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MDLinxMigraines: Exploring Sex as a Cure and Cause

There is an Intricate Relationship Between Sexual Activity and Migraine Management

This article provides an insightful exploration into the complex interplay between sexual activity and migraine experiences. It highlights key findings from recent research on how sexual activity can both alleviate and exacerbate migraine symptoms, and discusses the implications of these findings for clinical practice. The summary encapsulates crucial data and expert opinions to equip physicians with comprehensive insights into managing migraine patients with considerations for their sexual well-being.

Key Points:

  • Research indicates that 52% of the global population experience a headache disorder annually, with migraines affecting approximately 14%.
  • A study from the University of Munster found that 60% of migraine patients reported headache improvement with sexual activity, though one-third experienced worsening symptoms.
  • The potential relief could be attributed to endorphin production during orgasm or distraction from pain.
  • Migraines are linked to sexual dysfunction, with a noted correlation between migraine duration/frequency and reduced sexual functioning.
  • Sexual wellness evaluations are recommended for migraine patients due to the significant association between migraines and sexual dysfunction.
  • Treatment approaches for migraines include lifestyle modifications, pain relievers, preventive medications, and when necessary, specialist referrals.
  • Effective communication and timing of sexual activity, considering migraine triggers, can enhance sexual well-being for migraine patients.
  • Coital cephalalgia, a headache triggered by sexual activity, necessitates a thorough evaluation and tailored treatment approach.
  • Recent FDA approval of zavegepant offers a new option for acute migraine treatment, reflecting the evolving landscape of migraine management.
  • Incorporating discussions on sexual activity’s potential benefits and risks into patient care can aid in developing a holistic treatment strategy.

“This may involve discussing with patients the role of regular, consensual sexual activity as a complementary aspect of managing migraine symptoms.”
– Megan Donnelly, DO; Woman’s neurologist and headache specialist with Novant Health in Charlotte, NC


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