I have issues like pain when attempting sex. T has asked gently about "physical intimacy" twice and I've told her it wasn't achievable due to the pain. I've never brought the topic to, but the first time she did, I felt both extremely embarrassed and also quite relieved.

I've also brought up my embarrassment about talking about it to her, and asked if it's an OK topic for therapy. She assured me it's an appropriate topic for therapy and she understands the reluctance to talking due to cultural taboos.