Lucinda Allen, 38, from Stourbridge in the West Midlands was 6 months pregnant when she had intercourse with her husband Tony. After climaxing twice, she experienced a sharp pain just above her right eye.
She said, 'My pregnancy had been overshadowed by gestational diabetes, which I was managing through diet and exercise. I checked my blood pressure most days. On this particular Saturday morning, I checked my blood pressure
- which was low - so decided to get back into bed with my husband.'
After having sex Lucinda experienced the painful headache but thought nothing of it as she regularly had a short burst of head-pain immediately after she'd climaxing.
Scans later showed that she had suffered a brain haemorrhage and was put into an induced coma to let her brain rest: during that time, she had brain surgery – a craniotomy to release the pressure on her brain where the blood had leaked out. Lucinda was left paralysed down her left side and is now a full time wheelchair user with a healthy four year old girl.
📚🏨Headache associated with sexual activity (HSA) is an idiopathic headache precipitated by sexual excitement (masturbation or coitus) and not associated with any intracranial disorder such as aneurysm.
There are three types of sexual headache:
1️⃣Type 1 is a dull ache in the head and neck that slowly intensifies as sexual excitement increases, and is believed to be caused by muscle contraction similar to tension-type headache.
2️⃣Type 2, also called 'vascular-type,' is a sudden severe, explosive headache occurring at orgasm, which may be due to increased intracranial pressure.
3️⃣Type 3, the most uncommon type, is a postural headache resembling that caused by decreased CSF pressure, perhaps due to a meningeal tear during coitus
💊💉HSA may be prevented in some patients by weight loss, a more passive role during intercourse, variation in posture, limitation of additional sexual activity on the same day, and medications such as propranolol and diltiazem.