I know this is mighty embarrassing and I have yet to talk in person about anything sexual in great detail...At what point do you delve into it with your therapist? Do you really think it is necessary? To talk about how you shower what areas you focus on or any clues. I think it is way to embarrassing and something that doesn't need to be discuss unless your in a total trusting relationship with your therapist. Sex, pain, and rituals is the bulk of the causes right...I just wondering out loud