Table 1.

Content of the counseling sessions

Sessions	Content
Session 1	• Interview. Identify the underlying factors (factors that make a person vulnerable to sexual issues). Detector factors (factors affecting sexual problems). Continuity or maintenance agents (psychological responses to sexual issues, feedback, and other stresses that cause problem stiffness or deterioration) • Assignment: Practice identifying cognitive distortions using intellectual card
Session 2	• Formulation. At this stage, the therapist should strive to balance the contribution of each side to the problem, in order to emphasize the need for the parties to participate in the treatment process. The therapist should also highlight the positive aspects of the couple's relationship • Check assignments: Renewal of cognitive falsification
Session 3	• Cognitive reconstruction. The most important action of cognitive reconstruction techniques is to train the patterns of thinking more adapted to individuals. To help them discover the negative and distorted patterns of thought, and thereby identify the damaging effects of these patterns of thought, and replace the more consistent and correct patterns of thinking rather than their ineffective cognitive responses • Assignment: Practice cognitive restructuring
Session 4	• Sexual knowledge. Provide sexual information and the benefits of sexual relationships in life-long building and improving relationships and early sexual intercourse and having a baby with more relaxation • Check assignment: Cognitive restructuring
Session 5	• Non-sexual sensation. In this way, couples spend only a few weeks, noting their proximity and reaching the orgasm, only to stroke and massage inappropriate places • Assignment: Practice avoiding inappropriate thoughts
Session 6	• Sexual sensation. At this stage, they can enjoy the sexual areas and, in this regard, they stroke and massage each other's sexual areas, but at this stage the goal is sexual pleasure and arousal, not getting orgasm • Check assignment: Coping, and avoiding inappropriate behaviors
Session 7	• Teaching how to have sex during pregnancy: The best condition for a pregnant woman is a situation where a pregnant woman is up or sideways. The other favorable positions in pregnancy are: Sleeping sideways, where the penis should be penetrated from the back to the vagina, both sitting face to face and female foot on the foot of the spouse, woman bending over and the penis being penetrated from the back to the vagina • Assignment: Practice avoiding inappropriate behaviors
Session 8	• Evaluate the result. Assessing pregnant women to determine which therapeutic goals are achieved. • Check assignment: Prevention of approaches to fight back