Definition: Post-coital or post-sexual headache is a headache that occurs during or immediately after sexual activity. It can be classified into three types:
- Type 1: A dull, bilateral ache in the head and neck that worsens with sexual excitement.
- Type 2: A sudden, severe, explosive headache at orgasm.
- Type 3: A postural headache that develops after coitus, often due to vigorous sexual activity.
- Causes:
- Vascular: Cerebral venous thrombosis, arterial hypertension, temporal arteritis.
- Nonvascular: Meningoencephalitis, intermittent hydrocephalus (e.g., colloid cyst of the 3rd ventricle), spontaneous intracranial hypotension.
- Primary headache syndromes: Coital cephalgia (headache associated with sexual activity).
- Management:
- Acute relief: Rest, hydration, and over-the-counter pain relievers (e.g., ibuprofen) may help.
- Preventive measures: Avoiding sexual activity when headaches occur, managing underlying conditions (e.g., hypertension), and consulting a neurologist for further evaluation if headaches persist or worsen.
- When to seek medical help:
- If headaches are severe, sudden, or accompanied by other symptoms (e.g., vision changes, weakness), seek immediate medical attention.
Rationale: Post-coital headaches can be benign or indicative of serious conditions. Prompt evaluation is crucial to rule out underlying causes.