Results
Thirteen patients were diagnosed as primary headache disorders
associated with sexual activity (2%) according to ICDH-3 fulfilling
criteria on table 1. Demographic and clinical features of the patients
are described in table 2 and 3. Among these, 3 patients were female
(76.9%) and 10 were male (23.1%). The mean age was 37.07± 7.67.
Headache was usually localized at bilateral occipital area or diffuses,
starting with a severe ache and sudden explosive intensity that is
relevant with preorgasm in 8 patients and orgasm in 5 patients with a
mean VAS score of 7.8±1.2.
None of the patients had an aura. Photophobia, phonophobia, nausea or
osmophobia were not accompanied. Three of the patients were experiencing
the headache in each sexual intercourse. The mean duration was
21.53± 15.32 minutes. Five of the patients had a history of migraine,
3had arteriel hypertension and 2 were diagnosed as primary thunderclap
headache with sudden onset and high intensity ache.
Patients were treated with indomethacin 30 minutes before sexual
activity. Only 3 of the patients needed a prophylactic treatment with
propranolol 80mg/day for 3 months. Patients were followed up for a year
and none of the patients had recurrent headache.