The Health Blog

A very anxious and distressed woman in her mid-30s came into a family planning clinic asking for postcoital contraception because of extramarital intercourse the night before. She explained that she was married to a long-distance lorry driver and they had three children. Four years previously her husband had undergone a vasectomy. Since then she had been surprised to find she could not allow sexual intercourse. She said she had never enjoyed it, but had assumed that things would improve once the fear of pregnancy was removed. Instead, she was devastated to find there was a marked deterioration. The doctor asked her why she thought this was so, and she said she had found it more exciting when there was a chance of pregnancy. Then she added that she did not think it was fair that her husband could now behave as he liked on his frequent absences from home, and that he need fear no repercussions now that he was sterile. The doctor asked if she had been distressed about her husband’s infidelity before the operation, and she said she had preferred not to think about it then. Although she had been angry, she had been so busy she had put it to the back of her mind. Recently, she had become frightened about her own lack of sexual feelings and she had drifted into a casual relationship with a friend, to see if she could respond to a fertile man.

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