I remember having sex at the onset of a migraine headache once. As the momentum was building in intensity so was the excrutiating pain in my head until I finally climaxed and screamed out in utter agony. I made the mistake of saying immediately afterword without thinking "Oh my god, that sucked". Very poor choice of words. I had to spend a long time explaining and pleadingly convincing the girl I was with that I was really talking about was my migraine and not the quality of the sex itself.
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