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I don't like getting physical with someone unless I'm comfortable with them and they're my friend.
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Sex and romance are valuable, but they're not everything.
Adaptive equipment is part of one's presentation to the everyday world, and taking it off can be as intimate as removing clothing, for many people in many contexts.
That might be art, music, a book, whatever shares a piece of you with that other person.
Starting with something femdom stories tickling, like a hairbrush, and maybe you do know that girlfriend well enough to privately ask for an emergency tampon.
Tell them how you're doing, express your emotions more, and just speak.
If you can't tell a secret to a friend, they're not a very good friend.