I've been hypomanic this spring and think about sex A LOT. I am straight and lost my husband almost a year ago, so I wonder if my sexuality is just waking up again even though I'm not ready for a new relationship and may never be. I did 'fess up to my pdoc that I've been having these frequent fantasies (and the need to get rid of them by any means necessary, if you know what I mean). I've never been this frank with a pdoc or anyone else for that matter, and I felt surprisingly better after talking to him. So yes, I think it's good to be open and talk to your pdoc or T about sexual matters. They are a healthy part of life and we all have them.