In the sixties and seventies, it was the common wisdom never to mention a spouses cheating. this made sense at the time, as the potential for harm in the revelation was far greater than any potential good.
In the modern era of HIV /AIDS though, it is absolutely a matter of public health to let anyone who believes their relationship is monogamous know that they are being cheated on.
People who enjoy the risk of cheating are also people likely to have unprotected sex.
Please, PLEASE don't let an unsuspecting spouse spend his/her lifetime struggling with an illness they weren't responsible for, simply because you fear the awkwardness of a revelation. Do it anonymously if you have to, but do it! ! !