Margaret J Redelman. Headaches and sexual activity are often treated with humour as a typical way for women to reject male advances. However, headaches associated with sexual activity can be anything but a joke. HSA headaches associated with sexual activity are by definition benign conditions but the symptoms can be the same as in serious life threatening cerebral conditions and these need to be quickly excluded at the first presentation. Most sexual headaches are of a benign nature. However, the first time an HSA occurs it can be a traumatic, frightening occurrence for the patient.
Try out PMC Labs and tell us what you think. Learn More. He described these headaches as different from his migraine which is usually associated with a transient blurred vision. Neurological and systemic examinations were unremarkable. His clinical features were suggestive of the first presentation of a benign sexual headache without potentially discriminating factors like lack of convincing objective neck stiffness, focal neurological signs, loss of consciousness or any protracted nature of headache. However, on further direct questioning, his wife reported an ill-sustained witnessed seizure-like activity for few seconds after orgasmic headache. Subsequently, the patient had CT angiogram which confirmed an anterior-communicating artery aneurysm rupture treated by endovascular occlusion of aneurysm by coil embolisation.