"In many ways this feels like a break up. I am saying "goodbye" to the desire for an intimate encounter. I'll be honest, it is very sad to me. I am heartbroken that I have to let go, but I know I will get through it and I'm so excited to have gone through this with my T."

That is so well said, I have the same feelings but have been unable to articulate them so well. You really do have a lot of courage. I have been struggling for a couple of years to tell my psychiatrist but have lost the courage every time. My female therapist thinks its important (I finally told her after all this time too), but I can't seem bring myself to do it. My therapist has reassured me that she is 100% sure he will be kind, understanding and will not terminate me (a common fear I guess), so that is helpful. I'm glad to see that this is so common.