This is typically an unhappy, tense, worrisome card. If we can maintain our Strategy and Authority, and not succumb to making decisions from this worrisome mind-state, we'll find our equilibrium. In a sexual reading we'll see sad news, like the death of a lover/or a cheating lover/or a lover calls with news of an STI. Castration, celibacy, pregnancy (when not desired), miscarriage, disgrace, orgasmic delays, disappointing phalli, coital failure.
Reversed (like above) we'll see a reasonable fear of sexually transmitted disease/infections. Doubt about a partner's genitals. Sexual shame due to diseased sexual organs (cysts, warts, etc.). Confined genitals, medically speaking.