▁It ▁is ▁important ▁to ▁realize ▁that ▁head aches ▁that ▁begin ▁during ▁org asm ▁may ▁be ▁due ▁to ▁a ▁sub ar ach no id ▁hem or rh age , ▁so ▁serious ▁causes ▁must ▁be ▁ruled ▁out ▁first . ▁These ▁head aches ▁are ▁treated ▁by ▁advis ing ▁the ▁person ▁to ▁stop ▁sex ▁if ▁they ▁develop ▁a ▁head ache . ▁Medic ations ▁such ▁as ▁pro pr an ol ol ▁and ▁d ilt ia zem ▁can ▁also ▁be ▁helpful . ▁ ▁hyp nic ▁head ache : ▁moder ate - se vere ▁head ache ▁that ▁starts ▁a ▁few ▁hours ▁after ▁falling ▁as leep ▁and ▁last s ▁ 1 5 – 3 0 ▁minutes . ▁The ▁head ache ▁may ▁rec ur ▁several ▁times ▁during ▁night . ▁Hyp nic ▁head aches ▁are ▁usually ▁in ▁older ▁women . ▁They ▁may ▁be ▁treated ▁with ▁l ith ium . ▁ ▁Second ary ▁ ▁Head aches ▁may ▁be ▁caused ▁by ▁problems ▁elsewhere ▁in ▁the ▁head ▁or ▁neck . ▁Some ▁of ▁these ▁are ▁not ▁harm ful , ▁such ▁as ▁cer vic ogen ic ▁head ache ▁( p ain ▁ar ising ▁from ▁the ▁neck ▁mus cles ). ▁Medic ation ▁over use ▁head ache ▁may ▁occur ▁in ▁those ▁using ▁excess ive ▁pain kill ers ▁for ▁head aches , ▁par ado x ically ▁causing ▁w ors ening ▁head aches . ▁ ▁More ▁serious ▁causes ▁of ▁secondary ▁head aches ▁include : ▁ ▁men ing itis : ▁infl amm ation ▁of ▁the ▁men ing es ▁which ▁presents ▁with ▁fe ver ▁and ▁men ing ismus , ▁or ▁st iff ▁neck ▁