Experiencing a throbbing headache after engaging in a pleasurable activity like sexual intercourse can be perplexing and even concerning for some individuals. While headaches are a common occurrence for many people, the association between headaches and sexual activity raises questions about their origins, triggers, and potential risks. In this comprehensive guide, we will discuss different viewpoints when it comes to headaches after sex, explore the causes, treatment options, and address common concerns.

At medical centers such as the Clinic for Obstetrics and Gynecology In South Miami, Florida, you can find out more about the issue at hand and freely share your concerns and potential questions. There is no shame in discussing your reproductive health with us, because our main task is to ensure the best possible care for our patients.

Understanding the Phenomenon

Why do I get headaches after sex? This question echoes in the minds of individuals who find themselves reaching for the aspirin bottle post-coitus. To demystify this phenomenon, it is crucial to recognize that headaches after sex, also known as orgasm headaches, are a real and documented occurrence. These headaches typically manifest as sudden and intense pain that arises during or after sexual activity, particularly at the point of climax.

Experiencing headaches after sex is not uncommon, and there can be various reasons for this phenomenon. It is important to note that if you are consistently experiencing headaches after sex, it is advisable to consult with a healthcare professional to rule out any underlying medical issues. In the next part of this article, we will discuss what are some potential causes of this issue.

Causes of Headaches After Sex

Headaches after sex can have various causes, and it is essential to consider both physical and psychological factors. Here are some potential reasons for headaches after sexual activity:

  • Vascular Changes: One leading cause of headaches after sex is the sudden and significant increase in blood flow that accompanies sexual arousal and climax. This rapid dilation and constriction of blood vessels can result in a vascular headache, causing pain that ranges from mild to severe.
  • Muscle Tension: Another contributing factor to post-coital headaches is muscle tension. Engaging in sexual activity often involves physical exertion and the contraction of various muscle groups. The buildup of tension during these activities can trigger headaches, especially if the muscles involved are prone to strain.
  • Hormonal Fluctuations: Hormones play a pivotal role in regulating various bodily functions, including those related to sexual activity. Fluctuations in hormone levels, particularly serotonin, may contribute to headaches after sex. This is particularly relevant for individuals who experience migraine headaches. 
  • Dehydration: In some cases, dehydration can be a contributing factor. It is essential to stay hydrated, as dehydration can lead to headaches.
  • Orgasmic Headaches: Some people may experience headaches associated specifically with orgasm. These are known as orgasmic headaches and are usually short-lived.
  • Migraine After Sex: Individuals who are prone to migraines may find that sexual activity can trigger a migraine headache. The exact mechanism is not fully understood, but changes in blood flow and hormonal fluctuations may play a role.
  • Sinus Issues: In some cases, sinus congestion or inflammation could be a contributing factor.

Undressed woman in black lingerie waking up in bed with man having a headache.

Orgasm Headaches 101

Orgasm headaches, a subset of headaches after sex, deserve special attention due to their distinct characteristics. These headaches are often referred to as “primary headaches associated with sexual activity” and are classified into two types: pre-orgasmic and orgasmic headaches.

  • Pre-Orgasmic Headaches: Pre-orgasmic headaches occur before or during sexual arousal and are characterized by a dull, persistent pain that gradually intensifies as sexual excitement builds. This type of headache may be a result of increased intracranial pressure.
  • Orgasmic Headaches: On the other hand, orgasmic headaches are more sudden and intense, reaching their peak at the moment of climax. The exact cause of these headaches is not fully understood, but it is believed to be related to the sudden release of tension and increased blood flow associated with orgasm.

Are Sex Headaches Dangerous?

Concerns about the safety of experiencing headaches after sex often linger in the minds of those affected. While these headaches can be incredibly uncomfortable, the majority of cases are benign and not indicative of a serious underlying health issue. However, it is essential to differentiate between benign headaches and those that may be a symptom of a more severe condition.

However, it’s crucial to differentiate between primary and secondary headaches. Primary headaches are not related to any underlying health issues and are usually harmless. Primary headaches include tension-type headaches and migraines. In the context of sex, primary headaches are often referred to as “coital headaches” or “primary headaches associated with sexual activity (PHSA).”

On the other hand, secondary headaches occur as a result of an underlying medical condition or external factors. Secondary headaches can be more concerning and may require medical attention. Causes can include issues such as blood vessel problems, intracranial bleeding, or other neurological conditions.

While primary headaches related to sex are generally harmless, there are situations where headaches during or after sex may be a symptom of an underlying problem. If you experience severe headaches during sex, migraines after sex, or if the headaches are persistent or accompanied by other symptoms like nausea, vomiting, or neurological changes, it’s important to seek medical advice promptly.

A couple lying in bed, a sad woman in pain.

Treatment Options

As mentioned, most headaches after sex are harmless. This said, persistent or severe headaches, especially those accompanied by other concerning symptoms, should prompt a visit to a healthcare professional. It is crucial to rule out potential underlying causes and receive appropriate medical guidance.

There are different approaches one can take when it comes to treatment options, and here are some of our recommendations:

  • Pain Relief Medications: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can be effective in alleviating the pain associated with headaches after sex. However, it is essential to consult with a healthcare provider before relying on medication regularly.
  • Lifestyle Modifications: Making adjustments to lifestyle factors, such as managing stress, ensuring proper hydration, and getting sufficient sleep, can contribute to reducing the frequency and intensity of post-coital headaches.
  • Sexual Positions: Experimenting with different sexual positions may help minimize the physical strain that contributes to headaches. Communication with a partner about comfort and pacing is essential in finding what works best for both individuals.

To Conclude…

In conclusion, headaches after sex, though perplexing, are generally benign and can be managed through a combination of understanding the underlying causes and implementing practical solutions. Recognizing the different types of headaches associated with sexual activity, such as pre-orgasmic and orgasmic headaches, empowers individuals to address their specific concerns effectively. While most cases do not pose significant health risks, seeking medical advice for persistent or severe headaches is crucial to ensure a comprehensive and personalized approach to treatment. 

Ask For Help!

If you have any additional concerns about headaches during or after sex, or you are still asking yourself why do I get headaches after sex and are sex headaches dangerous, call us. Consult our team of healthcare professionals to help you determine the cause and appropriate course of action.