Update - I took the coward's way out and wrote down what I wanted to say to him, apologizing for having to write it and have him read it instead of being able to have a conversation about it. But he did read it and felt badly that I was having to bring up the issue again as well as glad that I felt like I could talk to him about it. I mentioned that I was concerned that there could be health issues in addition to the hygiene issue, and we talked about him finding a new doctor (he's on new insurance). Overall he responded to it very well and I felt much better getting it out in the open.
Thanks to everyone who provided helpful advice and brought the medical aspect to my attention, which I hadn't thought of before. I will say in his defense that this is really the ONLY issue I have with him, and in all other ways he is a wonderful caring loving attentive funny honest mature sensitive man whom I love dearly. As to why it took me a while to bring it up with him, I think I was in denial and hoping if I ignored it, it would go away...
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posted by jeffamaphone at 10:17 AM on January 7