Timing is critical:
RIGHT AWAY.
Let me speak from personal experience as a husband who has hidden things from his wife. Your marriage will not progress. You have created a wound, and covering it up is like letting it heal with shrapnel inside. Your marriage cannot progress, your wound will not heal until you open it and clean it.
If a bishop asks you "have you repented?" the answer is clearly no. Repentance requires confession. In this case I would say it is up to you whether or not to take it to your bishop, but your wife is a definite must.
In the words of my wife, upon finding out that I had had problems years before and hidden it:
"It's not what you did that hurts as much as the fact that you hid it from me. How can I trust you now?"
The answer came as I was completely open and honest with her from that moment forward, immediately confessing even when it was the exact same thing over and over.
Will it hurt? Yes definitely. Is it the only way to move forward? Yes, definitely.
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