Abstract
A female patient Ch., 30 years old, married. She has two daughters (age – 7 years and 2 years). Husband is 29 years old. Living conditions are normal. Her relationship with her husband is good, they love each other. She says that she has no spontaneous sexual desire and arousal. They only appears during cunnilingus. At the same time, her erotic libido is completely intact. Have sex with her husband five to six times a week and only at his suggestion. Initially, the spouse was the initiator of the visit to the doctor, as she had “grown cold” to him. She was not bothered by the current state of affairs, but since her husband was not happy about it, she sought medical help on her own. Before the first birth she was very passionate, there was no sexual dysfunction of any kind. Interest in sex disappeared at 5–6 months of the first pregnancy. One and a half months after the first birth, she started to live a sexual life. Since then, in addition to the absence of spontaneous desire for sexual intercourse, insufficient lubrication of the vagina was also revealed. She has no bad habits, is gynecologically healthy, and has no chronic diseases. We attributed the occurrence of sexual problems to the first pregnancy. However there were no changes in her sexual sphere after the childbirth. Due to the absence of obvious somatic reasons of sexual disorders, as well as to the efficiency of hypno-suggestive therapy (we made the final diagnostic conclusion considering the results of treatment) we concluded that her sexual disorders were the result of existing inertial shifts in the body which had conserved the sexual dysfunctions originally caused by factors related to pregnancy. A program (stereotype) of sexual response was formed, the existence of which persisted for a long time, although the influence of factors associated with the first pregnancy was absent. Five sessions of hypnosuggestive therapy (programming, modeling) were conducted. The results obtained indicated complete elimination of sexual problems. If before the treatment the patient’s sexual libido did not arise even during foreplay, that as a result of it, it began to appear even before caressing and kissing, and she became a frequent initiator of sexual contacts. This happened immediately after the first hypnosis session. Before the beginning of the treatment, lubrication had not appeared in the patient during the preliminary period, but appeared only during cunnilingus. At the 3rd session of hypnosis the patients felt the sensation of moistness in the vagina, and when she came home she found that there was a lot of lubrication in the vagina. After this session there was enough lubricant when fondling and kissing to perform intercourse, but less than before the development of the disorder. After the 4th session of hypnotherapy during caressing and kissing an abundant amount of lubricant began to be secreted. Moreover, lubrication in the presence of sexual desire began to occur even before caressing and kissing.
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