That's what a lot of guys tell me. Coming in wasn't their idea either. Don't worry, they tell me that they got something out of it so you probably will too. You'll bring your years of experience at being you, and I'll bring the background knowledge and experience that you're paying for. We'll start at "What's going on?" and make our way to your goals, come up with a strategy, and make plans to get there. It's pretty much as simple as that.
So why do women often ask the men they love to talk to someone? Lots of reasons. Top of the list from my experience are communication in the relationship, not addressing some problem like depression, drinking, or an event or situation in childhood, or there's been some cheating (you or her, or both).
Sometimes guys also book an appointment on their own after a breakup. Actually, that happens quite a lot. Maybe a friend of yours has, you would never know. And if you do, they'll never know either, unless you decide to tell them. What these guys tend to talk about is how to get on with life now, what went wrong with past relationships, what to look out for in a potential partner next time, and how to do better themselves. Typically, I share some information from a couple's therapy system called the Gottman Method, and so far, everyone has found that useful. I've found it useful myself.