For some individuals prone to migraine, this susceptibility may not
necessarily interfere with their sex life and may in fact improve their libido,
according to research published in the journal Headache.
"The goal of this research was to understand migraine better," lead author
Dr. Timothy T. Houle told Reuters Health. "By better understanding how the brain
is altered with this syndrome, we can develop better drugs in the future."
"Migraines have other commonly associated symptoms, such as sleep
abnormalities and a higher risk of depression. Altered sex drive may be another
quirk of being a migraine," he added.
Although it is commonly believed that sex drive is reduced by headaches, and
sexual intercourse can cause specific types of headaches, Houle and his
associates note, other research has suggested that sexual intercourse may
alleviate the pain of migraine in some patients.
Houle, from Wake Forest University School of Medicine in Winston-Salem, North
Carolina, and his associates tested the theory that migraine and sexual desire
may both be associated with serotonin. Evidence for this is the reduced libido
that often accompanies depression treatment with a selective serotonin reuptake
inhibitor, which increases brain levels of serotonin, whereas migraine is
associated with reduced serotonin levels.
To investigate this complex relationship, Houle, and his associates recruited
59 adults who had at least 10 headaches annually. Twenty-three subjects (7 men
and 16 women) were classified as having migraine, and 36 (18 men and 18 women)
as having tension-type headache.
The subjects completed the self-administered Sexual Desire Inventory (SDI),
which includes nine items measuring dyadic desire and five measuring solitary
sexual desire. "It allowed the subjects to rate how much they think about sex
and how much they desire sex," Houle told Reuters Health.
"Men reported about 24-percent higher sex drive than did women," the
researcher said, "and the difference between migraine and tension-type headache
was almost equivalent -- 20 percent." Thus, women with migraines reported about
the same relative levels of sex drive as men with tension type headaches.
On the nine-point scale the subjects specifically rated their own sexual
desire compared with that of others of the same age and sex. The migraine
patients reported the highest level (5.0), which is "above the expected median
(4.0) on this item," Houle and his colleagues note. Those with tension-type
headaches gave themselves an average rating of 3.7 for this item.
What was even more interesting, Houle said, was that the migraine patients
were aware that they rated their sexual desire higher than that of other
patients in the group.
However, he added that "there was no evidence that their sexual desire was
beyond that of high normal or that they are hypersexual."
"It can now be hypothesized that a serotonergic link may be implicated in
both migraine headaches and sexual desire," the researchers conclude. Also,
serotonin receptors also appear to be involved in several aspects of sexual
functioning.
On the other hand, they point out that there are multiple classes and
subtypes of serotonin receptors. Therefore, they conclude that "any
neurochemical mechanism(s) that might link serotonin and migraine would likely
be sophisticated and multifactorial."
Houle concluded: "Our research is now focused on mathematical modeling to
predict migraine activity, to see if we can figure out for any individual
patient when they are at increased risk of an attack so it can be
aborted."