Orgasmic Headache Treated with Nimodipine
Article first published online: 19 FEB 2013
© 2013 International Society for Sexual Medicine
The Journal of Sexual Medicine
Volume 10, Issue 7, pages 1893–1896, July 2013
How to Cite
Lee, J. W., Ha, Y. S., Park, S. C., Seo, I. Y. and Lee, H. S. (2013), Orgasmic Headache Treated with Nimodipine. Journal of Sexual Medicine, 10: 1893–1896. doi: 10.1111/jsm.12093
- Issue published online: 1 JUL 2013
- Article first published online: 19 FEB 2013
- Wonkwang University
- Post-Orgasm Illness;
Orgasmic headache (OH) is a sudden and severe headache that occurs at the time of or shortly after an orgasm.
We present the case of typical primary headache associated with sexual activity, especially during an orgasmic period.
A 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.
Magnetic 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.
We 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. Lee JW, Ha YS, Park SC, Seo IY, and Lee HS. Orgasmic headache treated with nimodipine. J Sex Med 2013;10:1893–1896.