This is the least common of coital headaches. Sex, like exercise, is a physical activity, however, which for some migraine sufferers can trigger an attack. As for those with cluster headaches, 37 percent of those who responded noted an improvement in their symptoms after having sex. Endorphins, which are opiate-like chemicals, are associated with a happy, positive feeling and keep pain messages from reaching the brain. Treating the underlying issue can help reduce or prevent these headaches. But fortunately, most positional headaches are mild; they tend to last only 24 hours and usually do not require treatment. Pain Management Newsletter Thanks for signing up! However, not all headaches during sexual activity are primary headaches. The natural chemicals released when you get some action—like dopamine, endorphins, and serotonin—induce both pleasure-enhancing and pain-relieving sensations, according to Donald Penzien, PhD, director of the Head and Pain Clinic at the University of Mississippi Medical Center, and a professor in the department of psychology. However, if you've recently had spinal surgery or an epidural and you experience this type of headache, you should consult with your physician. Was this page helpful? Green, sex can cause three different types of headaches, which can all lead to migraines: Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Among patients with cluster headaches, about a third reported total or partial relief, while about 50 percent said their headaches worsened. Perhaps there are other situations in which an indigenous neural process might be used to suppress Migraine.