[Chicup]

My thought is open marriages are doomed to failure since no matter what he tells you its not the same as being there. He will have new friends, new options (as would you) and at best you would grow appart as your lives take different paths.

Most long time swingers do not have open marriages. It doesn't mean they never play alone, but its all in the context of mutual friends.

Also you are starting out pretty young unless you both started med school late. Having two kids, going to med school, and then doing residencies is hard enough without figuring out when you will have time to be doing other people, finding time to do each other will be challanging as it is.

My advice, graduate, do your residencies(though your residency plans may change) and come back to swinging after you have a real income and real time to devote to each other, your family, and THEN your playmates.