Orgasmalgia

Orgasmalgia, also known as sexual headache or coital cephalalgia, refers to headaches that occur during sexual activity, usually just before or during orgasm. These headaches can range in intensity from mild and dull to sudden and severe.

There are generally two types of orgasmalgia:

• Type 1 (Pre-orgasmic headache): This type typically starts as a dull ache in the head and neck that intensifies as sexual excitement increases.

• Type 2 (Orgasmic headache): This type is a sudden, severe, throbbing headache that occurs at the moment of orgasm.

The cause of orgasmalgia is not fully understood, but several factors may contribute, including:

• Changes in blood pressure during sexual activity.
• Muscle tension in the head and neck.
• Cerebrospinal fluid pressure changes.
• Underlying vascular conditions (less common).

Diagnosis of orgasmalgia usually involves a physical examination and a detailed medical history. In some cases, imaging studies such as MRI or CT scans may be recommended to rule out other potential causes, such as aneurysms or other vascular abnormalities.

Treatment for orgasmalgia typically focuses on managing symptoms and preventing future occurrences. Options may include:

• Pain relievers, such as over-the-counter analgesics or prescription medications.
• Beta-blockers to reduce blood pressure.
• Triptans, medications used to treat migraine headaches.
• Lifestyle modifications, such as gradually increasing sexual activity and avoiding excessive exertion.

While orgasmalgia can be a distressing experience, it is often a benign condition. However, it is important to seek medical evaluation to rule out any underlying medical problems.