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Results of the article authors researches are submitted. It is reported that anxious sexual failure expectation syndrome (ASFES) can exist in two forms: the form of anxious apprehension of sexual failure as well as the form of fear of sexual failure (coitophobia). Three variants in the formation of ASFES (premanifest, manifest, post manifest with respect to the beginning of sexual dysfunctions) are isolated as well as its acute, subacute and gradual development. Some mechanisms of its pathogenesis are revealed (dysfunction of Meso-diencephalic structures, which occurs during intimacy, hyposecretion of testosterone, weakening of its transformation into dihydrotestosterone, hyperprolactinaemia, etc.), and its sexological and nonecological manifestations are characterised (sexual dysfunctions, psycho autonomic and psycho-sensory disturbances, behavioural changes during and outside intimacy). Types of “neurosis of failure expectation” are submitted. Variants of the ASFES course (continual and alternating) and its clinical variants (total, selective, androcentric, feminocentric and mixed) are isolated. Also, different variants of the ASFES influence on sexual harmony (decompensatory, compensatory and the one that does not have any significant effect on the harmony) and common information about therapy for this syndrome (psychotherapy, pharmacotherapy) are submitted

Anxious sexual failure expectation syndrome (fear of sexual failure) in men.