I want to talk to my therapist about my real event ocd regarding my incident with a dog licking my genitals when I was younger... I don’t know how to bring it up though and I feel like I’ve mentioned it before to her and I know what she’d say to me already but I feel like I NEED to tell her anyways. I also want to talk about my hypochondria over this lump on my vulva but that’s too embarrassing, in my opinion. I haven’t told anyone about that and I’m really scared I have cancer or something and am going to die soon. I fucking hate this...

Can you tell your therapist that you're experiencing confession compulsions to talk in detail about things you've already mentioned and want to recieve reassurance/nonjudgment about it so you can feel better, and that you're struggling to find the exact line between what's important to talk about and what is real event OCD giving you urges to confess which you need to learn to tolerate? That way your therapist will understand where you're at and will also be able to make an informed decision, given that she's gotten to know you and has some insight into what's going on for you plus her own expertise, about what would be best. Google has probably told you already that a lump like that is common and normal (cyst/ingrown hair/normal skin formation/etc) and that you only need to see your Dr or a gyno about it in particular circumstances (bleeding/wart-like/itching). If those particular circumstances aren't present, then it seems sensible to wait and let it resolve by itself. Remember that you're not powerless. If there is something up with your health, and there is genuine cause for concern, healthcare is available to you and you will be able to get it. Ruminating over the worst case scenario possibilities where nobody can help you and everything turns out terrible, can only harm you. Dealing with any health issue is a bridge you can cross when you come to it, and you would be able to deal with it.