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Case: The 40-year old man shyly admitted his headache occurred during sexual activity. (The type of sexual activity is irrelevant here; it could be any of the common sexual activities.) Otherwise, he felt his health was good. He had mild high blood pressure, was a little overweight, and had a sedentary lifestyle. He used to have migraine headaches, but none in the past few years.

He was embarrassed, and understood the irony if he would have to decline sex in the future with the plea, “Not tonight, dear, I’ll get a headache.”

Sexual Headache is Not a Joke

A recent medical article emphasized that headaches associated with sexual activity can represent a serious threat, although usually they don’t. In her article, “What if the Sexual Headache Is Not a Joke?” Dr. Margaret Redelman explained these headaches generally are not life-threatening, but sometimes they do reflect a very serious condition. (Dr. Redelman is a psychiatrist with the Sydney Centre for Sexual and Relationship Therapy, Bondi Junction, Australia. The article appeared in the British Journal of Medical Practitioners, March, 2010, volume 3, number 1.)

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