Houle Timothy T, Dhingra Lara K, Remble Thomas A, Rokicki Lori A, Penzien Donald B
Department of Anesthesiology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1009, USA.
Headache. 2006 Jun;46(6):983-90. doi: 10.1111/j.1526-4610.2006.00470.x.
The present study examined the relationship between the diagnosis of migraine and self-reported sexual desire.
There is evidence for a complex relationship between sexual activity and headache, particularly migraine. The current headache diagnostic criteria even distinguish between several types of primary headaches associated with sexual activity.
Members of the community or students at the Illinois Institute of Technology (N = 68) were administered the Brief Headache Diagnostic Interview and the Sexual Desire Inventory (SDI). Based on the revised diagnostic criteria established by the International Headache Society (ICHD-II), participants were placed in 1 of the 2 headache diagnostic groups: migraine (n = 23) or tension-type (n = 36).
Migraine subjects reported higher SDI scores, and rated their own perceived level of desire higher than those suffering from tension-type headache. The presence of the symptom "headache aggravated by routine physical activity" significantly predicted an elevated SDI score.
Migraine headaches and sexual desire both appear to be at least partially modulated by serotonin (5-HT). The metabolism of 5-HT has been shown to covary with the onset of a migraine attack, and migraineurs appear to have chronically low systemic 5-HT. As sexual desire also has been linked to serotonin levels, the results are consistent with the hypothesis that migraine and sexual desire both may be modulated by similar serotonergic phenomena.
本研究探讨偏头痛诊断与自我报告的性欲之间的关系。
有证据表明性活动与头痛，尤其是偏头痛之间存在复杂的关系。当前的头痛诊断标准甚至区分了几种与性活动相关的原发性头痛类型。
对社区成员或伊利诺伊理工学院的学生（N = 68）进行简短头痛诊断访谈和性欲量表（SDI）测试。根据国际头痛协会（ICHD-II）制定的修订诊断标准，将参与者分为两个头痛诊断组之一：偏头痛组（n = 23）或紧张型头痛组（n = 36）。
偏头痛患者报告的SDI得分更高，并且他们对自己感知到的性欲水平的评分高于紧张型头痛患者。“日常体育活动会加重头痛”这一症状的出现显著预示着SDI得分升高。
偏头痛和性欲似乎至少部分受血清素（5-HT）调节。5-HT的代谢已被证明与偏头痛发作相关，并且偏头痛患者似乎全身5-HT长期处于低水平。由于性欲也与血清素水平有关，这些结果与偏头痛和性欲都可能受类似血清素现象调节的假设一致。
