Yes, be honest with each other. Be willing to bring up the subject to each other. When under medical care the social worker brought up the issue to me ,but we, my wife and I had already talked about it. If you can’t talk to your partner bring a third party, your medical social worker or someone in the medical profession that you feel comfortable with to help you. Do allow it to cause a divid by not dealing with it. Not discussed can bring a wedge between your partner, your best friend during your physical disability.