Eradicating the Stigma – Genital Herpes and STDs

Genital Herpes - Changing the Stigma

A Nice Follow-Up to Yesterday’s Post – STD Hater-Aid

This morning, I read a great article about eradicating STD stigma and the stigma associated with genital herpes specifically.

It’s a rather long article and you can find it in its entirety here, but for those of you with as short of an attention span as I have, I’ll share the highlights. I should emphasize her writing is eloquent and I was thoroughly impressed with the detail she includes – it’s an excellent read – again, I encourage reading the full article, but I will make sure to include her words as they were written so you get the depth.  

The author wrote this for her grad program. Here is what she says:

This is About Genital Herpes

Dr. Anna Wald, a virologist at the University of Washington, told the New York Times, ‘Herpes has a stigma attached to it that even H.I.V. doesn’t have anymore.’…Mondo Guerra publicly announced his HIV positive status on Project Runway and there was an outpouring of tears, love, and empathy.

This would not be the case for anyone who openly revealed that they had genital herpes on TV. Can you even imagine anyone doing that? We assume that one would have to be crazy to share such a shameful, stigmatizing, and personally damaging secret.

Genital Herpes: Actually, it IS a joke.

Ever notice the only time we hear herpes mentioned in movies or on TV is when it’s the butt of a joke? Genital herpes is an easy target for humor because it’s not fatal and the people who suffer from this STI are not usually considered victims.

Unlike HIV/AIDS, genital herpes is a relatively mild condition that does not usually warrant the seriousness or sensitivity that society grants fatal illness. Instead, genital herpes is understood to be a punishment, or something you ‘bring upon yourself’. People with genital herpes aren’t thought of as victims; they’re thought of as sluts, monsters, lepers, or just stupid.

When we combine these factors, people with genital herpes are obvious subjects for ridicule.

So why are these jokes so popular? And why isn’t anyone saying anything about how miserable it must be for people with genital herpes to hear them and have to laugh along in order to avoid detection?

The jokes generally go unchecked since those who find them offensive or cruel are silenced by the fear of association with genital herpes, or the fear of being exposed as having genital herpes. Both outcomes carry the very real risks of shame, judgment, and rejection…. At the root of the ‘herpes humor’ phenomenon is the extreme stigmatization of genital herpes as a grotesque or disgusting indicator of promiscuity and infidelity.

More than 51 million Americans are cheaters and whores, or so we’re told

About 1 in 5 or 1 in 6 people in the U.S. have genital herpes. That means there are currently over 51 million Americans with genital herpes right this very second. That’s more people than there are Latino Americans (46.9 million) or African Americans (37.6 million).

What’s the likelihood all of those people are ‘sluts’, or ‘deserved’ to get herpes?

Celebrities often use their fame to help raise awareness for diseases or health-related causes. (Think: Michael J. Fox for Parkinson’s Disease.) When it comes to genital herpes, however, no celebrity would risk the stigma of association or exposure. As a result, the only time we hear about a celebrity having genital herpes is in the context of a scandalous rumor, bitter divorce, or lawsuit…. Then, wait. It’s not safe to be open about having genital herpes yet, you’re a liar and a cheater if you aren’t? 

Seems like you’re damned if you do, damned if you don’t here.

It’s almost as if we want people with herpes to wear a scarlet ‘H’ on their clothes so we know when to run away screaming.

This seems a little much for a disease that is, in actuality, a relatively mild condition with hardly any health complications that can be managed quite well with medication.

Herpes, apparently, makes you dirty and also a monster.

Considering the graphic and grotesque nature of genital herpes images on the internet, it isn’t difficult to explain why leprosy is a common metaphor for genital herpes….

Hansen’s Disease [leprosy] is probably the most stigmatized illness in the history of illness, and by associating it with genital herpes – one of the most stigmatized illnesses in contemporary western culture – the metaphor mutually harms sufferers of both herpes and leprosy, and sets back the goal of destigmatization for both diseases.

Another prevalent metaphor for genital herpes is the monster metaphor. It is often used to describe the virus itself, i.e., ‘the herpes monster’, or by people with genital herpes to describe themselves, i.e., ‘I am a monster.’ Implicit in the monster metaphor are feelings about genital herpes as a manifestation of evil. Susan Sontag wrote: ‘Feelings about evil are projected onto a disease. And the disease (so enriched with meanings) is projected onto the world.’

As a result of this projection, people with genital herpes are sometimes considered predators or dangerous to the community at large.

(See yesterday’s post.)

Another common metaphor surrounding genital herpes, as with many other STIs, is the idea that someone infected with HSV is ‘dirty’ and someone who is not infected is ‘clean’. This metaphor is commonly used in reference to STIs and dates back to the nineteenth century. According to Sontag, ‘Specific diseases, such as cholera, as well as the state of being generally prone to illness, were thought to be caused by an ‘infected’ (or ‘foul’) atmosphere, effusions spontaneously generated from something unclean.’

Though we now understand that the cause of infection is due to viruses or bacteria rather than miasma, the dirty/clean metaphor is still pervasive. Today, the word ‘dirty’ also carries a sexual connotation, and for this reason, it is a popular metaphor for people who have genital herpes.

Do we really want to keep perpetuating these myths about people with herpes as dirty, scary monsters? Forever? Sure, maybe putting down those who have genital herpes is a way to make people without herpes feel better but the chances are high that those people will someday contract herpes and what then?

That’s when they – if not everybody – has to face the fact that after vehemently propagating and internalizing this stigma for years and years, they are now stuck inside a shitty social prison of their own making.

Who’s the monster now?

Talking bout the herp

There are two distinctive types of stories people tell about having herpes – those that internalize the horrible stigma surrounding the disease, and those that reject it.

The first type that internalize stigma (I am dirty, I am a whore, I am a monster) are pretty upsetting. When people believe all that negative stigma about people with herpes to be true about themselves, their experience sounds unbearable…. These stories are heartbreaking and make it sound like getting genital herpes is the end of the world. And isn’t that what we are all so afraid of?  The good news is the majority of stories like this come from people who have been recently diagnosed with genital herpes.

Narratives from people who have had the virus for a number of years, however, are much more positive. Instead of internalizing all the stigmas and metaphors about herpes, they reject them. They tell their stories with the goal of helping others feel okay about having herpes. 

Sounds to me like dealing with the stigma and shame of herpes is a lot worse than dealing with the disease itself.

Is it really worth the agony?

Mind over Herpes

Here are some things you can do:

  • Add ‘people with STIs, including herpes’ to your mental list of groups that face discrimination (like GLBT folks, people with disabilities, women, Muslims, African Americans, Latino Americans, etc). Recognize their struggle and support them when you see discrimination happening.
  • Take a stand against herpes or other STI jokes that would make someone who has it feel ashamed or uncomfortable. Step in and say, ‘Dude, that’s not funny. How would you feel?’
  • Pay attention to language. Pay attention to metaphors like monster, leper, and dirty or clean. Try to stop using them yourself, and try to get your friends to stop as well.
  • Pay attention to stereotypes. Correct people when they try to say that being a slut means you probably have herpes, or that people with herpes are liars and cheaters.
  • Tell your story. If you have herpes, it may be too scary or too risky to come out about having herpes in public or to your friends and family. But you can share your story anonymously either online or using a pen name. Share your experience to help dispel the myths about herpes, and to let others know that they are not alone and that herpes is not the end of the world.
  • If you’re in college, investigate your health center and on campus sex ed resources. Pay attention to how they talk about herpes and whether or not their approach is reinforcing or rejecting stigma. If you don’t like what you see, try to change it.

What did you think about the author’s take on stigma? Did this inspire you or change your opinion about people with STDs? Share your thoughts in the comments section below!

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About Jenelle Marie

Jenelle Marie is the Founder and Executive Director of The STD Project, an avid eater of jello, and a lover of snow. Learn more about her here and/or connect with her on Twitter, Facebook, or .



Comments

  1. Can I just say what a comfort to uncover a person that genuinely knows what they are discussing online.
    You certainly understand how to bring a problem to light and make it important.

    A lot more people need to read this and understand this side of
    the story. I was surprised you’re not more popular given that you certainly have the gift.

    • Hi Rolland!

      Thanks so much for the encouragement! Rest-assured, the website is growing exponentially right now (I launched in April of 2012) and I’ve received well over 100,000 views already!! However, you’re right, there’s soooo many more people to be reached. In time, I believe this will become a very popular place for people to seek information and comfort!!!

      Thanks again for your support!

  2. Saved as a favorite, I really like your site!

  3. You could certainly see your expertise in the work you write.

    The world hopes for more passionate writers such
    as you who are not afraid to mention how they believe. At all times go after your heart.

  4. Glad there is a forum where it is recognized and not stigmatized!

  5. I recently found out that my husband cheated on me, and brought that mess into our bedroom. Now I have it. For people to be called whores, sluts, and so forth is wrong. I am a prime example of being wronged by my husband, and I haven’t done anything to get this for myself, but sleep with my own husband. It is good to know that someone out there isn’t judging me.

    • Most definitely! You’re a great example of how genital herpes and all STDs can affect all kinds of people. Name calling and ostracizing someone because they contracted one is harmful and is simply inaccurate.

      I would even go as far as saying those who contract an STD by being less careful with protection or choosing not to be in a monogamous relationship also do not deserve those labels. Making a mistake with one’s sexual health or making riskier choices does not mean someone is a bad person and deserves to be cast aside as dirty, slutty, etc.; this is especially true when considering the majority of people with STDs are not aware they have one because they are asymptomatic or the symptoms are so mild they get left unnoticed.

      Even the most responsible of individuals can still contract an STD – most are not tested for and the ones contracted via skin to skin contact (like genital herpes) are not always negated by protection when the area of infection is not fully covered.

      Responsible, taking risks, married, raped, cheated on, any one of those situations can result in an STD and none of those indicate a person who deserves to be treated poorly or who is worthy or those names!

      At The STD Project, you are definitely NOT getting judged and there are others who agree – the more I talk about this to the people I meet, the closer we come to treating others with the kindness they deserve! We’ve a little ways to go yet, but know there’s someone out there making a difference in how you’ll be perceived. :) Thanks so much for your message, Just Me; you make an excellent point!

  6. This article is a breath of fresh air.

    I contracted Herpes from my boyfriend through oral sex, he happened to have cold sores on his mouth at the time we didn’t notice one forming.
    As the doctor said to me at the time of my diagnosis, its just cold sores in a different place. People aren’t judged nearly as harshly for having a cold sore on their face.
    The stigma is difficult to deal with, as if explaining to people. As time goes on the symptoms lessen as does the issue within your mind, no one is alone. 1 in 6 have it.

    • Hi Helena -

      I’m so glad you found this article refreshing!

      Isn’t it a wonder that the same virus (just often a different strain – or in your case, the same strain, different location) in alternate places can be treated so differently?!?! It seems a bit ridiculous when one breaks down the actual facts. The sentiment is because of the association with how it was contracted – people have cultivated a terror and disdain for things that happen as a result of sexual activities. The reality, however, is that tons of people have genital herpes – 1 in 6 or 1 in 5 depending on the country and the statistical origin. It’s estimated that up to 80%-90% of the population has some form of the herpes virus and 1 in 4 of those people have herpes genitally! When we start to talk about the actual numbers out loud, people slowly change their tunes, that’s for sure. It’s these conversations that will truly begin to change that seemingly silly and highly stigmatized general opinion.

      Thanks so much for sharing and commenting.

  7. All I can say is thank you!
    I felt heart broken and ashamed when I was diagnosed. I’m not a whore that sleeps around but I felt like everyone else would think that. It has gotten easier as time goes by but I still feel embarrassed because of all the stigma attached. I haven’t dated much or slept with anyone since I was diagnosed. I feel like I don’t know what to say, thinking about having to tell a future partner. This article made me feel so much better. I wish it was talked about as much as other stds.

    • Hi Christina -

      You are VERY welcome! I’m so happy to hear this has helped a little bit. I couldn’t agree more and I find it so incredibly frustrating sometimes the immense stigma that gets placed on everyone with an STD. It’s really just a result of ignorance – most are completely unaware of how many people have an STD and that it’s not at all an indicator of someone’s character. We’re getting there – we have a lot more to do, of course – but I’m determined to help make life easier for others than it was for me and for so many years! Thanks again for your message!

  8. Today 95% of population are infected with HSV-1 (oral herpes) and 25% with HSV-2 (genital herpes) with or without any symptoms. Most of infected people don’t even know that they are infected because herpes test is not included in regular checkups. In 50 years or maybe even sooner 95% of population will have HSV-2 as well and only those who are lucky to be immune to the
    virus will remain herpes free. It is just a matter of time when those believing they are “clean” will join the Club. So everybody should hope that the remedy will be found soon because we are all in the same boat.

    • Hi there Ole!

      Do you have a link to share in terms of the statistical information you’ve mentioned? My references turn up slightly lower numbers, albeit, high, nonetheless… It’d be nice to be able to substantiate your claims.

      You make a great point though in that a herpes test is not commonly included in regular STD testing.

      Most people are just not aware of how many people have and are living with STDs, because they don’t get talked about nearly as often as they should, which, further makes the stigma surrounding them all the more frustrating – it affects soooo many people negatively.

      Thanks for your message!

  9. I was diagnose with Genital Hsv1, i dont know when i did contracted this!
    But i can assure you my only 2 ex girlfriends are decent girls; and maybe they did not know
    They had the H, cause many times the virus goes dormant!

    Well i feel bad about this, but im not a slut or a dirty person and my ex arent either.
    And its true thats what people think at first; Ive been married 1 year, and with her 4 years,
    This Hsv1 was dormant for 5-6 years, and the first thing my wife told me was that i cheated.
    I was devastated, the i thought she was the one that cheated! But she tested negative!

    This is a common virus that affects many people in the
    World. Why call people dirty names, many get this by mistake and not
    On purpose!!

    I like how you write this!
    This should be out in the news!
    God Bless!

    • Hi Dan -

      Thanks for your message. HSV 1 & 2 affect all kinds of people whether they are decent or otherwise and it’s certainly not an indicator someone is ‘dirty’ or a slut – you’re a perfect example! So, I’m not at all surprised to hear you contracted it but are unsure who transmitted it to you. That’s quite common. Especially with genital HSV1, it’s very common for one to contract it via oral sex. Some people experience cold sores (herpes outbreaks on their lips) and others don’t while still carrying the virus. I’m guessing that’s how you contracted it as one of your exes likely had the HSV1 virus orally. Anyhow, it’s neither here nor there now that you have it, really; it’s more important you know it does not have to define you and that your wife understands how common the virus is and how it can remain dormant or asymptomatic in many people for years before they experience symptoms. It sounds like you two are doing your research!

      So, yes, I totally agree – there should be absolutely no name-calling! The name-calling is a product of poor information/education, and that’s what we’re working hard to change here at The STD Project. :) Thanks so much for the encouragement! In time, more will be aware of the prevalence of all STDs and eventually we will be able to break the stigma. In the meantime, contributions to the conversation such as your own right here are incredibly helpful. Thanks again for your response!

  10. What a great article I was smiling and nodding whilst reading all of those things. I HATE in the movies when they make jokes about it and I feel I have to awkwardly laugh.
    I got the disease cos I was infatuated and trusted a guy, and then I stayed with him far too long because deep down I thought who will ever want me? What if I find someone I desperately love and they can’t deal with this and walk away?
    The sad thing is that this rarely affects my life now the only time I get a breakout is if I’m really stressed and then I know what’s happening and I start to thin positively and it goes away, the breakouts aren’t even bad.
    My friends always will cut someone down now if they hear herpes jokes as they know how it makes me feel and they know I’m a regular girl and shouldn’t be made to feel terrible.
    I think in my head all the time that if I somehow became famous I would stand up for herpes and increase the awareness about it and try to make a change but it seems like we’re too far gone now.
    I’m lucky I have the friends I do, I one day expressed to my friend how I feel no one will love me and that’s why I’m in the relationship with the guy who gave it to me and she said that’s ridiculous what’s not to love about you look at you. And that gave me the courage to leave a relationship that hurt me from day 1.

    Thanks once again for that article.

    • Hi Nicole -

      How nice to hear this article touched you.

      I totally agree – my bf and I just watched the movie Pitch Perfect and there was another herpes joke… It’s just always so awkward and it bums me out knowing soooo many people sit through those jeers not knowing how to respond. It’s even more bothersome they get written into scripts at all. Anyhow, he and I exchanged looks on the couch and rolled our eyes; because of what I do, I can now make it known how ridiculous those jokes seem to me. It’s refreshing, but there were years I sat oddly not feeling comfortable laughing, but also not wanting to react differently than the crowd lest I be found out.

      Cheers to you for having the strength and finding the self-respect to make a positive choice for yourself without settling! You’re an excellent example of how an STD diagnosis can break someone down, but how it can work also toward strengthening someone by helping them stand up for themselves and garner the love and respect they deserve despite their infection!

      Thanks so much for sharing your thoughts!

  11. I was diagnosed three days ago. I’ve only had one sexual partner, who I’ve been with for almost four years. He has had one coldsore on his mouth once, during which time we were very careful and refrained from sexual activity. Now, a year later, the virus has manifested in me for the first time. I was devastated. Apart from the pain and illness that comes with a primary infection, I was (irrationally) ashamed. I’m lucky to have wonderful, supportive, non-judgmental parents, partner and sibling, but that’s as far as it goes. I’m trying to fight through years of stigma movies and peers etc have drilled into me, and your site is helping me to do that. It’s comforting to know that I’m not alone, and that there are so many people out there who understand and know I’m not dirty, unclean, a whore, a slut and all those other horrible ideas that follow HSV around (ps I hate words like “slut” anyway. The amount of sexual activity a woman engages in is her own business and is not shameful no matter how much or how little). I just hope that with sites like this raising awareness, we can fight these ridiculous ideas and help people with HSV and without alike understand that it is not about being dirty, it’s just a virus that’s alarmingly easy to contract.

    • Hi Jaye -

      I couldn’t agree more – the stigma is, by far, the hardest part of any STD diagnosis. It’s frustrating, to say the very least. We can definitely alter society’s perception; it’s just going to take some time and some hard work, but I’m in it for the long-haul. So, rest assured, I’ll still be here fighting the good fight, because messages like yours remind me how important it is to continue.

      Thanks so much for letting me know this has been helpful – I really appreciate the feedback. I know how hard it can be at first. It will get better in time, but I know that doesn’t help you a whole lot right now; what a blessing you’ve got a really good support system!

      You’re an excellent example that STDs happen to all kinds of people, are not at all an indicator of one’s sexual proclivity (despite that being no one’s business anyways, of course), and you’re definitely not alone. There’s an army of us, mostly silent, but an army, nonetheless.

  12. Thank you for your hard work on bringing this information to light. The STD stigma has a long history and only clear information and thoughtful discussions will help to make a change. I have had this virus for over 24 years, contracted from my husband, before he had any symptoms. For your information he regularly used condoms as we of an age where AIDS was emerging and the use of condoms was considered the right thing to do. Today I have had the awkward discussion of my carrying this virus and the responses’ have not been positive. Asking one’s partner to don a condom seems to be too much, what has happened to “no glove, no love”? Everything I read says that all STD’s are on the rise. That those above 55 years of age are contracting STD’s in large numbers. This is a sad trend, as those of the elder generations also believe, all be it falsely, that only the unclean and promiscuous use protection, like condoms. Herpes, Hep C, AID’s, syphilis, gonorrhea, genital warts, all have dirty descriptive words associated with them and this will only change with education. Keep up the good work, and thank you so very much for doing your part!

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