Karen Bigman

I didn't even think about the stigma of having herpes, particularly because this guy had had it for 40 years, which in our generation is not unusual.

Karen Bigman

A lot of baby boomers got it in college when we weren't really thinking about using condoms until, really, the AIDS epidemic.

Karen Bigman

We never really.

Karen Bigman

I know when I was dating in high school and college, the only time I used a condom was to protect from pregnancy.

Karen Bigman

We never thought about getting any diseases.

Karen Bigman

Welcome to the taboo to Truth podcast, unapologetic conversations about sexuality in midlife.

Karen Bigman

I'm your hostess, Karen Bigman, certified life and menopause coach and sex educator.

Karen Bigman

Whether it's a dwindling libido, dry vagina, a challenging erection, or the emotional ups and downs of midlife, we're here to talk about it all.

Karen Bigman

I'm going to bring the often quiet into the light to create a safe space where no question is too awkward or taboo.

Karen Bigman

Together, we're creating a community of support and education where you can learn, share, and laugh about the intricate beauty of sex in midlife.

Karen Bigman

So grab your favorite drink and put me on speaker.

Karen Bigman

It's time we broke the silence.

Karen Bigman

In this episode, I wanted to address Sti, sexually transmitted infections, and particularly, I wanted to talk about herpes.

Karen Bigman

I have had some interesting interactions recently, and it brought it to my attention.

Karen Bigman

It's something that I've honestly always feared and thought, oh, my God, that would be the worst thing if I got herpes.

Karen Bigman

Here I am, you know, I'm finally sexually active, a lot more so as in my fifties and sixties.

Karen Bigman

And what would happen, oh, my God, if I got herpes, it would be terrible.

Karen Bigman

And I've learned that that is, in fact, not the case.

Karen Bigman

Specifically as I went through this program and I got to know how people are handling it and learn that it is not something that you need to be embarrassed about.

Karen Bigman

It is something that people have or people get.

Karen Bigman

And hopefully, if you have it, it is not something that really is debilitating to you, but it can be.

Karen Bigman

And you can go on and live a healthy, the normal sexual life, but you do have to do things differently.

Karen Bigman

So what happened with me is that I went on a date with someone, and he came back to my house, and we were passionately kissing.

Karen Bigman

And he stops and says to me, I have something to tell you.

Karen Bigman

And I've been dating on and off for ten years.

Karen Bigman

This has never happened to me before.

Karen Bigman

I've always been very conscientious, and I'll talk about that in a second.

Karen Bigman

And he said, the way that he told me was, I just want you to know I'm impotent.

Karen Bigman

And so I sort of, like, did a little one of these.

Karen Bigman

Oh, what does that mean?

Karen Bigman

And he said, well, I'm not impotent, but I have herpes.

Karen Bigman

So he tried to lessen the blow to me before, you know, while telling me that he had herpes.

Karen Bigman

Now, I will just preface.

Karen Bigman

This particular situation is that somebody flew in from out of town to see me, so I needed to contemplate what to do about this.

Karen Bigman

I certainly wasn't going to get naked with him, and he, you know, had not had an outbreak at the moment that we were together, but I'd never been faced with this situation and known what to do with it.

Karen Bigman

I always ask any guy that I am going to get naked with, certainly, I check, obviously, for cold sores.

Karen Bigman

That's an easy one.

Karen Bigman

But I always insist on STI testing before I get naked with somebody.

Karen Bigman

And for this exact reason.

Karen Bigman

Now, nothing's 100% foolproof.

Karen Bigman

And testing for herpes, I'll talk about.

Karen Bigman

It's nothing, 100% unless you actually have a breakout.

Karen Bigman

It's kind of hard to know if you have it, but you would be.

Karen Bigman

If you did a blood test, you would be a carrier.

Karen Bigman

So just to finish the story, it so happened he was here for the weekend.

Karen Bigman

He stayed in a hotel.

Karen Bigman

The next morning, I happened to have a doctor's appointment, and I asked my doctor about it, and her response was that if he is on prophylactic Valtrex, which is the oral medicine that they give you when you have herpes.

Karen Bigman

And again, I'm not a medical provider.

Karen Bigman

I'm quoting my physician, the transmission rate is much, much lower than if you are not on anything.

Karen Bigman

So the likelihood of transmission goes down significantly.

Karen Bigman

But you still have to be careful.

Karen Bigman

Now, how I reacted was actually rather than.

Karen Bigman

And probably because of my training and understanding and knowing the stigma, I didn't even think about the stigma of having herpes, particularly because this guy had had it for 40 years, which in our generation is not unusual.

Karen Bigman

A lot of baby boomers got it in college when we weren't really thinking about using condoms until, really, the AIDS epidemic.

Karen Bigman

We never really.

Karen Bigman

I know when I was dating in high school and college, the only time we used a condom was to protect from pregnancy.

Karen Bigman

It wasn't, and we never thought about getting any diseases.

Karen Bigman

So I understood that for me and my situation, if this guy was willing to engage in a relationship with me, and we understood each other, and he, you know, they.

Karen Bigman

People who have herpes say that they can kind of sense when they're.

Karen Bigman

When they're getting an outbreak.

Karen Bigman

And if.

Karen Bigman

If you're intimate with somebody on a long term basis, then you can plan for these situations.

Karen Bigman

And I know plenty of people who have had herpes for many, many years and have never transmitted it to anyone.

Karen Bigman

So just keep that in mind.

Karen Bigman

Sort of contrast that where I was listening to a podcast about a sex party, which is, it's not something I've ever participated in.

Karen Bigman

And one of my greatest concerns about doing anything that is a group, a sexual group activity, of course, is disease prevention.

Karen Bigman

And I've talked to people who practice, whether it's, you know, going to kink parties or sex parties or swing parties, and they talk about the fact that often a good party planner, if you will, will require a certain amount of testing within 30 days of going to the party.

Karen Bigman

And you actually have to present your results.

Karen Bigman

What I also heard, though, is that herpes is not always tested for.

Karen Bigman

That is to say that most people have been exposed to or have either oral or genital herpes or both.

Karen Bigman

It is very common.

Karen Bigman

In fact, one in five people in the US have a sexually transmitted infection.

Karen Bigman

And the statistics I've read is that one in four women have herpes and one in five men.

Karen Bigman

So I don't know the exact numbers, but most likely you know somebody who has it if you don't have it yourself.

Karen Bigman

And so it's not something that is just, you know, that person who's doing caroin or whatever.

Karen Bigman

This is something that is common, and the person next door to you could actually have it.

Karen Bigman

I think the reason that it has not had as much research done in terms of finding a cure is probably because it's not deadly.

Karen Bigman

I have no idea whether that's a fact or not, but it isn't deadly.

Karen Bigman

It's unpleasant and it can hurt a.

Karen Bigman

And it can be transmitted to other people easily.

Karen Bigman

When you have an outbreak, if you're having a baby, you have to be very careful.

Karen Bigman

I think if you're having an outbreak, when you're having a baby, you cannot have a vaginal birth.

Karen Bigman

You have to do a cesarean section.

Karen Bigman

There are consequences of it, but it is not a death sentence.

Karen Bigman

There are two kinds of herpes, and the herpes virus is hsv.

Karen Bigman

Hsv one, which is the oral herpes virus, and hsv two, which is the genital herpes virus.

Karen Bigman

Now, you can get either one in either place if someone has hsv one on their mouth, and then they go down on you or they kiss you or any mouth to genital contact or if they have hsv two and you have skin to skin contact or exchange of bodily fluids, you are very susceptible to catching it.

Karen Bigman

The likelihood of transmission during an active outbreak is very high.

Karen Bigman

So you want to, certainly, if you know about it, you want to be very careful.

Karen Bigman

If you are not, if the person who has herpes is not in an active transmission, then you want to really think about one.

Karen Bigman

Do you want to put yourself at risk in general?

Karen Bigman

Because the thing about herpes is that the time leading up to the herpes outbreak, the person is still contagious, but you may not have know about it.

Karen Bigman

So the person may not know about it.

Karen Bigman

That being said, the people that I have spoken to that are positive for herpes, that have been living with herpes for many years, all say that they can tell when an outbreak is about to happen and that they have not transmitted it to anybody else.

Karen Bigman

So I think that that's a really important thing to note, that if you really are interested in somebody and they're honest with you, first of all, think about how much courage it must take for somebody to tell you they have herpes.

Karen Bigman

So I think that that is something you want to think about in the first place.

Karen Bigman

It is not a deadly disease.

Karen Bigman

And then you want to understand exactly what that would mean to you should you get intimate with that person.

Karen Bigman

You can also ask, you know, if somebody, you can have herpes and not be symptomatic at all.

Karen Bigman

And so there are tests that can tell you whether you have, you're carrying the virus even if you're not symptomatic.

Karen Bigman

I think the most accurate test is a swab test, where they take a swab of a sore.

Karen Bigman

So if you have a sore, then that is something you definitely want to check so that you're aware.

Karen Bigman

They can look for the HSV antibodies in your blood, and then if it's an oral herpes, same thing.

Karen Bigman

They can do a biopsy of the sore.

Karen Bigman

I would venture to guess that I can't even.

Karen Bigman

I'm not even going to say, I was going to say that if you do the blood test and it shows negative, that you don't have it.

Karen Bigman

I don't know if that's true or not, so I'm just going to forget that.

Karen Bigman

But what I am going to say is that you want your prospective partners to have done a test for all the major sexually transmitted infections, which include gonorrhea and syphilis and chlamydia and HIV, and the general ones that we know about the most common one amongst people in midlife, particularly because we didn't really know about it when we were very sexually active in our high school and college years, is herpes.

Karen Bigman

Now comes the issue, when do you tell your partner?

Karen Bigman

How do you tell your partner?

Karen Bigman

Do you disclose this upfront?

Karen Bigman

And I don't really know the answer.

Karen Bigman

That's really a personal decision and a personal choice as to how you would react to somebody who told you they were living with herpes.

Karen Bigman

The statistics say that only around 50% of people actually disclose that they have herpes.

Karen Bigman

The guy that I was dating that told me about it, his reaction to me was, I have told so many women I dated and their answer to me was, I'm so glad you told me because I have it too.

Karen Bigman

And that really shocked me because I actually know a friend who contracted herpes in the last couple of years, having gotten divorced and started dating again.

Karen Bigman

So I think that if you have it, I think it's incumbent upon you to tell any partners you're going to get intimate with when you tell them and how you tell them.

Karen Bigman

I think that's a really personal choice.

Karen Bigman

Some people, in my case, I was willing to open up to the possibility provided proper precautions were taken and we ended up in a relationship which we did not.

Karen Bigman

You have to be careful because you can really, if somebody catches it and doesn't know they have it, they can transfer transmitted to other people.

Karen Bigman

There can be other consequences if you, you know, you get it and the person, you tell the person and they react really negatively, that could feel pretty shitty if you're the person who has herpes.

Karen Bigman

And so your hesitation may very well be, you know, may be well founded.

Karen Bigman

But I do believe my personal opinion is that it is, it is my right to know, and it is incumbent on you to tell me.

Karen Bigman

Now, do you, how do you tell me and when is the right time to tell me?

Karen Bigman

So I go back and forth.

Karen Bigman

If I would have known upfront that he had herpes, I don't know whether I would have gone on a date with him.

Karen Bigman

I think I would have had to get to know him a lot more over the phone and through FaceTime before I'd want to actually meet him because put myself in a situation where we might have ended up in bed.

Karen Bigman

I think if you want to tell your partner before or tell the person you're dating before, I think you want to really get to know them, kind of read their energy if you're going to be telling them, if you're going to be getting intimate and you haven't told them and you're not having an outbreak.

Karen Bigman

Again, I think it's a moral decision.

Karen Bigman

It is entirely up to you whether you want to tell them or not, but just realize that you are starting a relationship based on.

Karen Bigman

I wouldn't call it a lie, but lack of disclosure, which is in some ways not allowing the person you are going to be intimate with to make the choice to consent to whether they want to have sex with you or not.

Karen Bigman

And I think that that is something you really want to ponder if you're going to tell somebody, you want to kind of figuring out when the time is in it.

Karen Bigman

Hopefully, if you're getting sexual with this person, you want to get to a point where you feel comfortable.

Karen Bigman

And I would just be honest.

Karen Bigman

This is something like my experience, which I actually really respect the guy for telling me and how he told me.

Karen Bigman

And it was like he had it for 40 years, so he got it in college or in his twenties, and this was how he lived with it.

Karen Bigman

And this is what happened.

Karen Bigman

And I asked him a bunch of questions and it was not.

Karen Bigman

My reaction was more of surprise than disgust.

Karen Bigman

And do believe some people have disgust.

Karen Bigman

And I know I had a partner a couple of years ago that found out after he had had intercourse with this woman that she had herpes.

Karen Bigman

And he kind of really blew up at her.

Karen Bigman

Where I would say I would be angry for someone not telling me, but I don't know that getting angry is productive.

Karen Bigman

On the other hand, if that happens to you, particularly for a woman, if you don't tell someone, tell a situation like that where you've already had sex with them, you better be careful because they could get really angry and violent.

Karen Bigman

Now, this guy wasn't violent guy, but he was pissed because once you have been exposed, I think it's like a six month period or I don't know how long the period is till you may actually show signs of having had herpes.

Karen Bigman

So you want to think about it from the other person's perspective.

Karen Bigman

In a truly open and honest and consensual relationship, it is something that is incumbent upon you to disclose.

Karen Bigman

And in a truly informed and educated world, it's incumbent upon me to understand that this is just something that you have and it doesn't define you and it isn't something that you're dirty or that I have to like, ew, you know, this isn't anything like, I can't touch you.

Karen Bigman

You can look into prophylactic treatments like voucher.

Karen Bigman

As I understand it, it's something you can take every day.

Karen Bigman

It's not something that you have to take, can take.

Karen Bigman

I mean, you are typically prescribed it when you have a breakout, but you can also take it prophylactically.

Karen Bigman

And of course, I would ask your doctor about something like that, but the thing, and I quote some research, is that there's no such thing actually as safe sex when you have herpes.

Karen Bigman

The quote I got was there's only safer sex.

Karen Bigman

So regardless of who it is, you are going to be at risk when you have sex with someone with herpes, with proper precautions, with an awareness of when, as someone who might have it, of when you're potentially going to have a breakout and being very conscious and caring and honest with your partner.

Karen Bigman

It doesn't have to be something that is comes between you.

Karen Bigman

If, you know, you want to get in a relationship with a person, you want to have sex with a person.

Karen Bigman

You want to be with somebody who is kind and honest and consenting.

Karen Bigman

And if they happen to have herpes, whether of their, you know, it was their fault or it was something that they, that they contracted unbeknownst to them when they were younger or even later in life, then you need to think about how you can be understanding.

Karen Bigman

And all that being said, to also say to you, if you do not have herpes and you are getting sexually active with new partners, I highly recommend asking for those tests.

Karen Bigman

Asking for the STI test.

Karen Bigman

It may be a little bit awkward and embarrassing, but it is your health and your safety, and it is your right to know if that person has anything.

Karen Bigman

And it's your right, it's your obligation to let them know as well.

Karen Bigman

Thanks for joining me on the taboo to Truth podcast where I'm spicing up midlife one episode at a time.

Karen Bigman

If you've been enjoying the sizzle, why not turn up the heat by giving me a scorching five star rating and leaving a steamy review, it's the best way to help others discover pleasure in their I sex life.

Karen Bigman

So don't be shy.

Karen Bigman

Show me some love and keep the midlife adventure alive.

Karen Bigman

And until next time, grab your favorite drink and put me on speaker.

Karen Bigman

It's time we broke the silence.