A couple of ages Male-35/Female 33 came to me for inability to have penetrative sex despite best efforts during 2 years of  marriage. Both wereIT professionals , settled in Europe. They had arranged marriage .

They had tried treatment in Europe from a reputed institute but was not successful . Both had medium severity depression. The girl had talked to her married friend about sex life. She wastold that initial sex was extremely painful for her. 

Close questioning revealed that the boy felt a resistance when he tried to enter and the girl expressed significant pain . He became nervous so lost the hardnesss. The same pattern was repeated again and again .

Despaired, they stopped to try but when family members started to enquire about pregnancy, the fact was revealed . We treated the couple by sex education, importance of foreplay and progressive desensitization. The girl started to accept full size dilator and slowly had penetrative sex, It was a case of Vaginismus due to penis phobia because the vagina got closed on attempt of penetration.

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