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Beyond cultural influences, paranoids develop their own physical terrors of sex. A man may fear that his partner’s secretions will harm him, that she is dirty and will soil him with her mucus or her menses. He may fear castration, with the attendant fantasy that teeth inside the vagina will bite off his penis.
Offit, Avodah K. The Sexual Self: How Character Shapes Sexual Experience (Avodah Offit Memorial Series Book 3) (Kindle Locations 1237-1240). Beckham Publications Group, Inc.. Kindle Edition.