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06 Jul 2010

Sharp pain in the back of my head
Good day

I have the following question.

I am a 34 year old male. Four days ago I got like a sharp pain in the back of my head, and directly after that I got a headache at the back of my head. Then last night again the same thing happened! I started to jog in the evenings, not that far –  about 2 km. The funny thing is that the pain is during sex… 

Can you perhaps help?

Kind regards.
Answer 435 views
Headache expert
Headache expert

01 Jan 0001

Dear BM,

Headaches can certainly be associated with sexual activity, especially with orgasm. There are two types of these headaches. In the first type, the excitement accompanying intercourse causes muscle contraction in the head and neck, thus leading to head pain.

The second type is a vascular headache. It is a very intense, severe headache usually occurring just before orgasm. It has been called an "orgasmic headache" or "orgasmic cephalalgia." In some instances, the headache is a response to an increase in blood pressure, causing the blood vessels to dilate. This headache is not usually related to the amount of physical exertion involved in intercourse. The pain may be located around or behind the eyes. It usually lasts a few minutes, but can last for hours. The headache is usually made worse by movement. The headache most often is a "benign" (not dangerous) orgasmic headache; however, the possibility of some other underlying problem disease should be thoroughly investigated. The benign orgasmic headache occurs more frequently in men than women and usually, but not exclusively, strikes migraine sufferers.

It is important to have a thorough medical check-up, including a neurological investigation to exclude the possibility of brain pathology. Fortunately this is not common, but it must be ruled out before any other treatment is instituted. Once this has been done, to get to the root of the problem you need what is called a “multidisciplinary” approach. This must include an assessment of the tension in the head and neck muscles. There are many different structures in the head and neck, all of which can be involved in the headache process, and no single specialist has all the knowledge necessary to make a comprehensive assessment and diagnosis. For this reason, the combined expertise of different specialists who would normally treat headache patients in isolation, is co-ordinated into a single more comprehensive body of knowledge. This enables a more comprehensive treatment plan, in which all the contributing factors are addressed.

People who sufferer from orgasmic headache often have a poor Quality of Life. For a free assessment of how your headaches are affecting your Quality of Life, click on

This information has been supplied and checked by the multidisciplinary team of specialists at The Headache Clinic, in association with The International Headache Society and the South African Institute of Headache and Migraine Science. For consultation with these specialists, call The Headache Clinic on 0861 678 911.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.