My outgoing pdoc refused to acknowledge that the medication I'm on is affecting my libido, and also never sent me for bloods. I've had kidney stones since being medicated and I believe it's due to the meds I'm on. This and the elevated prolactin levels - which affect libido - would've been picked up if he was more thorough.

So now I've started seeing a new pdoc. But I've got an appointment with the outgoing pdoc bext week and I don't know how to break it to him that I'm leaving him. I don't want him to think I'm going through some sort of impulsive manic phase, and I also don't want to hurt his feelings, as silly as that sounds.

How do I tell him I've moved on?