Sex Headaches

Diagnosis

Your healthcare provider may recommend several tests to evaluate sex-related headaches and rule out underlying conditions.

Brain imaging may include:

• Magnetic resonance imaging (MRI). MRI uses a magnetic field and radio waves to create detailed cross-sectional images of the brain. This can help detect structural issues that may cause headaches.

• Computerized tomography (CT). CT scans use X-rays to produce cross-sectional images of the brain and may be performed if the headache occurred within the last 48 to 72 hours.

• Magnetic resonance angiography (MRA) or CT angiography. These tests visualize the blood vessels in the brain and neck.

Other diagnostic tests may include:

• Cerebral angiogram. A thin tube is threaded through a blood vessel, usually starting in the groin, to an artery in the neck. Contrast material is injected, and X-rays create detailed images of the arteries in the neck and brain.

• Spinal tap (lumbar puncture). A small amount of cerebrospinal fluid is removed to check for bleeding or infection, particularly if the headache began abruptly and imaging results are normal.

Treatment

Treatment for sex-related headaches depends on frequency and severity. Some headaches may improve quickly without the need for medication.

Preventive medications may include:

• Daily medications. Beta blockers such as propranolol or metoprolol, or a calcium channel blocker like verapamil, can be taken daily to reduce the risk of frequent or prolonged headaches. Other migraine preventive medications may be considered for people with a history of migraine.

• Occasional medications. Anti-inflammatory drugs like indomethacin or triptans, a class of migraine medications, can be taken about an hour before sexual activity to prevent headaches.