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Psychoanalytical theories have always linked intrapsychic conflict to psychosexuality. One’s sexual fantasy is commonly understood as non-consciously representing past (un-)pleasurable experiences, object relations, and intrapsychic conflict, granting unique access to an individual’s psychodynamic. We subjected this idea to empirical testing by assessing intrapsychic conflicts and sexual fantasies in an anonymous online-survey (N = 401). Structural-equation-modeling was used to analyze the data. Respondents using more progressive coping strategies, e.g. for dependency or self-worth conflict, showed more sexual fantasies with externally directed (β = .26; β = .42) and self-directed aggression (β = .23; β = .22). While externally directed aggression is typical in progressively coping individuals, self-directed aggression typically is repressed. Regressive coping, e.g. with self-worth or guilt conflict, was predominantly linked to sexual fantasies with externally directed aggression (β = .38; β = .41), which is typically repressed in regressively coping individuals. These findings underline the clinical value of exploring sexual fantasies as they might help establish access to repressed aggressive strivings. Furthermore, conflicts emerging later in development, such as self-worth and oedipal conflicts, showed stronger associations with aggression-related sexual fantasies, suggesting that better personality functioning might facilitate integrating aggressive and libidinal impulses, and regulating them intrapsychically within sexual fantasies. Our findings provide initial evidence supporting psychoanalytic theory and encourage further interdisciplinary research.