Hi, I believe you are having an orgasm headache. An orgasm headache is one of two types of sex headaches. You’ll know you’re having an orgasm headache if you feel a sudden, severe, throbbing pain in your head before or during sexual release. The second type is a sexual benign headache. Sexual benign headaches start as a dull pain in the head and neck that builds up as you become more sexually aroused, leading to a painful headache. Some people may experience both types of headaches at once. They usually last several minutes, but some headaches can continue for hours or even up to three days. Moreover, some people who already experience migraine headaches are also more likely to have a sex headache. Treating your orgasm headache will depend on the cause. Sex headaches usually aren’t associated with an underlying condition, so taking a pain reliever should be enough to ease symptoms. In some cases, head pain during orgasm may indicate a serious issue. If your sex headache is accompanied by neurological problems such as a stiff neck or vomiting, it could mean you’re dealing with: brain hemorrhage stroke tumor bleeding into the spinal fluid aneurysm coronary heart disease inflammation medication side effects. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Naira Jahangir, OB and GYN Specialist