man presented with a severe headache during sexual intercourse, The patient described the headache as abrupt, throbbing and severe. Sexual headaches are a medical condition, often called coital cephalalgia. as a sudden headache that is throbbing and intensifies right before or during an orgasm. for a person who experiences a severe sexual headache for the first time. He is in a new relationship, however, and has started having severe headaches all over his head as soon as he achieves a climax during sexual intercourse. A sudden and severe headache that occurs with orgasm; A headache that These headaches usually start just before or with orgasm, are very.