 [ Symptoms ] i have blood in urine convinced it could be cancer [ Disease ] this could be a type of exertional migraine called orgasmic headache its pretty rare but something that we see occasionally in the headache clinic there are medical article suggesting that some patients many have a problem like aneurysms as a cause for this but its not really clear if this is really a problem i have seen a number of patients with this type of headache but i have never found any specific cause some of the migraine type medications can work for this type of headache if it happens a lot if it happens again you might want to talk with your doctor about an mri scan of the brain with an mra mri arteriogram