Abstract
Background: Primary headache associated with sexual activity is a rare
type of headache mostly seen in male gender and initiates at the 3rd
decade. Even though the pathophysiology is still unknown, it is a benign
type of headache and must be reminded on the differential diagnosis of
the secondary headache. Materials&Methods: Thirteen patients diagnosed
as primary headache associated with sexual activity were evaluated by
their clinical and demographic data. Results:Ten male and three female
patients were evaluated. The mean age was 37.07± 7.67. Headache was
usually localized at bilateral occipital area or diffuse, starting with
a severe ache and sudden explosive intensity in association with
preorgasm in 8 patients and orgasm in 5 patients with a mean VAS score
of 7.8±1.2. The mean duration was 21.53± 15.32 minutes. Five of the
patients had a history of migraine, 3 had arteriel hypertension and two
were diagnosed as primary thunderclap headache with sudden beginning and
high intensity ache. Conclusion: Herein we presented our cases to
highlight the importance of differential diagnosis. Patients may have
difficulty of explaining the problem therefore their sexual activity
could be limited.Apart from pharmacological prevention, counselling and
facilitation plays important role in managing.