Can an Orgasm Cure My Headache?

We've all heard the old joke: "Not tonight, dear. I have a headache." Surprisingly, for some people, there actually is a correlation between sexual activity and headache relief.

Headaches Linked to Sex

For some people, sexual activity can actually cause headaches. Such headaches may be benign exertional headaches brought on by strenuous activity, including sexual activity.

Or they may be sexual, or coital, headaches, a rare type of primary headache that occurs in the skull and neck during sexual activity, including masturbation or female or male orgasm.

Coital headaches may last up to 24 hours and are most common among men.

Although such episodes are usually benign, it is important that they be correctly diagnosed to rule out organic causes that can be very serious, even life-threatening. Tests used to confirm a diagnosis include a computerized tomography (CT) scan, magnetic resonance imaging (MRI), or magnetic resonance angiography (MRA).

Headaches, including migraines, induced by sexual activity may strike prior to, at the time of, or following orgasm. Such attacks have also been documented after masturbation. There are three patterns of occurrence for coital headache:

  • Sudden onset: This pattern applies in 78% of coital headaches, and begins just before, during, or immediately after orgasm. This type of headache is severe, usually throbbing, and may build over minutes or be explosive. The average duration is several hours.
  • Subacute, crescendo headache: This pattern applies in approximately 22% of cases. The onset is much earlier than an orgasm, with intensity increasing until the time of orgasm. Frequently in the back of the head, the pain is dull and aching. Rarely, nausea and vomiting may occur.
  • A postural headache: This is the least common of coital headaches. The pain occurs in the lower back of the head and is greatly increased when the patient stands. This form is more likely to be accompanied by nausea and vomiting.


Once coital headaches are diagnosed as benign, medications can be taken one to two hours before anticipated sexual activity to help avoid future coital headaches.

If the problem persists, daily preventive medications may be in order. While not extensively studied, indomethacin taken 30 to 60 minutes prior to sex may prevent a headache. Propanolol and possibly even Topamax (topiramate) may be used as a preventive medication, although the scientific data supporting its use is weak. 

Headaches Relieved by Orgasm

Research shows that, in some cases, orgasm can actually relieve a headache. In a 2013 study, 60% of people with migraine reported that sexual activity improved how they felt during a migraine attack (33% said that sexual activity made their migraine worse). Some study participants reported that they used sexual activity as a "therapeutic tool."

The same study showed that sexual activity can sometimes relieve cluster headaches as well. Just over a third of study participants (37%) reported an improvement of cluster headache attack, while 50% reported worsening.

Frequently Asked Questions

  • How are sex and headaches linked?

    The occurrence of headaches during sex is a phenomenon that has long been noted in the medical literature. The cause remains unclear, although it has been suggested they may be a form of tension headache and/or be caused by changes in blood circulation to the brain, which can increase the risk of migraines or cluster headaches.

  • Can an orgasm cause headaches?

    Studies have shown that some people, both females and males, develop a headache or migraine as they approach orgasm (referred to as an orgasmic headache). The onset of these symptoms commonly coincides with a steep rise in blood pressure. A history of migraines or cluster headaches appears to increase the risk.

  • What is an orgasmic headache like?

    Among people who experience headaches prior to or during orgasm, the pain will typically affect both sides of the head and be situated more toward the back of the head. These headaches can last anywhere from 10 to 60 minutes on average.

  • Can orgasm relieve headaches?

    If a headache occurs as you approach orgasm, an orgasm could very well relieve it, likely due to the normalization of blood flow to the brain. With that said, the relief may not be immediate. Some studies suggest that males are more likely to experience relief following orgasm than females.

  • Can an orgasm make headaches worse?

    For some people with a history of cluster headaches or migraines, an orgasm can cause a worsening of symptoms rather than relief. According to a 2013 study published in the journal Cephalalgia:

    • 37% of respondents with a history of cluster headaches reported an improvement of symptoms after an orgasm, while 50% experienced a worsening of symptoms.
    • 60% of respondents with a history of migraines reported an improvement of symptoms after an orgasm, while 33% experienced a worsening of symptoms.
7 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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  2. International Headache Society. Primary headache associated with sexual activity.The International Classification of Headache Disorders. 3rd ed. Phoenix, Arizona: IHS, 2018.

  3. Redelman MJ. What if the "sexual headache" is not a joke?. BJMP. 2010;3(1):304.

  4. Arikanoglu A, Uzar E. Primary headaches associated with sexual activity respond to topiramate therapy: a case report. Acta Neurol Belg. 2011;111(3):222-4.

  5. Hambach A, Evers S, Summ O, Husstedt IW, Frese A. The impact of sexual activity on idiopathic headaches: an observational study. Cephalalgia. 2013;33(6):384-9. doi:10.1177/0333102413476374

  6. Borsook D, Erpelding N, Lebel A. et al. Sex and the migraine brain. Neurobiol Dia. 2014 Aug;68:200-14. doi:10.1016/j.nbd.2014.03.008

  7. American Migraine Foundation. Primary headache associated with sexual activity (orgasmic or pre-orgasmic headache). July 10, 2016.

By Colleen Doherty, MD
 Colleen Doherty, MD, is a board-certified internist living with multiple sclerosis.