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- Jea Whan Lee, Yeon Soo Ha, Seung Chol Park, Ill Young Seo, and Hak Seung Lee.
- Department of Urology, Wonkwang University School of Medicine, Iksan, Korea.
- J Sex Med. 2013 Jul 1; 10 (7): 1893-6.
IntroductionOrgasmic headache (OH) is a sudden and severe headache that occurs at the time of or shortly after an orgasm. AIM.: We present the case of typical primary headache associated with sexual activity, especially during an orgasmic period.MethodsA 34-year-old man complained of sudden and severe headache during sexual activity, or orgasmic period, for 2 months. The headache developed abruptly with an orgasm and then decreased shortly over a period of 4 ≈ 8 hours.ResultsMagnetic resonance angiography revealed severe spasm of the M1 segment of both the middle cerebral arteries. He was treated with oral nimodipine (30 mg every 8 hours), which alleviated the headache and prevented its recurrence.ConclusionsWe postulated a pathophysiological relationship between OH and migraine, especially with respect to vasoconstriction, and believe that in such cases, nimodipine may be an effective therapy.© 2013 International Society for Sexual Medicine.
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