You're right, for as much as I pay attention to my finances I think it probably made both of us uncomfortable to dive into the details but I'm going to plan to do so this weekend.
As I said in my initial response to you, personal finance requires more than a talk with your partner, it needs to become part of your entire language.
A good marriage means learning to get comfortable with the uncomfortable.
To put it bluntly, if you can't have uncomfortable conversations with your partner, then you don't actually know who you are marrying or what will come out of them when uncomfortable conversations become unavoidable due to uncomfortable situations.
Marriage doesn't mean choosing someone you like a whole lot to have a great time with. It means choosing the person you face the hardest shit you will ever face by your side, and you with them through theirs.
I was like your girlfriend, I was the much higher earning medical professional, but thanks to life, I had to stop working less than 5 years into our marriage. Instead of living out the dreams we had planned, my spouse had to spend much of this year helping me with bathing and going to the bathroom.
And guess what, we had talked about exactly this kind of scenario before we got engaged. We had talked
extensively about how differently our careers would be impacted by disability, what my disability policy looked like, the fact that almost all "own occupation" policies get settled for much less than their face value.
We talked about what our backup careers would be, what lifestyle modifications we were most comfortable with if we had to adapt to one income, what disability supports we each would feel were worth spending on. Etc. Etc.
Which is why despite the fact that famously men leave their wives when they become disabled, my marriage has actually gotten a lot stronger and happier. Seriously, we actually have WAY MORE fun now.
Marriages grow through the challenges you successfully face together. A solid partner is one who you know what you can expect from them in those challenges. Because if they don't grow, they rot.
Who are you two going to be when shit hits the fan?
That's the shit you need to start talking about and never stop talking about if you want the kind of marriage that always improves through difficulty.
The reason the conversation feels uncomfortable is because you don't know the person well enough.
Don't approach financial conversations as a task to check off your list, approach them with genuine curiosity about understanding this very complex human being that you are attempting to tie yourself to in partnership, forever, through life's varied and powerful hardships.
Financial discussions are not simple discussions of logistics. They are discussions about hopes and fears. You need to understand hers, and she needs to understand yours.
Don't take this lightly.
And to circle back to the details of a prenup, you can't even know what details to include in a prenup unless you thoroughly understand each other.
A prenup doesn't take the pressure OFF of knowing each other's financial situation and values, it actually puts the pressure ON you so that you can craft a useful legal document.
It can't paper over a lack of financial accountability between you.
I worked in a financial firm advising medical professionals on exactly this kind of thing and I can't tell you the number of times I've seen smart people fuck themselves over because they didn't educate themselves enough to advise their lawyers what they wanted a contract to actually do for them, they only had uninformed, vague ideas.
Well that's a great way to screw your shit up. You NEED to understand the financial situation you are in to even be able to guide a lawyer as to what you want in your contract.
So what should you include in your prenup??? I have no idea. You and your partner need to figure that out together.
Start with figuring out what the existing marriage law in your jurisdiction is and what would happen were you to divorce in the next 2,5,10, 20+ years.
Share your gut feelings about what parts you think are fair and what aren't. How does she feel about likely owing you spousal support since she has a higher income? How does she feel about you being entitled to half of the value of her business if she opens a clinic after you get married?
Talk about disability. Talk about how stable each of your careers are and the things that could force you to leave the workforce. Talk about retirement savings and goals. Talk about what lifestyle modifications each of you are comfortable making if for whatever reason you suddenly had to live on less. On the flip side, talk about what lifestyle inflation you would want of you suddenly could spend a lot more.
This is all very, very, very basic getting to you stuff. And you can't possibly guide a lawyer on what kind of prenup contract you want without it. Not if you want a good prenup...