If that sex headache hits you, you’re not alone. It’s not super common, but about one percent of people experience headaches during sex, and around three quarters of them are men, says Michael Reitano, M.D., physician in residence at Roman.
There are three main kinds of sex headaches.
One is fairly mild, starting as you get turned on. This kind of headache also causes pain that also affects your neck, too. While disruptive, it’s likely not serious. Some people find that analgesics like ibuprofen make these go away, says Dr. Reitano, but others will require prescription drugs. Though beta blockers are usually considered blood pressure meds, they can sometimes treat headaches, too.
The second kind of sex headache is called a “thunderclap” headache. This kind of headache comes on during orgasm and can sometimes continue for several hours afterward. It’s generally much more painful that the first kind and requires immediate medical treatment. While this isn’t usually the case, a thunderclap headache can be a sign of a serious condition like a brain haemorrhage. Recurring thunderclap headaches can be treated with the same meds as the first kind.
What’s more, the adrenaline released during sex might also contribute by increasing pressure in your brain, says integrative medicine physician.
There’s also a third type of sex headache that’s extremely rare, affecting only around one in every 20,000 people, according to Dr. Reitano. This kind starts after sex and get worse when you stand up, and it can be all over the place on the pain scale. People who experience this often have thin brain lining, and the rise in blood pressure that comes from the physical activity of sex causes spinal fluid to leak, which in turn causes the brain to droop when you stand. To prevent chronic headaches, you may need to get the leak surgically sealed, says Dr. Reitano.
You should talk to your doctor if you get headaches during sex—not only to get treatment but also because in some rare cases, they could point toward issues like bleeding in the brain, artery swelling, or blood clots, says Dr. Reitano. In the short-term, many find that the headaches go away when they stop the sexual activity causing them, says Reitano. But you don’t have to be celibate or constantly cutting sex short—most cases are treatable with the right medications.