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Prevention of Headaches or Migraines Triggered By Sex or Orgasm

Having a headache or migraine triggered by sex or an orgasm is a pretty cruel emotional injustice. Fortunately, preventing a sex-induced headache or migraine is surprisingly simple. And, no, the answer is not to avoid having sex. The most commonly prescribed treatment is indomethacin, a nonsteroidal anti-inflammatory that’s a close relative to ibuprofen, taken an hour before sex.

Those of you who don’t want to go to the doctor may deduce that you can pop a couple Advil and avoid the headache. Please don’t! The headache or migraine may be triggered by benign causes like a tightening of the head and neck muscles or a response to increased blood pressure and heart rate during orgasm. However, it could also be the sign of a brain hemorrhage,  stroke, heart disease, glaucoma, or other disorder. Instead of attempting to treat it yourself, please see a doctor to make sure there’s not a serious background cause.

Several trustworthy online sources say that taking a triptan an hour before sex is an effective treatment for orgasm-induced migraines. I asked a headache specialist about this and was told that this could cause a stroke. The specialist said that because both triptans and orgasms constrict blood vessels, the blood vessels could constrict too much during an orgasm. I’m not sure which source is correct here, but I stay on the side of caution and only take a triptan after an orgasm has triggered a migraine.

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37 Responses to Prevention of Headaches or Migraines Triggered By Sex or Orgasm

  1. Kelly B says:

    Oh my, I find that coaching my guy to ‘do it right’ is more migraine inducing than the orgasm! Lol.
    I also hate when trying new things in the bed room doesn’t work out..as in if you’re really excited to try this new thing then its not that great. It makes me bitter. Thinking wow, I live in this pain I never know when I’m going to hurt then I try to have this pleasure and my body won’t even let me feel good.
    but I try not to think like that too much.

  2. James says:

    This is something of an alarming thing–

    The solution to the problem is to take pain medication–

    What else do we know about the causes of this?

    None of the causes the Mayo clinic lists sound like they could apply to me–
    I’m 22!
    I have a good diet, good exercise routine…
    Yet when I have an orgasm- the pain immediately blasts through my head and stays for 24 hours!
    24 hours of excruciating pain from an orgasm!
    I read about one guy that said it had been going on with him for three years. I cant do that.

    I suppose that if Pheochromocytoma can be caused by drinking excessive amounts of coffee/caffeine– that may be my problem.
    Or if five eggs a day can spike cholesterol levels to the point of causing high blood pressure—

    But still, neither of those explanations make sense!!

    I’ve greatly reduced the amount of coffee I drink- and I’ve switched to herbal tea!
    And I’ve been eating four eggs a day off & on for most of the past four years! Surely five eggs a day, religiously the past 3 months couldn’t have impacted my cholesterol levels like that, huh?

    I don’t want to deal with this-
    I want to be able to have sex on impulse!

    I’m going to read up on Pheochromocytoma some more-

    But what I basically want to know-
    is what are the odds that I got into this condition with my diet?

    Eggs are the most unhealthy thing I eat.
    Most everything else I eat is raw.

    LOL if I weren’t an atheist, I would swear it has to be the fact that the herbal tea I drink is Tulsi– which is considered a “holy tea”– made from leaves named after Hindu gods.

    The holy tea is trying to purge me of my carnal pleasures!

    XD

    No, but seriously, any ideas at all would be great.

  3. James says:

    Well- the AMA has failed me before.

    And by “Failed” I mean-
    gave me a prescription where there was a perfectly suitable alternative.

    BUT- Check it out-

    Today is the first day in about three weeks I’ve been able to masturbate without getting a horrible migraine.

    I know some people say they had them for years and years– so perhaps I just got off lucky, but–

    All I did differently was lay off my high-cholesterol foods– (eggs, in my case)
    Eat extra fiber- oats and fruits-

    And probably most importantly, I ate stupid amounts of cilantro.

    I’m talking a fistful of short (perhaps 5″) sprouts– cutting the leaves off to cook with whatever food (tonight, it was chicken with garlic, rosemary, and lime! Lime and cilantro are great together- it levels out that bitter taste)

    And once I got all the leaves off the stems–
    I ate the stems.

    Seriously, just wadded them up, and ate them.
    Its not a good taste, but- hell. I heard so many good things about the detox-powers of cilantro–

    Today is the third day of that- and no migraines, today.

    I’ll report back in a week or so–
    Just thought I would share the tip so someone else could try their luck with it.

    • Don says:

      Hi James,
      I am also suffering severe headache when reached to climax when doing sex or masturbation. What i dsliscovered is lying flat can reach to climax though.It started from last week. I am not sure how long it will last but I will try Cilantro from tmr. I went to doctor today snd they gave me pain killers and want me to stop the activity for 2 weeks and see the results.Did you manage to permanently stop after eating Cilantro.

    • Don says:

      Hi James,
      I am also suffering severe headache when reached to climax when doing sex or masturbation. What i discovered is lying flat can reduce pain and reach to climax though.It started from last week. I am not sure how long it will last but I will try Cilantro from tmr. I went to doctor today and doctor gave me pain killers and want me to stop the activity for 2 weeks and see the results.Did you manage to permanently stop headache after eating Cilantro?

    • Roni says:

      Hello James, 5yrs later. How are you doing?
      Have you head aches subsided completely?

  4. Mary says:

    I’ve never heard of this before!

    Orgasms occasionally CURE and usually at least alleviate my chronic migraines (because of the increase in serotonin levels, coupled with the flow of blood away from the brain to other areas, I believe).

    The only problem is that once a killer migraine is well under way, sex is usually one of the last things on my mind, even for medicinal purposes:)

  5. Kaycee says:

    I have just started,( about a month ago)having headaches after I have an orgasism… the last time it lasted over 24 hours I wanted to die. .. but I also have migraines most of the time.. but have never gotten them after an orgasism.. I asked my husband if it was normal or if he thought anything was wrong he said so I decided to google it and I’m guessing I’ll be making a doctor appointment to be on the safe side. ..

  6. Charles says:

    The first headache I got was the other day after an orgasm. No sooner than the last drop squeezed out, my head felt like it was going to EXPLODE. It started in the middle of my neck and ran up the back of my scalp and down behind my eyes. It felt like someone was pulling the cords on the back of my eyes. I broke out into a cold/clammy sweat, nausea set in, dizziness and I just balled up in the fetal position. It literally felt like someone bashed the back of my skull in with a baseball bat. The severity eased up after about 10 minutes but it felt like a stiff neck limiting my neck movement. I’ve had a headache off/on for 4 days now since this happened. I am scheduled for an MRI Monday so hopefully that will either show something or I’m gonna keep pestering doctors until I get answers. The headaches just started but I’ve had other issues prior to this for the last year. My heart checks good but it races at times. My BP elevates to the point of almost passing out. Cold sweats randomly. I can’t stand the heat anymore like I used to. Heat of any type makes me nauseated. I want effing answers. I’m 36 and have never had health issues until I turned 35 and then I feel like I just fell apart. I’m tired of doctors blowing me off like I don’t have anything wrong with me and its all in my head.

  7. Oscar says:

    Alright my girlfriend and I were getting to do intimacy but she got a huge migraine during an orgasm and well if you guessed it could do anything anymore we tried four days before and she the same thing but it wasn’t as big before now she doesn’t want know I’m asking here for advice but I am concerned. Any ideas or do I got to make her see a doctor. Please reply.

    • Pinky says:

      Yu knw Oscar as yu described it its exactly like dat and it last abt 15mins then it slowly fades away also started a mnth ago, usually ive been enjoyin sex till last mnth i cant even musturbate myself anymore cos im scared de pain z veri exruciating unberable i tell yu pls come tell us what de doctor said abt yo headache

  8. Oscar says:

    By the way sorry I got to much damn autocorrect it corrects and pops words making it not that understable

  9. Natb1977 says:

    I’ve been getting these headaches just before orgasm which feel like I’ve been bashed over the head. It starts in my neck and works up to feel like a vice crushing my forehead to both sides and behind the eyes and jaw. Sometimes I can have sex and it doesn’t happen but I can’t pinpoint what’s different when it does. This has only been happening for about 8 months but it makes me nervous, as well as making my very patient partner feeling worried. I went to the GP who said it was probably nothing to worry about and will likely pass, but it’s still pretty frustrating and unfair. Can anyone recommend anything to stop it or reduce the risk? Why does it happen?!

  10. babbette says:

    There are also other things which may be causing this explosion like certain prescription drugs. (blood pressure medicine, pain pills of any kind with an opiate derivate) Also I have them worse when I am in my head instead of allowing the feelings to just be in my body. Hope this helps!

  11. Buffy says:

    It’s very off-putting feeling excruciating pain when you’re suppose to be feeling good. My explosive migraine sneaks up as I am preorgasm, and I would compare the final orgasm headache (but mostly migraine) as having my head bashed open. The migraine isn’t in my neck or back of my head or even all over, it’s at my right temple/right side of forehead, every.. single.. time.. and that scares me. All I can do is grab my head and cry. My neck does feel a tad stiff after the pulsing from the orgasm dies down, but that is bearable. The pain has lasted at most, about 12 hours, with the first 1 or 2 hrs being excruciating, and the rest 10 or 11 hrs a dullness all over my head. I quit smoking three months ago and my problems started about a month ago. Could be related?

  12. Matt says:

    I want to share my experience with you all despite how delicate the subject is to some.

    I had my first headache after sex with my wife in the shower. Approaching orgasm my legs shook violently and then my head exploded. 10 out of 10 pain. Again the next time but this time lying on my back. Third time masterbating to see if that was different. Each time the headache lasted longer and the last time 24 hours. Ipeprofin didn’t dona thing.

    I went to the doctor and ended up in ER getting scans and a lumber puncture to test for something more serious. All good.

    One of the male nurses asked me if I held my breath during orgasm. I didn’t know. I had another go with my wife and breathed open mouth during climax. No headache. I have also been taking magnesium which I read was a contributor.

    One month later and no headaches

    Please try breathing and magnesium. Sex is one if life’s free pleasures. I hope you all find a solution.

    Matt

    • Candy says:

      That’s exactly it Matt I hold my breathe when I close to orgasm and the pain is truly unbearable I also was rushed to a&e the first time had lumber punch and brain scan all clear…. gonna try not holding my breath however that’s a complete style change for me. Please let me know how you getting on as this only started for me last Sunday and I suffered 5 days with a migraine I’m now on chlonidine which seems to help x candyclow@Hotmail.Co. uk

      • Don says:

        If it is sexual headache, doctor will tell u to do brain CT scan and if every thing is okay with scan, doctor will give you Indometacin tablet to take it before activity. You will get well immediately with just 1 tablet. When that become okay, u dun sex for 3 to 4 days. You wont need to rely on medicine anymore next time when you try.CT scan for your brain is a must because doctor can prescribe medicine only if your internal brain is okay and nothing ruptured. This the only solution cured me.

    • Roni says:

      Thanks for this info, I will certainly give this a try.

  13. Eddie says:

    I seem to get migrain headaches within a few hours of sex, actually way more after masterbation than sex with my wife…figure that one out all you want to be psyco-therapists.

    I do like Matt’s idea in the previous post about breathing through the orgasim. I think this may be the real physiological reason I am more likely to get a headache from masterbation than sex in that I tend to hold my breath for intensity when climaxing via masterbation rather than breath through it when with my wife. Time to try out this theory as well as the magnesium Matt suggested.

    Happy and pain free O everybody,

    E

  14. Misty says:

    I am a 34 yr old female worried for my 44yr old fiance who has experienced this “orgasm related orgasm” both this morning and tonight. We have been together 3 1/2 yrs. & experience orgasm daily. He says this has NEVER happened to him before. He was diagnosed with diabetes about 1 yr & 1/2 ago. He has lost weight through diet & exercise and hardly has any problems with his sleep apnea or diabetes more recently. Unfortunately he does have high blood pressure & doesn’t take his BP pill everyday & the past week has not used his Cpap machine because we moved into our new home & we both forgot to buy distilled water (required for machine) then he found he needs new tubing…. I think he may hold his breath during orgasm!! Thanks for posting here. I will schedule him an appointment to have this checked out. I am worried that it could be an aneurysm or stroke. He is sleeping like a baby now. I’ll check back here soon to see what all updates you all have and what the Dr. says/prescribes. BTW my fiance said his headache began at the temples as a stabbing pain and shot backward towards the back of his head. He said he was more tense this morning but not tonight. Unintentionally, both times this headache occured he was on his back during orgasm…which makes me think about blood flow….hmm. Good luck everyone!

  15. Michelle says:

    I’ve recently started to get these headaches too. Exactly how people have described them. First was during sex, second was in a fitness class, within minutes of warm up. I ended up going to A&E. I thought I was going to die. Scans and MRI done. Showing nothing sinister, Thankfully. The doctors put me on preventative meds. A type of beta blocker. So far no change however it’s only been a week.
    I suffer with migraine but nothing ever like this. I went to acupuncture session yesterday, not sure if it helped. But I will try anything.
    Has anyone else tried the magnesium? I’ll try that. I suppose it can’t do any harm. Any other tips would greatly be appreciated.

  16. Matt says:

    Im 14 wich means puberty is at its hardest, I feel strong neck and temple pain when ever i masturbate. I dont want to go see a doctor cause its imberrasing to even think like that. If there is any home friendly solution to this problem i would be gratefull.

  17. Matt says:

    Matt
    It has been nearly 4 months since I tried breathing through the orgasm and taking magnesium and that is working for me.

  18. Matt says:

    I no longer get headaces and have stopped taking the magnesium. Breathing is the key.

  19. LisA says:

    How much magnesium do u take?

  20. Matt says:

    I started drinking about a liter of magnesium filled carbonated water aday, started going out more and streching. It helped and I’m not feeling any pain what so ever.

  21. thomas major says:

    I have had this problem every since I can remember. About one hour after ejaculating I will start having a headache, but it not just a normal headache. Its difficult to think, feels like my IQ has dropped 30 points, difficult to remember things, difficult to talk as clearly as I usually do. After 2 nights sleep the problem starts clearing up and gets better as time elapses. I have gone to a number of neurologists and none of them have been able to identify the issue.

    Any ideas would be much appreciated

  22. Oscar says:

    I heard it mite be because pressured air that doesnt go to the brain while intercourse bud it makes sense I stopped going quicker haha theres gotta be Wtf we paying Docs for.

  23. Scott says:

    I’ve had these headaches off and on all my adult life. In my experience this happens most often when you are forcing an orgasm. Or trying to hard. I get intense headaches through my neck up into my temples. Fortunately mine only last 5 to 15 minutes. I believe it’s from tensing up the muscles in your neck and holding your breath. My advice is to late it come natural and breath. Works for me.

  24. Matt says:

    It has been over 9 months for me now and I seem to be fixed. I don’t even bother with te magnesium any more. It seems that breathing was the trick for me though I still avoid climaxing while standing up or kneeling.

    I hope you all find your solution.

  25. Peter says:

    I want to thank Matt for his continued updates over the mobths to share his progress with us. I will try focusing of breathing, and also not “trying too hard” like another guy said.

    I am 42 and havestarted getting these about 2 years ago. The episodes can last for about a month, happening every time after sex, then it goes away for several months. I will get them during orgasm buildup and last a day after. They are focussed in the back of the skull neck area, and seep over toward the temples. The first one in the episode is worse, with each one after gradually decreasing in intensity.

    A sane man would absatain from sex lfor a few days to let it go away, but I must be a sex addict because I still do it knowing the consequence awaits me.

    So, I will try breathing and relaxing more.

    I will also add that this current episode is happenibg during a headcold/sinus infection, so that must be contributing…

    Peter

  26. Keshia says:

    I’ve been having these problems to but mine is during masturbating but I don’t know about sex cause I haven’t had any but I get the orgasm headache and then during the course of 4 afterwards i’ll have headaches and pressure for four to five days or more I’ve done this three times but same results and last time I tried breathing and I still got the headache but i’m I went to the hospital and they did a head scan and it was normal but I see a nerolegist here soon sorry for spelling.

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