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Etiology of Coital HeadachesRandolph Warren Evans, MD... These headaches occur more frequently when the person tries to achieve more than 1 orgasm after a brief interval ... ... The natural history of the benign explosive type of sexual headaches is variable. In a study of 26 patients, the headaches went away in 50% after 6 weeks to 6 months but recurred in 50% after remissions of up to 6 years.