Not necessarily embarrassed, but there are some things I just don't think my Pdoc needs to know about, because they're not relevant. Recently I did struggle a bit with bringing up a loss of sex drive, which I felt was impacting negatively on me by making me worry about my husband's feelings. That was awkward not because of the subject matter, but because it was something that had never come up before and not something we'd really been working on. It felt awkward, because it felt so random. Once I bought it up with Pdoc though he was his usual helpful self and referred me to another clinic, that unfortunately had undergone some changes and no longer took on patients for relationship type therapy, so instead I found a support group online and found out the lack of sex drive was most likely related to long term use of Tramadol. I told my Pdoc about this in an email, and went on to say I'd been doing some recommended exercises involving mental and physical stimulation. Now clearly that meant erotic fantasy and masturbation, but he didn't need to know every blow by blow detail regarding exactly what I was doing or how I was doing it. Same as discussing sexual problems in the first place, things have recently started to gradually improve for me in that area, so I'll probably share that with my Pdoc next session, because I like sharing positive things with him, but it's not like I'm going to go into graphic detail about who did what to whom, and what positions did we use, and did we use any toys, etc etc - that stuff is none of his business.