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[Headache caused by sexual activity].

E V Ekusheva, E G Filatova

    Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
    |November 25, 2003
    PubMed
    Summary

    Coital headache, or headache during sexual activity, often occurs before orgasm and can last for hours. Potential causes include venous outflow issues, increased blood pressure, and muscle tension.

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    Area of Science:

    • Neurology
    • Headache Disorders

    Context:

    • Coital headache is a recognized primary headache disorder.
    • Understanding its pathophysiology is crucial for effective management.

    Purpose:

    • To present clinical findings and suggest pathogenetic mechanisms for coital headache.
    • To analyze the timing, duration, and associated symptoms in a cohort of patients.

    Summary:

    • The study examined 19 cases of coital headache, noting onset timing (pre-orgasm, during, post-orgasm) and duration.
    • Findings included muscle tension and elevated arterial pressure, with psychological factors like hypochondria and emotional lability observed.
    • Magnetic resonance tomography revealed mild hydrocephalia in some patients, but no focal neurological deficits.

    Impact:

    • Suggests multifactorial pathogenetic mechanisms involving venous outflow, antinociceptive systems, arterial pressure, and pericranial muscle tension.
    • Highlights the need for further research into the neurovascular and musculoskeletal components of sexual activity-induced headaches.

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