If this is something you'd truly like to work on, not out of a sense of guilt but because you would enjoy occasionally reciprocating, there are a wealth of resources out there for the enthusiastic amateur (you are far from the only would-be blow-jobber whose spirit is willing but gag reflex is weak). You have more options than "no blow jobs, ever" and "regular whole-hog sessions to completion that result in vomiting."
Mallory OrtbergYou're right to want to minimize your compulsive physical behavior in the workplace before it bothers your co-workers, but I hope very much you can also give yourself credit for the work you're already doing.
Mallory OrtbergI hate to get gender essentialist, but I'm starting to think that a lot of married men have some sort of heterosexually induced dentistry aversion.
Mallory OrtbergNot wanting to give everyone in your life one of your kidneys is not the same thing as hoping they die of kidney failure.
Mallory OrtbergAs you feel increasingly comfortable around your friends, I think it's more than fine to share the basic details of your heroin addiction with them. If they seem receptive, you can feel free to talk about it in further detail; if they seem judgmental or uncomfortable, you can move on to other topics.
Mallory Ortberg