Orgasmic Headache Treated with Nimodipine. (19th February 2013)

• Record Type: Journal Article
• Authors: Lee, Jea Whan; Ha, Yeon Soo; Park, Seung Chol; Seo, Ill Young; Lee, Hak Seung
• Is Part Of: Journal of sexual medicine. Volume 10:Number 7(2013:Jul.)
• Page Start: 1893
• Page End: 1896
• Publication Date: 2013-02-19
• Subjects: Sexual disorders -- Periodicals; Sex -- Periodicals; Sexual health -- Periodicals; 616.69005
• DOI: 10.1111/jsm.12093
• Languages: English
• ISSNs: 1743-6095

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="jsm12093-sec-0010" sec-type="section"> <title>Introduction.</title> <p>Orgasmic headache (OH) is a sudden and severe headache that occurs at the time of or shortly after an orgasm.</p> </sec> <sec id="jsm12093-sec-0011" sec-type="section"> <title>Aim.</title> <p>We present the case of typical primary headache associated with sexual activity, especially during an orgasmic period.</p> </sec> <sec id="jsm12093-sec-0012" sec-type="section"> <title>Methods.</title> <p>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.</p> </sec> <sec id="jsm12093-sec-0013" sec-type="section"> <title>Results.</title> <p>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.</p> </sec> <sec id="jsm12093-sec-0014" sec-type="section"> <title>Conclusions.</title> <p>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. <bold>Lee JW, Ha YS, Park SC, Seo IY, and Lee HS. Orgasmic headache treated with nimodipine. J Sex Med 2013;10:1893–1896.</bold></p> </sec> </abstract>