom the pain lasts 4 to 24 hours and must be medicated. It is also closely related to muscle spasms and stress, which may be exacerbated in the imminence of a sexual relationship, which is not always the actors involved in peace and relaxed mood. Maybe so prevalent in young men who undertake this task with a spirit of competition and, in turn, with a fear of not having an excellent performance for their patterns often too demanding. The fact that 3 out of 4 cases are young men oriented toward the theory that points to a vascular reaction or exaggerated muscle.

With respect to treatment, we first need to transmit confidence to the plaintiff, counsel to undertake this activity in a conducive environment and an atmosphere of tranquility and pleasure-seeking.

From the pharmacological standpoint, it appears that indomethacin is the most effective treatment in both the crisis and prevention, as well as triptans.

Dr. Hector A. Zavala

There are known risk factors that cause headaches, which are well known, such as hypertension, smoking, alcoholism, high cholesterol, having had heart problems or stroke, stress, exhaustion, some other diseases such as sleep problems, obesity and diabetes.

These factors can be prevented and treated. What can not be prevented and modify is the inherited tendency, there are entire families who have an inclination to such problems, so they must care more than others, because they carry a genetic load that makes them more likely.

When a stroke is little that can be done to uncover the movement at that time.

You can make a rehabilitation treatment for the person to regain its function but is not excluded that are sequels.

But the most important in this case is prevention by medo control of headaches risk factors.

Stroke is more common in people 40 to 45 years, as is the case with myocardial infarction.

Obviously there are exceptions, but it is much more common at that age for the deposit of cholesterol and plaque in arteries, the chain of events or problems that are happening over the years and that leads to clogged arteries.

Are something other than ischemic stroke or stroke occurring in young people, sometimes by heart diseases, which generate blood clots that cause eddies and shoot out, impact on the brain and leaves him without movement.