Hearing management

Updated 13 December 2017

WATCH: What is a ‘head orgasm’?

Imagine a sound that can cause a pleasurable tingling sensation in the back of your head and neck . . . This rare phenomenon feels so good experts dubbed it a 'head orgasm'.


The sounds that we hear can have a range of effects on our body and emotions. A scream might make you alert; you might feel very calm while listening to classical music; and people clapping can make you feel energised.

But what if there’s a sound and sensation that could make you experience an orgasm? Albeit not in the genital region, a so-called “head orgasm” occurs when a sound, or any other sensory stimulus, causes a tingling sensation in the back of the head or neck.

Read: Riding in a convertible can damage hearing

Many people have posted videos on the subject online, trying to elicit this kind of reaction in the viewer. According to The Guardian one video got over 6 million views:

‘Unknown phenomenon’

Scientists from Swansea University in Wales call it "Autonomous Sensory Meridian Response" (ASMR) and say it’s largely an unknown sensory phenomenon. Very little research has been done on the subject and some medical professionals are sceptical about its existence.

In 2012 renowned Yale Professor Steven Novella wrote a blog entry on Neurologica stating that he is inclined to believe it is a real medical phenomenon. Novella is known to be a sceptic and is considered an enemy of pseudo-science.

“There are a number of people who seem to have independently experienced and described it with fairly specific details. In this way it's similar to migraine headaches – we know they exist as a syndrome, primarily because many different people report the same constellation of symptoms and natural history,” he wrote.

Currently there’s no research indicating either benefits or dangers of ASMR.

Read: Spotting hearing problems in infancy may boost reading skills in deaf teens

What causes it?

According to the research from Swansea University, a range of sounds and sensory experiences can trigger a head orgasm. In one study 36 892 participants were asked about their specific triggers, and soft whispering seems to be the most common trigger.

Here’s a table with the percentage of participants that reported a tingling sensation caused by a specific trigger:

head orgasm, hearing

The origin

Very few studies have examined the causes of head orgasm, but one study from the University of Winnipeg in Canada examined the neural underpinnings of the phenomenon.

“The results indicated that the default mode network (DMN) of individuals with ASMR showed significantly less functional connectivity than that of controls,” according to the researchers.  

The DMN is a network of interacting brain regions known to have related activity that is very different from other networks in the brain.

“The DMN of individuals with ASMR also demonstrated increased connectivity between regions in the occipital, frontal, and temporal cortices, suggesting that ASMR was associated with a blending of multiple resting-state networks.”

Read more:

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Ask the Expert

Hearing Expert

Dr Kara Hoffman graduated from UCT in 2004, thereafter she completed her year of community service in Durban. In 2010 she completed her Masters Degree in Paediatric Aural Rehabilitation from UKZN. In 2016, she became a Doctor of Audiology through the University of Arizona (ATSU). Dr Hoffman and her partner Lauren Thompson opened a fully diagnostic audiology practice called Thompson & Hoffman Audiology Inc. In 2011 with world-class technology and equipment to be able to offer the broad public all hearing-related services including hearing testing for adults and babies, vestibular (balance) assessments and rehabilitation, industrial audiology, hearing devices, central auditory processing assessments for school-aged children, school screening, neonatal hearing screening programmes at Alberlito and Parklands Hospital, cochlear implants and other implantable devices, medicolegal assessments and advanced electroacoustic assessments of hearing. Thompson and Hoffman Audiology Inc. are based at Alberlito Hospital in Ballito, St Augustines Hospital in Durban and at 345 Essenwood Road, Musgrave. The practices are all wheelchair friendly. There are three audiologists that practice from Thompson & Hoffman – including Dr Kara Hoffman, Lauren Thompson & Minette Lister. The practice boasts professional, highly qualified, and extensive diagnostic services where all your hearing healthcare needs can be met. The additional licensing in vestibular assessment and rehabilitation, paediatric rehabilitation and cochlear implantation places this practice in one of the top specialist audiological positions in South Africa, with a wealth of experience in all clinical areas of audiology and is a very well respected and sought-after practice.

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