Abstract
Headache associated with sexual activity is an interesting clinical entity classified among primary headaches. In terms of clinical practice, it is important to distinguish it from secondary headaches that may represent a serious to life-threatening condition for the patient.
We present four case reports which were used to study the diagnostic procedures, auxiliary examinations, relevant medical history data, applied therapy, and diagnostic conclusions. Each patient with a sudden-onset headache should undergo a CT or MRI scan including visualization of the vascular bed and analysis of cerebrospinal fluid.
Primary headache associated with sexual activity is a diagnosis of exclusion; if a secondary cause is ruled out, there are several options how to manage this prognostically favourable disease with analgesics.