Objective: Imagination is an important driving force of sex. We present some data on sexual imagination and sexual satisfaction collected in an ongoing research project at our Institute. Our aim is to explore the world of imagination and sexual reveries in lesbian women in autoeroticism and during the intercourse with a partner and to reflect on thematic nucleus of feminine’ sexual imagination activity. Design and Method: To this end, we consider a sample of 65 lesbian women that shared their sexual fantasies and their level of sexual satisfaction. We used the Index of Sexual Satisfaction Questionnaire and we collect sexual fantasies by a verbal description in an anonymous way by submitting an online questionnaire. Results: Results show that lesbian women have a high level of sexual satisfaction and a great number of fantasies when they imagine themselves as a man or in a man-style sexual practice in order to penetrate their partner. Many women aim to transfer in their real world the fantasy that appears in autoeroticism activities. Conclusions: By exploring the narrative contents and themes in fantasies, we found some similarities with the past literature but also some differences related to the idea of feminine mental sexual activity and stereotypes.