Thanks to advances in modern medicine, people living with HIV today can live just as long and fulfilling lives as anyone else. With effective treatments like antiretroviral therapies (ART), individuals with HIV can often achieve an undetectable viral load, which means they can’t pass the virus to others. This is a monumental step forward from the fear and tragedy of the AIDS crisis in the 1980s and 90s, but prevention still remains crucial. That’s where PrEP (pre-exposure prophylaxis) comes in—a medication that significantly reduces the risk of contracting HIV. But here’s the thing: even with all this progress, a lot of people still don’t know about prevention or are hesitant to use it because of the stigma attached to sex, HIV, and pleasure. In this article, we’re going to dive into how shame around sex harms our mental health and why it’s important to consider PrEP, whether you’re queer, straight, single, in an open relationship, or just exploring your sexuality.
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Yijia is a proud Queer Asian therapist, based in Tkaronto (colonially known as Toronto)
The Legacy of the AIDS Crisis: Shame, Fear, and Stigma
For those of us who remember or have heard the stories, the AIDS crisis was more than a public health emergency. It was a devastating time, particularly for the queer community, where people were not only losing loved ones to an unknown virus but also facing a brutal onslaught of moral judgment. HIV/AIDS was painted as a “punishment” for certain sexual behaviors, which made the virus itself something people were ashamed of—not just something to treat.
Even now, decades later, those echoes of shame and stigma linger. HIV may be treatable today, but many people still avoid talking about it, even in queer communities. That silence can prevent us from seeking out life-saving preventive care like PrEP, which is crucial for stopping HIV transmission before it happens. This fear and stigma attached to HIV, and by extension sex itself, can deeply affect our mental health and how we view our own worth.
How Shame Around Sex Harms Our Mental Health
Sex, pleasure, intimacy—these are things that should bring us joy, connection, and fulfillment. But for many people, especially those who grew up without open conversations around sex, there’s often a cloud of shame attached. That shame tells us that wanting pleasure, intimacy, or multiple partners is wrong, that we should feel embarrassed about our sexual desires, or that discussing sexual health means admitting something shameful about ourselves.
This kind of internalized shame is damaging. It disconnects us from our bodies and our partners, making it harder to talk about what we need, what makes us feel safe, and what brings us joy. In fact, research has shown that sexual shame can lead to higher rates of anxiety, depression, and even risky sexual behavior, as people avoid openly discussing protection like condoms or PrEP. A study published in the Journal of Sex Research found that people who experience high levels of sexual shame are less likely to engage in safe sex practices because they don’t feel comfortable initiating these conversations. In short, shame blocks us from taking care of ourselves and our partners.
Why PrEP Matters: It’s for Everyone
You don’t have to be gay, trans, or polyamorous to benefit from PrEP. It’s for anyone who wants to protect themselves from HIV. Whether you’re single and casually dating, in an open relationship, or practicing solo polyamory, PrEP is an empowering way to take charge of your sexual health.
Let’s break it down:
If You’re Single: Casual sex is a part of many people’s lives, especially with the rise of dating apps. PrEP allows you to protect yourself, even when spontaneous encounters happen, without needing to rely solely on condom use or a partner’s sexual history.
In an Open Relationship: If you and your partner are non-monogamous, PrEP can provide peace of mind. It reduces the risk of HIV transmission, giving both of you a way to explore other relationships while keeping your primary relationship safe.
For Solo Polyamory or Multiple Partners: When you’re building romantic or sexual connections with multiple people, PrEP can be a key part of your sexual health routine, allowing you to enjoy your relationships without constant fear or worry about HIV.
The truth is, PrEP is about empowering you to live the life you want—without shame, fear, or judgment. It’s about making sure that you and the people you care about are safe.
Sex Education and Shame: The Root of the Problem
A huge part of the issue is that many of us didn’t receive proper sex education. In a lot of places, sex ed is either abstinence-only or fails to talk about LGBTQ+ health, leaving huge gaps in our knowledge. This lack of education often leads to fear and misinformation, especially when it comes to HIV.
We need to start having real, honest conversations about sexual health, about pleasure, about intimacy—and we need to have those conversations without judgment. Studies show that comprehensive sex education, which includes topics like consent, pleasure, and sexual health, leads to better health outcomes. People who receive proper education about their sexual health are more likely to use protection and less likely to engage in risky behaviors.
For example, a meta-analysis in the Journal of Adolescent Health found that teens who had comprehensive sex ed were significantly less likely to engage in unsafe sexual behaviors compared to those who received abstinence-only education. The same is true for adults—when we talk openly about sexual health and provide access to preventive care like PrEP, we reduce the risk of HIV and other STIs for everyone.
New Data: The Changing Face of HIV Transmission
It’s important to note that HIV is not just a concern for queer men. New data shows that more heterosexual people are contracting HIV than ever before, even though gay and bisexual men still remain at higher risk. This shift in transmission patterns highlights the importance of HIV prevention for everyone, regardless of sexual orientation or gender identity.
This is why PrEP is a tool that anyone who is sexually active should consider. It’s not about who you are or what kind of sex you’re having—it’s about taking charge of your health in a way that works for you. HIV prevention is for everyone, and we need to stop thinking of it as something limited to certain communities.
Reclaim Your Sexual Health, Free from Shame
At the end of the day, your sexual health is your own. It’s deeply personal, and you deserve to make decisions about it free from shame or fear. Whether you’re queer or straight, single or in a relationship, taking PrEP can be a powerful way to take control of your body and your future.
Sexual shame has no place in a world where we should be empowered to protect ourselves and our partners. Let’s break the silence around sexual health, start having those honest conversations, and make sure that people have access to the care they need—without stigma. Because at the heart of it all, we deserve to experience intimacy, love, and pleasure without fear. By embracing PrEP, we can take another step toward that freedom.