3 Tips for Disclosing Your HIV/AIDS Status to a Partner

December 1st 1988 was the first ever World AIDS Day. Today marks the 33 year anniversary of this observance, and yet the stigma surrounding HIV/AIDS remains present as ever. This stigma fuels a shame-based culture in which it becomes difficult for people with HIV/AIDS to disclose their status without fear of retribution. That being said, it is ethically important to inform sexual and/or romantic partners of pertinent medical information that has the potential to affect them. This applies to HIV/AIDS among other sexually transmitted infections and any contagious conditions. Without everyone being on the same page about everyone’s health status, it’s difficult to ensure proper safety precautions are being taken and that everyone’s boundaries are being respected. In addition to moral implications of disclosure, 35 states have laws that criminalize neglecting to disclose HIV/AIDS status with sexual partners and/or anyone sharing needles. It is undoubtedly important to disclose, but the prospect of doing so can be intimidating for fear of rejection, violence, and judgment from the listening party. Here are some ways to make that conversation as easy as possible when disclosing your status to your partner(s).

Source: https://news.delaware.gov/2018/11/30/delaware-events-mark-world-aids-day-dec-1-2018/

1. Be specific and straightforward

• Make sure to disclose the status of the infection including what it is, the definition of the condition, and what, if anything, you need from the other person in terms of support

• If it would be helpful, you can disclose with the help of your doctor or therapist 

2. Plan ahead for all possible reactions

• Make sure you have support systems and coping mechanisms in place to navigate the possibility of an adverse reaction

• Speak to a therapist and/or have the disclosure discussion with a counselor or therapist

• Respect the needs of the recipient for their processing of the news

• While you should respect the needs of the other person, make sure you know what you need in terms of emotional regulation and allow yourself the grace to feel negative emotions if they come up 

3. Come prepared with educational and safety resources about the relevant health status

• When discussing a condition with a risk of transmission, one of the first concerns that comes to mind is the health and safety of everyone involved. A good way to navigate the fear is to make sure everyone involved in the conversation has the resources and support they need.

  • Resources for someone living with HIV/AIDS

    • Ryan White HIV/AIDS Program

      “The Ryan White HIV/AIDS Program works with cities, states, and local community-based organizations. The Program provides primary medical care and essential support services to more than half a million people each year. Through the Program, people living with HIV who have no insurance or are underinsured can get the HIV medical care and other support services they need.” 

    • CDC “Sharing Your Test Result” 

    • Send an anonymous STD test notification to sexual partners 
      This is a good option to inform casual or past partners, but in a serious relationship, it’s probably better to discuss it in person to navigate the implications for the relationship

  • Resources for someone who has a loved one living with HIV/AIDS  

    • CDC HIV prevention tips  

    • Living with an HIV Positive Partner (Flo Health)

    • AIDS | Definition, Diagnosis, Treatment, & Facts

Living with any chronic illness like HIV/AIDS is difficult in many ways, disclosure being just one of them. Hopefully these resources prove helpful in easing the process. Regarding HIV/AIDS specifically, though there’s no cure, a diagnosis is not the end of the world. It can be managed with medication such as antiretroviral therapies and safer sex practices. Disclosing your status to the people in your life not only keeps them informed of any potential implications for their health, but they can also be a shoulder to lean on.

Inviting Your Partner to Family Holiday Gatherings

The holiday season is quickly approaching and with it comes time to figure out how to spend the holidays. For those with partners, this means figuring out if you’re spending the holidays together and if so, where and with whom. Depending on the stage of the relationship this conversation will look different. Obviously, at the end of the day, it will entirely depend on the context of the relationship and the family dynamics at play. Depending on where your relationship is, there are important questions and topics to consider when making these decisions.  

If you’re trying to figure out if introducing your partner and family is appropriate at all, you should spend time thinking over the following:  

• If you haven’t already, establish where everyone involved sees the relationship going to make sure you’re on the same page of seriousness regarding the relationship 

• Discuss which holidays are most meaningful for each of you 

• Talk to your family and see what holidays are most meaningful for them, as well as the level of their desire to meet your partner 

• If neither of you have met any of each others’ family yet, consider whether a context like the holidays with the potential to be chaotic and overwhelming is a comfortable context to introduce a new partner 

If you’re trying to figure out which holidays to spend where, you should spend time thinking about these things:  

• Do you differ in which holidays are significant to your families? How do you respectively traditionally spend your holidays and how much, if any, crossover do you have?

• How do your respective relationships with your families come into play? What will the impact be on your relationships with them based on which holidays you spend with them? 

• Is there any flexibility in when you celebrate the holidays? For instance, could you spend Christmas with one family, and then have a “second Christmas” with the other family? 

• How much are you willing to compromise? Is there risk of resentment associated with certain choices regarding the holidays? 

To whatever extent you’re able, step outside the confines of familial expectations and think about what you each want to do. When you understand which parts of the holidays are important to yourselves, you can begin to compromise and make sure everyone’s needs are met. This is a collaboration and while there’s a potential for stress around a sensitive subject, you get to navigate this together. It’s okay to run into conflict, just remember that you’re on the same team and want the same thing: to have a happy holiday season.

Tips for Talking With Young People About Sex

Sex can be a tricky and  uncomfortable conversation topic for  many people, especially when it comes to talking with young people. At the end of the day, the vast majority of young people will be curious about sex at some point; it’s far preferable for them to be equipped with accurate information about safer sex, boundary setting, and consent despite the associated discomfort. Furthermore, the only way anyone, adults and young people alike, can mitigate that discomfort and the taboo around sex is to open up these conversations. Sex is nothing to be ashamed of and unfortunately, in the United States, it’s often perceived as dirty and inappropriate. The reality is that it’s a fun and normal part of being human.

A foundational part of talking about sex,  like any complex subject, is to familiarize yourself with relevant terminology. Talking about sex with young people doesn’t mean you should go around talking to toddlers about explicit sex acts but there is a way to introduce the topic in a gradual, age-appropriate way that builds on itself. Starting to introduce proper terms like “penis,” “vulva,” “vagina,” “clitoris,” “buttocks,” and “nipples” even before a child is verbal is a great starting point. Though introducing these terms may feel uncomfortable, at the end of the day they’re simply names for body parts that everyone should get used to using. 

As kids get a little older, it is vital to help them get acquainted with the concepts of consent and boundaries, both within and outside a sexual context. Kids must be taught that no one has a right to their body and they have every right to say no to being touched in any way. This also works the other way, kids must be taught to respect other people’s consent and boundaries. 

It’s important to keep in mind that these days, as children are introduced to the internet earlier and earlier, they are more prone to being prematurely exposed to explicit content. This will inevitably prompt natural curiosity that the adults in their lives need to be prepared to address. 

As a young person gets closer to the onset of puberty, this is the a time to start discussing bodily changes, menstruation, and masturbation. There are plenty of books that cover these topics extensively that can be beneficial to both the child and adult in question. 

Ultimately, regular conversations with young people about sex and adjacent topics is a good way to ensure they’re equipped with the necessary information to make good decisions about their bodies and their sex lives (if and when they choose to have one).  

Having these conversations can certainly be daunting. That’s where we come in! Embrace Sexual Wellness has a program specifically aimed at helping parents and other caregivers be sex-positve role models for the children in their lives. To learn more about how you can start to feel prepared and empowered for these conversations, check out this link.