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Any couple going to go to the same doctor does so knowing that health histories and concerns are overlapping; so, there's no reasonable expectation of privacy between the spouses. That constitutes implied consent for the release of information about each other. For privacy, spouses should be going to separate doctors.
The physician; however, should not divulge any information about one spouse to the other without express consent. If you divulge something about your spouse to the physician, do not expect the physician to follow up with you (not even as to whether or not the matter was brought up with your spouse) without your spouse's express consent.
To avoid resentment and mistrust between spouses, I recommend telling your spouse that you're going to divulge such information to your shared doctor so your spouse has the opportunity to change doctors. If you don't give your spouse that opportunity and your actions are discovered, it may be construed as a betrayal. Your spouse may change doctors afterwards anyway and information you divulged to your shared doctor may be rendered moot. You could end up back where you began only with a diminished relationship.
There's a good chance your spouse won't find it worth the trouble to change doctors thus enabling you to prevail on the up and up.
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