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Dear Dr. Ellen: Seven years ago I was married to a man I loved very much. After a few years of marriage, we decided to start a family and I became pregnant with my son (now 4). When I was eight months pregnant, my OB/GYN told me at a routine visit that I had a case of genital warts. They had to treat it very aggressively to be rid of it before the baby came and the pain was excruciating. I wound up going into labor the next day and had my son a month early.

Upon telling my husband of the diagnosis that day and my confusion as to how I could have gotten it, he admitted to me that he had gotten it from a one-night stand right before we started dating and had never told me about the infection. In fact, I flat-out asked him before we became sexually active if he had ever had anything and he denied ever having any problems. I was horrified, humiliated and in terrible pain. Between those feelings and the stress of a colicky baby, I was at my wits end.

I was never able to regain my love or trust for him and left him a year ago. I have recently begun dating. I met a man just over a month ago who I have become very fond of. I was terrified about having to tell him about my having HPV but was adamant that I would not trick someone the way my ex did me. Regardless, I told him last weekend and he handled it well that night. I was so relieved that the worry was for nothing, but he did an about-face a couple days later and told me he could not continue seeing me because he was afraid of catching the disease. I am broken-hearted and have been crying for two days because I feel disgusting.

Today, I called my OB/GYN to ask questions about how to tell potential partners about this in the future and she told me that there is no need to disclose this to anyone as my body has shown no signs of infection for four years now. The medical belief now is that my immune system has fought the virus and it is no longer an issue. I am thrilled to hear this news as I cannot imagine the pain of having to deal with this rejection again, but it seems too good to be true. (Of course, she stressed that I should use condoms to prevent re-infection from someone else and I will absolutely do that.) I would like to know how you feel about this and whether it is still something that I should morally disclose in the early stages of dating. Thank you for your advice. - Cynthia

Dear Cynthia: As a general rule, I don't think that your health history is anyone's business until you have a deep connection and there is the potential for a committed relationship. I know you said that you had been dating a month, but there is a big difference between seeing someone every Saturday night which could mean only 4 dates and spending the entire month together. The point is, I don't know how deeply connected the two of you were before you shared this information. I feel that it makes no difference whether you presently have a sexually transmitted disease, or you have been successfully treated for a sexually transmitted disease and therefore have been pronounced, "cured." Either way, you still have a moral obligation to let your partner know about it. My guess is that no matter how painful your breakup was, this relationship was not meant to be, and it wouldn't have mattered how long you waited. His reaction would have probably been the same.

As devastated as you are, there is a blessing in disguise here. Because of his rejection, you found out so much sooner that the medical community has now given you an "all clear." That means, when you do meet "Mr. Right," you can assure him that you no longer have something that can be transmitted.

Because of my own experience with breast cancer, I frequently get asked to speak to cancer support groups. I'm often asked, "At what point in a new relationship do I tell him or her that I have or had cancer?" My answer is, "When the relationship is more than casual."

There is usually quite a difference in dumping your personal challenges on someone you've just met and waiting until there is a deeper connection, before you tell him that you are recovering from a life-threatening disease. Many people are afraid that once they reveal their illness, that person will no longer want to be with them. My response is, "Why would you want to be with someone that is insensitive and uncaring?" If someone can't see past your illness or the effects it has had on your body, the person can't see the true you." I have personally met so many women who have had a breast removed due to breast cancer or men who have gone through testicular cancer and have had a testicle removed. They all confided in me that when they fell in love, they felt safe enough to share what they had gone through and, in return, received complete, unconditional love from their mate.

We all come with baggage. No one has a life devoid of secrets, embarrassing habits, or situations that are difficult to share. There are millions of people who have medical conditions that must be discussed with anyone they are seriously considering having a relationship with. If you have diabetes, epilepsy, cancer, MS or any other condition that impacts your life, you have to share that with a potential partner. If you are loved for your honesty and vulnerability, you'll know that this is a person you can spend the rest of your life with. If the person's reaction is negative, it is in your best interest to know that as soon as possible and move on.

I do think that it is also important to point out that people are much more understanding when it comes to an illness that they can't get themselves. You can't get cancer, MS or diabetes from another person. But if you have a sexually transmitted disease, such as herpes or HIV, then you have a moral obligation to give your potential partner all the information he or she needs so they can make a fully informed choice about becoming involved with you. Remember, you deserve to be loved for who you are and you deserve someone who is worthy of your love. - Dr. Ellen

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