性活动头痛 - 诊断与治疗 - 妙佑医疗国际

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性活动头痛

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诊断

脑部成像

医生可能会建议您进行脑部成像。磁共振成像（MRI）。脑部 MRI 有助于发现头痛的基础性原因。MRI 检查利磁场和无线电波创建大脑内部结构的横截面图像。计算机断层成像（CT）。在某些情况下，特别是如果头痛发生在 48 至 72 小时之前，可能进行脑部 CT 扫描。 CT 扫描使用围绕身体旋转的 X 线装置和计算机来创建大脑和头部的横截面图像。磁共振血管造影术（MRA）和 CT 扫描血管造影术。它们以可视化的方式检查通向脑部和颈部以及脑部和颈部内部的血管。

血管造影

医生还可能要求进行脑血管造影，该检查可以显示颈部和脑部动脉的情况。该检查手术涉及将一根软细管从腹股沟通过血管穿到颈部动脉。将造影剂注入细管，以便 X 线机器创建颈部和脑部动脉的图像。

脊椎穿刺

有时也需要做脊椎穿刺（腰椎穿刺），特别是如果头痛最近突然出现并且脑成像正常。医生会利用该检查手术取出大脑和脊髓周围的少量液体。液体样本可以显示是否有出血或感染。

Angiograms

Your provider may also order a cerebral angiogram, a test that can show the neck and brain arteries. This procedure involves threading a thin, flexible tube through a blood vessel, usually starting in the groin, to an artery in the neck. Contrast material is injected into the tube to allow an X-ray machine to create an image of the arteries in the neck and brain.

Spinal tap

Sometimes a spinal tap (lumbar puncture) is needed as well - especially if the headache started abruptly and very recently and brain imaging is normal. With this procedure, the provider removes a small amount of the fluid that surrounds the brain and spinal cord. The fluid sample can show if there's bleeding or an infection.

治疗

在某些情况下，您的第一次性活动头痛也可能是唯一的一次。有些性活动头痛会很快改善，所以在任何止痛药起作用之前疼痛就消失了。

预防性药物

如果您有性活动头痛的病史并且没有根本原因，医生可能会建议您定期使用预防性药物。这些可能包括：每日用药。诸如普萘洛尔（Inderal、Innopran XL）或美托洛尔（Lopressor、Toprol-XL）等 β 受体阻滞剂用于治疗高血压、冠状动脉疾病和偏头痛 — 可以每天使用，以防止性活动头痛。只有当您经常或长时间发作时才推荐使用。偶尔用药。吲哚美辛（indomachain、Tivorbex）是一种消炎药，也是一种曲坦类药物，可以在性交前一小时使用以预防头痛。

Preventive medications

If you have a history of sex headaches and there's no underlying cause, your doctor may recommend that you take preventive medications regularly. These may include: Daily medications. Beta blockers, for example, propranolol (Inderal, Innopran XL) or metoprolol (Lopressor, Toprol-XL) - which are used to treat high blood pressure, coronary artery disease and migraines - may be taken daily to prevent sex headaches. They're recommended only if you have frequent or prolonged attacks. A calcium channel blocker, such as verapamil hydrochloride (Calan SR) - which is also used to treat high blood pressure - may be an option. In people who have a history of migraine, other migraine preventive medications may be used. Occasional medications. Indomethacin, an anti-inflammatory, or one of the triptans, a class of anti-migraine medications, can be taken an hour before sex to prevent headaches. 申请 Mayo Clinic 预约

准备您的预约

您可能会首先去看家庭医生或全科医生。但您可能会被转诊给神经科医生。以下信息可以帮助您做好就诊准备，并了解医生可能会做什么。

您能做些什么

了解就诊前是否有任何限制规定。当您预约时，询问是否需要提前做什么准备，例如限制您的饮食。写下您目前出现的所有症状，包括那些看起来与您安排本次预约无关的任何症状。写下关键的个人信息，包括既往疾病和手术、主要压力或近期生活变化以及您家族中遗传的任何健康问题。列出您正在服用的所有药物、维生素和补充剂的清单。尽可能请家人或朋友陪同。陪同亲友可能会记住您遗漏或忘记的信息。写下要向医生咨询的问题。提前列出问题有助于充分利用就诊时间。对于与性生活有关的头痛，要向医生咨询的一些问题包括：可能是什么原因造成我的症状和疾病？我的症状或疾病还有其他可能的原因吗？我需要做哪些检查？我的病症可能是暂时问题还是长期病症？最好的治疗方法是什么？除了您建议的主要方法外，还有哪些替代疗法？我还有其他健康问题。我如何同时管理好这些疾病？有没有我需要遵守的任何限制？我应该去看专科医生吗？您开的药物有仿制药吗？有没有我可以带走的手册或其他印刷资料？您推荐哪些网站？就诊时可以随时询问其他问题。

医生可能做些什么

医生可能会问您一些问题，例如：您第一次出现性活动头痛是什么时候？您头痛开始的速度如何？与性高潮有关的头痛始于什么时候？您的头痛是持续存在还是间歇性出现？是否有头痛之外的任何症状？您此前是否出现过其他类型的头痛？如果出现过，情况怎样？您的直系亲属中是否有人曾患有偏头痛或与性生活有关的头痛？有没有任何因素看似能缓解您的头痛？有没有任何因素会加重您的头痛？

What you can do

Be aware of any pre-appointment restrictions. When you make the appointment, ask if there's anything you need to do in advance, such as restricting your diet. Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment. Write down key personal information, including past illnesses and operations, major stresses or recent life changes, and any medical problems that run in your family. Make a list of all medications, vitamins and supplements you're taking. Take a family member or friend along, if possible. Someone who accompanies you may remember something that you missed or forgot. Write down questions to ask your provider. Preparing a list of questions can help you make the most of your time with your provider. For headaches associated with sexual activity, some questions to ask your provider include: What is likely causing my symptoms or condition? Are there other possible causes for my symptoms or condition? What tests do I need? Is my condition likely temporary or chronic? What is the best course of action? What are the alternatives to the primary approach you're suggesting? I have these other health conditions. How can I best manage them together? Are there any restrictions that I need to comply with? Should I see a specialist? Is there a generic alternative to the medicine you're prescribing? Are there brochures or other printed material I can take? What websites do you recommend? Don't hesitate to ask other questions that may come up during your appointment.

What to expect from your doctor

Your provider is likely to ask you questions, such as: When did you first have a sex headache? How quickly did your headache begin? When did the headache begin in relation to orgasm? Have your headaches been continuous or intermittent? Were there any symptoms besides pain? Have you had other types of headaches? If so, what are they like? Has anyone in your immediate family experienced migraines or headaches associated with sexual activity? What, if anything, seems to improve your headaches? What, if anything, makes your headaches worse? 来自妙佑医疗国际员工申请 Mayo Clinic 预约症状与病因 July 03, 2022 打印 Share on: FacebookTwitterWeChat

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CloseWeibo 显示参考文献 Cutrer FM, et al. Cough, exercise, and sex headaches. Neurology Clinics. 2014;32:433. Ropper AH, et al. Adams & Victor's Principles of Neurology. 10th ed. New York, N.Y.: The McGraw-Hill Companies; 2014. http://accessmedicine.mhmedical.com/book.aspx?bookid=690. Accessed Jan. 19, 2015. Longo DL, et al. Harrison's Principles of Internal Medicine. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=4. Accessed Jan. 19, 2015. Cutrer FM. Primary headache associated with sexual activity. http://www.uptodate.com/home. Accessed Jan. 19, 2015. Headache: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/headache/detail_headache.htm#142883138. Accessed Jan. 19, 2015. Bartleson JD (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 23, 2015.