For many years I kept my MedFet interests to myself and my Ex. The primary reason was that I was the "only person in the world" that kinky... However as the internet opened the world, like most MedFetters, I discovered I was not alone. I continued to keep my interests private until my Ex and I separated. At that point I had an awakening that the only reason I had kept it secret was for her benefit. After some deep self-reflection I accepted that MedFet is a major part of who I am and if I felt no guilt then I had no reason to continue to keep it a secret.
Most of my close male friends know I play doctor and if anything they view it with a certain amount of envy. As I started dating once I was single again, I knew that if I was to have any type of relationship it would have to include MedFet. Of course I had to read their level of sexual adventure first, but not one of the "vanilla" girls I have dated turned and ran when I told them, and I have played doctor with a few of them as a result. An added benefit for me is that playing with a non-MedFetter is a unique experience totally different from a devotee. For a PlayDoc who thrives on realism, its as realistic as it gets. Some of my most rewarding experiences have been with girls who never dreamed of a play exam as an adult, so if I am not open in discussing my interests, I will deprive myself of some incredible opportunities.
I might also add that having an openness to talk about medicine has been an ice breaker for me for decades. Although I had not ever mentioned MedFet in daily conversation, I have always found little difficulty in discussing "female problems" with girls. Most appreciate a sympathetic ear and genuine interest, and I can't count the number of times a relative stranger has opened up and given me her entire medical history. The opportunity to play doctor presents itself more often than one would expect, even if it is not hands-on but simply being a consultant.
I don't make a point to advertise my "specialty" however it is also no secret. I believe I have come to terms with the fact that if anyone is shocked by MedFet they are also generally uptight about their own sexuality and would find almost any fetish shocking. Kink, like beauty, is in the eye of the beholder.