Women come to me for consultation with a request to improve relationships with their husbands. During the counseling process, the problem of coitophobia is often identified. Coitophobia is a fear of sexual intercourse, which can be accompanied by vaginismus, when the thighs and muscles around the entrance to the vagina convulsively contract before a man tries to insert the penis, and sometimes just at the thought of it, due to than sexual intercourse becomes impossible or painful. Psychogenic causes of coitophobia and vaginismus: 1. rape, when sex occurred against the will of the woman and she received physical and psychological trauma; 2. if a woman in the past was subjected to physical violence by her father or the father was rude and critical, a fear of men and sex with them may develop as a result of the projection of the relationship with the father being transferred to the partner, up to a feeling of aversion to sex; 3. if a woman in childhood and adolescence heard stories from her mother or grandmother that sex is something shameful and unpleasant, she heard criticism of men that they are rude, unfaithful, selfish; At the same time, she was constantly instilled with the fear that she could get pregnant from sex and then have to have an abortion, that she could catch a dangerous infection, men in the family could be contemptuously called nothing less than “AIDS carriers,” etc.4. if a woman does not love a man and does not feel sexual attraction to him, she constantly overcomes herself to have sex with him;5. if a man has sexual dysfunction, which causes the woman to become frustrated from time to time (for example, the woman is at the peak of excitement and anticipation of sexual intercourse, sexual release, and at the most crucial moment the man’s erection weakens, the penis becomes flaccid, the woman perceives this every time as that the man does not want her enough or does not love her, gradually before having sex she begins to experience anxiety and fear of being frustrated again, which may result in signs of vaginismus and attempts to avoid intimacy);6. if there is a conflictual relationship between a woman and a man, there is no spiritual intimacy, if a man constantly compares a woman with others, finds fault, humiliates, cheats, then coitophobia may also develop;7. after gross medical interventions, traumatic births;8. after gross defloration or inept, rude actions of a partner. Clinical case (Svyadoshch A.M. “Female Sexopathology”): Woman, 32 years old. Married for 10 years. Has two children, 6 and 8 years old. For the last 2 years, during sexual intercourse and after its completion, I began to experience cutting pain in the vaginal area, aching pain in the sacrum, shooting pains emanating from the pelvis and radiating to the stomach, sometimes a feeling of lightheadedness, and a sinking heart. In recent months, I have almost completely stopped having sex. She became irritable with her husband and children. The husband is attentive and caring. She highly values ​​him as a friend and father of her children. In the first years of marriage, she was sexually cold and indifferent to sexual intimacy. After the birth of my second child, I experienced a feeling of orgasm several times in my dreams. Three years ago I had a short-term sexual relationship with another man, during which I experienced sexual satisfaction. Sexual life with my husband did not end with orgasm even after that, but began to cause a state of frustration followed by aching pain in the sacrum. By the beginning of sexual intercourse, the genitals remained dry and frictions were painful. Subsequently, the pain began to increase and radiate. The husband is disgusting as a sexual partner. I would like to leave him, but I don’t dare to do this because of the children and because of his high moral merits. She admits that her husband may eventually leave her, since her illness disrupts family life. During the process of psychotherapy, the woman was explained the connection of her pain with a traumatic situation, with an unconscious desire to avoid sexual life, which had become unpleasant for her, to break off relations with her husband, provoke his departure and hold him morally responsible for the breakdown of the family. Analyzed intimate: +7 919 324 75 26.