38-year-old woman, married once, one child. Gave birth shortly after graduating college; the father was a cram school teacher, but they did not marry and later separated. Married another man at age 20, divorced at 23. Remarried at 25. Initially, her married life went well, but eventually became sexless. Currently, she has not had sex for over ten years and is in divorce mediation with her husband. Not currently dating anyone, but feeling strong sexual desire. Masturbates regularly, though only stimulates her clitoris. With no partner, she feels inner anxiety and loneliness.