Episode 3 Unsafe Sex in the City

This programme contains some strong language.

More young people than ever are catching sexually transmitted infections.

And Britain's STI clinics are the first stop for anyone

You've got a bit of a discharge

Are you nervous? Yeah.

I should know better, really.

This series goes behind the doors of two clinics...

Bit cold, as you know, OK?

..in two very different cities. .

We are a bit mental but we're not judgmental!

Watch it!

..Leeds, with its huge student population...

People are having a lot of sex and it's pretty much all unprotected sex.

God gave you a minge -

use it!

Why are we not looking after Little Ollie?

What's he'd done to upset you?

..and Exeter, in the heart of the Devon countryside.

This is Exeter, mate, everyone sleeps with everyone.

Condoms for sex? No.

Getting a sexually transmitted infection from a farm animal.

We help bring patients to get checked out... I want my mum!

I've trusted people that I shouldn't have. Oh, my God.

I'm just hoping and praying that I haven't got anything.

..before following them home.. 12 months?

20 partners?

That's well shocked me. ..to find out how getting tested...

Your results from your recent visit are...

..affects their health...

You were positive to chlamydia

CHEERING ..their relationships...

Why would you need to carry on coming and taking the tests

if you're not sleeping with anyone but me?

..and their sex lives.

She wanted it so bad.

This week, on Unsafe Sex In The City...

OK, thank you.

In Leeds, 20-year-old Heather has a problem down below.

I think the hardest bit for this is walking afterwards.

Ollie is worried an STI might ruin his holiday.

By shoving your penis into a woman without a condom,

you can catch HIV, hepatitis, chlamydia and gonorrhoea.

I think I'll just take them as they come, literally!

And in Exeter, staff take chlamydia testing on a night out...

Good evening, Devon!

If I've had, like, unprotected sex with someone,

it's always on my mind.

I'm always thinking, like, "Shit!"

It's first thing in the morning

and Leeds Sexual Health Clinic is preparing to open its doors

Lovely, isn't it? We're up earlier than birds.

But before clinic can begin, housekeeper Leslie gets to work

You get all sorts in here -

businessmen, lots of students,

transgender...which are very nice people.

There's a lot more sex

going on nowadays than there were

when I were younger, I find.

A lot of these young ones think having sex with everybody

is just fun.

They just come in here, laughing their heads off

and bragging about what they've done and what they haven't done.

And I think, basically, a lot of it is women and girls

They brag about it more than blokes.

Dirty girls!

The patients tend to blow Durex up and leave them all over the place.

Write on the ceiling, write on the seats -

so-and-so and so-and-so has clap,

so-and-so and so-and-so has herpes.

No respect, the lot of them.

SHE WHISPERS: Excuse me.

In my generation, sex weren't even talked about.

I was a good girl!

A very good girl.

But the staff on the front line love nothing more than talking about sex.

Obviously love muscle.

Safe sex, that is.

HE WHISTLES

And staff nurse Tim is stocking up

on the free gifts offered to all patients.

This is our condom store. Extra safe, elite and flavoured

Part of our role is to do a condom demonstration.

I mean, trick is to treat it like a Mexican sombrero hat

You've got a ridge, so that's how you know

that you're putting it the right way round.

Like so.

And that's when the fun begins

and he's used to the usual excuses.

"I can't feel anything while I'm having sex."

"Condoms are just rubbish."

Erm, and I suppose the third one is,

"I turned up with one and the girl said, 'Don't worry about it.'"

Some guys do say that they're not big enough.

I mean, some guys are more endowed than others,

but I've seen guys put these over their head.

So I've never really understood that argument -

that they're not big enough.

If it can fit over a man's head surely it can fit over your penis.

One of the first patients on Tim's list is 18-year-old Ollie,

accompanied by best mate Jack.

'I came because'

I had unprotected sex

and it's probably better

to be safe than sorry, really,

so I thought I'd come to get checked out.

I've probably only used contraception four or five times,

something like that. Yeah.

I'm nervous. I just don't like needles.

INDISTINCT SPEECH Oh, God, don't talk about it

Ollie? Yeah. Hi, mate. Come on

With A-levels out of the way,

Ollie's off on his first mates-only holiday to Spain.

And an STI is the last thing he wants to take with him.

My son's called Ollie, so that's easy. Right.

So you've had unprotected sex on several occasions? Yeah.

All right, okey-dokey.

You've not slept with anybody knowingly with an STI,

sexually transmitted infection, no?

Ever had sex with a man? No.

How are you doing with your condom use?

Not very well, at the moment.

No. Is there any particular reason for that, Ollie?

Eh, spur of the moment, more than anything. Is it alcohol-fuelled

Yeah, usually. I'm looking at you, Ollie... Uh-huh.

You're well groomed.

I'm sure you do take care of yourself

in certain aspects of your life

but why are we not looking after Little Ollie?

What's he'd done to upset you?

Cos he's your best mate and if you don't look after him

he can't look after you. Can he

He does look after me, though. He does a good job.

Yeah, but you're not looking after him

so where's the mutual respect there? Sorry, Little Ollie.

But seriously, you need to start looking after Little Ollie

cos if you don't, nobody else is going to.

We do know that by shoving your penis into a woman,

without a condom,

or a guy for that matter,

you can also catch HIV,

hepatitis, chlamydia and gonorrhoea.

OK. STIs can also be passed on by skin-to-skin contact.

You mean like kissing? Not kissing.

I'm on about fingering, licking -

all those sort of things that you like.

THEY LAUGH

But rubber up cos we know that you know,

lowers your risks tremendously Uh-huh, OK.

All right, bud. Thanks, that's your lecture over.

You're a good lad for listening Cheers, sir. OK.

Just concentrate on your breathing for me. OK.

Ollie will be tested today for HIV, syphilis, chlamydia and gonorrhoea.

And if you catch gonorrhoea, it's a shot in your backside. Oh!

In my arse? Yeah. OK. Do you want any condoms today, Ollie?

Yeah, go on then. Are you going to Magaluf with him? Yes

Oh, well, there's two packets of condoms for you as well. Oh

I have a girlfriend, mate, but OK. Your faces have been noted.

If I see you back here, you're in trouble.

With his results due just before he goes away,

they'll either make or break his holiday mood.

If I do have something before I go away,

then it'd put a damper on the holiday, a lot.

Will he behave himself on holiday?

Doubtful, isn't it?

TELEPHONE RINGS

Good morning, Leeds Centre for Sexual Health

TANNOY: 'Please proceed to counter number two, thank you.

Hiya, come for the walk-in?

The hot summer isn't putting people off getting tested,

with around 100 people passing through the clinic doors on any day.

Yeah, that's fine. If you take a seat in the waiting room,

you'll be called from there.

Next up for staff to see is 20-year-old Heather,

with a niggling problem down below.

I've basically come for a checkup and I've come to get some warts removed.

Heather?

The warts themselves are really itchy and when they get too out of control,

Heather has just started a new relationship

and doesn't want her warts interfering in the bedroom.

How long have you had your warts for?

I can't remember the exact date but it's been about a year.

OK, any other rash, lumps or ulcers that you're worried about?

Em, I've got a little rash,

but I think it's heat rash. Right, OK.

And do you sweat a lot in...there? Yeah. OK.

When was the last time you had sex?

About two weeks ago. Two weeks ago.

I didn't have sex for a while, you see,

and I'm with a new partner as it is. OK.

And we've had sex twice in the last couple of months.

Do you have vaginal sex?

What do you mean? Normal sex.

Just normal sex? Yeah. OK.

Any anal sex?

Erm...we did try it, but I didn't like it.

And any oral sex?

No. OK.

Come with me.

Doctor Nadia needs to use liquid nitrogen

to freeze off Heather's genital warts.

You OK? Yeah.

Feels nice to have a bit of cold down there.

Can I have that for my armpits as well?

Think the hardest bit for this is walking afterwards.

Yeah, it stings a bit, doesn't it? But it wears off.

Really common.

Really, really common.

But people don't talk about it

I know.

Upon closer inspection, Dr Nadia is concerned there may be more going on

for Heather than just warts.

You've got some blisters and spots.

I need to take an extra swab and that is to make sure

that you haven't got anything like herpes on top of it.

Oh, right. Yeah, yeah.

OK, so we've taken this for herpes and we'll have a chat about that.

So I'm just going to do a bit more tests than normal

because you've got a bit of a discharge as well, OK?

OK? Yeah.

OK, you can get dressed now.

It's just like painful blisters that you've had for about a week.

So at this point, we are... That it's a suspected herpes. All right?

I have done a swab to send off to the lab to confirm it, OK?

Yeah.

She had a discharge

and it was quite offensive in odour.

So, we're looking for different things.

It sounds like herpes, but in a few days, we'll get the results

back from the lab to confirm if it is or not.

Worst-case scenario is herpes.

If it is confirmed,

it'll be something that I'll have to discuss with my partner.

Heather only started going out with her boyfriend a few months ago

With a suspected dose of herpes

their relationship could be facing a tricky hurdle.

300 miles away, in the Devonshire countryside,

Exeter Sexual Health Clinic are experiencing

one of their busiest summers ever.

It's someone who's possibly got pubic lice. I just need to have a...

I'm not going to do any swabs, I just need to have a look.

Senior nurse Laurance is having a particularly testing time.

Crabs is the common vernacular

Hello, Mr Crab.

They're not painful, they just make people feel a bit yuck.

Hello, Mr Crab,

Wow. He's tensing up now. It's like something out of Alien, isn't it?

It is nice to watch them moving around.

He's still moving, he's still alive.

They make us itch. When we see people who've got them, we start itching

for the rest of the afternoon.

Next patient to be seen by Laurance is 20-year-old local farmer Greg.

Greg, do you want to come on down this way?

Greg has a pain in his groin

and his new girlfriend won't have sex with him until it's sorted

So tell me what's going on. What can we do for you?

Um, basically I've got...

Feel a lot of pain my testicles at the moment

and I wouldn't mind just an STI check as well, cos I've had

a change from an old partner to a new partner, so just be tickety boo.

How long have you had the pain for?

About a week now. OK.

Feels like a pinching pain.

And have you noticed any other symptoms going with that?

Does it sting or burn when you pee?

Not too bad when I pee, but sometimes

when you finish off the pee, it feels a little...

Looks a little bit like a milky discharge or something.

Can I ask you when you last had sex?

Four months ago, something like that.

You haven't had sex with anyone for four months? Yeah. OK.

The new partner, well, she sent me in here. OK, OK.

Now, in the past you've had warts, haven't you?

And you were going to have some treatment for those.

Have those all gone now?

I think I've just got one wart as in... Just never went? OK.

So, what I want to do is have a look at your testicles,

take a sample from the end of your penis to see if there's any sign

of anything going on there

and we'll also have a look and see what the warts are doing.

So is it OK if I have a look at those now?

Genital warts like Greg's are the most common viral STI

amongst young people.

I'll just bring the light over. .

Let's just have a little prod about.

I'm not sure that there's a wart left there, it's just a bit of...

skin flap from a bit of old haemorrhoid or something. Yeah, yeah.

I would say you're clear of warts. Ideal.

Farmer Greg may not be showing any visible signs of warts,

but he can't get back to sowing his wild oats just yet.

It's not very normal to have another bloke standing there

feeling your testicles at the best of times but...

what does that feel like?

The left one hurts a little bit

He needs to have swabs taken from his penis for gonorrhoea

and chlamydia, which may explain his symptoms.

OK, that's fine, that's all done, you can pull your things up now, OK?

So this new partner that you haven't had sex with yet,

is that someone you've had sex with in the past?

No. It's not. So...

what makes you think you've got a problem now?

I don't know, really.

Just one of they things, whether I could have knocked it,

just I want to be starting to know what's going on?

OK, OK.

Greg now has a two-week wait to find out whether he's free from STIs

Thank you. Cheers then, bye.

And free to finally have sex with his new girlfriend.

We're looking for any infectious causes.

Infections like chlamydia or gonorrhoea that could have

caused infection in the tubing around the testis.

When you get people with kind of vague, now and then aching,

it gets quite difficult, really and I think probably a lot of men

get that from time to time without any real...

I think it's just a hazard of being a man.

You get achy balls now and then

I think there's no man who goes through life without having

testicular pain from time to time of a non-sexually transmitted nature.

The difficulty is sorting out the men from the boys.

In Leeds, Ollie's about to embark on his first mates-only

holiday in Spain.

He's got the name Shagger Muff

so I'm hoping he's going to live up to his name.

You know Ben, from college? Yeah. He went last year and he actually said,

"It's harder to not get with someone than to actually get with someone."

He said you have to go out of your way to not get with someone.

Definitely wants to get laid on the beach, though.

Who doesn't want to get laid on the beach?

I don't want to get sand up my Jap's eye.

Being the only single man in the group,

Ollie's had his fair share of luck with the ladies of late.

He has a way.

He does have a certain way. I don't know what his way is, but it works.

ME MUMBLES

Buy you a burger! OK!

Just constant niggling. Persistence is the key to success.

Despite his laddish reputation

Ollie hasn't always been the soul singleton in the group.

I started seeing this girl and she dropped this bombshell

that she was doing it with, you know,

ten, 11 other people at once, maybe 12 people, I think.

And kind of hard not to cry.

Like, I was actually genuinely holding back tears.

I just felt really low down and just so small and claustrophobic.

Yeah, it wasn't nice. Wasn't a nice feeling.

If your results come back positive,

is it going to change anything for you? Well...

Like, in Magaluf? I don't think it will necessarily change anything.

Yeah, but you could give someone whatever you've got.

What's the target for next week I don't really have a target.

I'll just take them as they come, literally.

THEY LAUGH AND GROAN

But will Ollie get the all clear he wants for his Magaluf mission?

Heather's been going out with Adam for the last two months.

Thank you, babe.

I've pretty much loved him for a while.

Erm, there's not really a negative about him.

and I'll tell you when I believe you.

'It's still the honeymoon season for us.'

Come on!

But Heather's recent trip to the clinic

has the potential to end honeymoon season with a bang.

Basically, they're saying it could be herpes,

what my blisters are,

and I've got to go back in two weeks.

You could go and get checked, if you wanted to.

I think there's a reasonable chance

of catching herpes if Heather's got it.

Would it be advised? Yes. Yes.

If it is, we'll just take it one step at a time.

As soon as her results are back

Heather will be returning to the clinic.

But will her blossoming relationship be put under pressure?

Is there coffee made? Yes.

Ooh!

Might have instant. Eurgh! SHE LAUGHS

In Exeter, nurse adviser Abbey is prepped

and ready for her next appointment, but lacks one thing.

I've got a full list, but it looks like my first patient's a DNA.

She's got one minute to get here!

The Exeter clinic has around 3 DNAs, or Do Not Attends, a week

Thankfully, 18-year-old Alex is not one of them.

Hello! Have a seat in the waiting room.

This one in here? Awesome, thank you.

The charity worker has come to the clinic with man troubles.

I'm single at the moment.

The last guy I was with told me

he'd slept with quite a few more people than I thought he had.

So, yeah, he was a bit of a slag.

He was a bit of a man slag, and then, obviously,

if I have got something, I can let him know,

and hopefully, he will stop sleeping with lots of people as well.

Alex? Yes, hi.

Do you want to come through?

Alex has had ten sexual partners since her last chlamydia test,

nine months ago, so is well due a checkup.

I'm Abbey, I'm one of the nurses. How can I help you today?

Erm, I just wanted to come in for a chlamydia check, if I could, please.

Okey-dokey. Have you got any symptoms you're worried about today?

No, just, er...partners.

OK, fine.

When was the last time you had sex?

Last night. OK, and who was that with?

That was my ex-partner.

OK. And how long were you with your ex for?

Six months. OK.

Condoms, for sex with him?

Not always. OK. Do you take any regular medication?

I'm on the pill. OK, brilliant

And the last time you had sex with somebody different?

About a month ago.

OK, and was that someone you know, or a one-off? Yeah.

OK. Condoms, for sex with him?

No. And any particular worries

Er, yeah, well, yeah, he was a bit of a player, should we say?

OK. Fine.

Despite her ex-partner's promiscuous ways,

Alex isn't showing any symptoms today.

So, nurse Abbey can give her a swab to do herself.

Come with me, I'll show you where to do that and where to leave it,

and then you'll be free to go. All right? Yes.

'It's quite encouraging that a lot of our young girls that we see

'are sorted with contraception,

so they're protected against pregnancy, because they don't..

they see that as more of a problem

than a sexually transmitted infection.

But, OK, well, that's not going to stop you getting chlamydia.

People think they're invincible maybe.

Alex will have to wait two weeks to find out

whether not using protection has punctured her invincibility

After his recent trip to the clinic,

farmer Greg is reaping the benefits of having a wart-free bum.

It got to the stage where they started to be painful,

which wasn't nice when you're always sitting on it,

especially doing farm work and always sat on a tractor or something,

and sat on that, it's not very nice.

Other than warts,

farmer Greg has luckily dodged any STIs to date.

I've had a few shocks! HE LAUGHS

We do have our bad reputation.

The famous club, the Young Farmers, you know,

sort of going round with each other, and whatnot, and spreading.

HE LAUGHS

A few mates are quite keen on hopping from one to the other.

It's all part of being put on the planet, to have good fun.

Steady! Steady!

But Greg has a new girlfriend,

and wants to put his wild ways behind him.

We've been going out probably about a month now,

and still taking things slowly like, just building it up.

You know, we enjoy spending time together.

But that doesn't mean

he has the green light from his girlfriend in the bedroom.

No sex or nothing, for the minute.

At the end of the day, it's not all about sex, really

It's building a good relationship first before you jump in, but..

Yeah, I am male, and I do enjoy it, but it's just one of those things.

You've just got to hold off until you know you're all clear, like

But when Greg's results come through in a few days' time,

will they be the ones he's gagging for?

Farmers like Greg represent

a large proportion of the Exeter clinic's work.

In an effort to treat more farmers in isolated areas, staff have

arranged to run a clinic at an upcoming Young Farmers foam party.

These are the chlamydia screening postal kits. That's the male one.

Health adviser Tess is helping Becky prepare for the event.

It would be a good idea to take some little freebies, if you wanted to.

What I would suggest is you take a lot of leaflets.

We've got some nice little pants. "Tried and tested."

Do you want me to take any of these ones?

Oh, "Check my bits." Certainly

We've all got bits.

Erm, where are the sperm?

Sperm, yeah.

We've got some nice sperm, and they're not real sperm,

they're sperm key rings. Does this one glow in the dark

For the Young Farmers, our main purpose for going is,

I think, to have a presence there.

It's about having information about sexually transmitted infections

and that everyone is vulnerable to them, and I think

if we come away with something like that, I think it will be a good day.

We'll get the boards. We can hang some of the pants up.

On the night, it'll be health care assistant Becky's job to attract

farmers away from the dance floor and into taking a chlamydia test.

Shouldn't it be like bunting,

on the top, with some pants?

Her main distraction method will be free pants.

Everybody wants pants!

I don't have any pants, no.

I'm more partial to the sperm, myself.

THEY GIGGLE

# I'm skankin'

# I'm skankin'... #

Lucky pants?

Er, yeah, these are the first pair of pants that made me

get lucky out in town.

Good memories, do you know what I mean?

In Leeds, with just days to go till Ollie's big trip to Magaluf,

he's busy packing the bare essentials.

There's quite a few of these!

I was given two packs, which have eight in each,

but I probably won't need all of that.

I think that's being a bit ambitious.

Put those in there.

Ollie is yet to hear back from the clinic

about his recent sexual health test.

If I did have something now, er

then I'd probably have to take the course of antibiotics to the holiday,

which would be a bummer, because

they probably can't be taken with alcohol.

It'll probably also mean that I can't do anything with girls as well

which maybe will put a bit of a dampener on the holiday as well.

Ollie's dad wants to know

exactly what his son plans to get up to on his trip away.

So, are you a man on a mission

Yeah, such as what? Fingering fat birds.

Ugh! THEY LAUGH

I can't believe you just said that!

You know your mum is terrified don't you?

What, of me getting something? Yeah.

I'm 99.9% certain I don't, anyway.

If I do, and then...

Are you saying you might already have something?

No, no, no! I'm saying...

Like, there's always a possibility,

it's a 50-50 chance, isn't it? I don't know.

I know you think it might be some kind of badge of honour,

it might be quite funny, but if you come home,

and you can't get rid of it with some antibiotics...

Some of the things you can catch can be really, really nasty.

Oh, yeah, I know. So what happens then, next Wednesday night?

First night in Magaluf, you're absolutely out of your tree,

and some...I don't know, some female that you've never seen before

comes along and starts chatting you up. What are you going to do?

Er...wrap up.

Wrap up. But why has it happened in the past?

What made you not do that? It's just sometimes is a bit of a like..

a bit shit, and a bit awkward. You're just like, "Oh, one minute..."

And she's just kind of... So it spoils the moment?

Yeah. Why not make it part of the experience?

Have a bit of fun with it?

Er, cos it's not that fun, really. Oh, it can be.

You would know?

I used to make fun out of getting the girl to put it on.

And that was all part of the actual process. Just think about that

It is, it's great fun.

Don't know what to say back to that?

It's a cracking way to add a bit of entertainment to the whole process.

Oh, Dad.

My God.

It's all well and good coming back with a little bit of chlamydia

or syphilis or whatever and thinking, "I can get that cured

"I can get rid of that and don't do it again."

But if you come back with HIV or some of that serious shit, that's it.

You're done for life, because that stuff doesn't go away.

Part of me thinks, "Fair play.

But the other part of me, like his mum, thinks, "It's a

"little bit terrifying." His attitude is, "It will never happen to me."

Just got my results.

NHS, Ollie, all your results from your recent visit are negative.

From the Sexual Health Team.

Dad!

Hey! Shake my hand. Keep it like that, yeah?

Yeah, I'll keep it like that.

I think now that he's got the all clear, I think he's probably

learned his lesson.

Having said that, Thursday night, Magaluf, 15 pints of cheap

lager down his neck, who knows

TELEPHONE RINGS

With a clean bill of health to take to Magaluf, Ollie

rings his mate to spread the good news.

ANSWERPHONE: 'Please leave your message after the tone.'

I was ringing to let you know I got my results

and they're all negative, so we can go crazy in Magaluf

and finger fat birds and Eiffel Tower a few, as well.

See you later.

HE LAUGHS

What's Eiffel Towering? Eiffel Towering is...

Do you know what a spit roast is?

And then high five over the top so it looks like an Eiffel Tower.

It's a bit crude, but that's what an Eiffel Tower is.

His negative results may confirm he's clean for now,

but Eiffel Towering without a condom may mean Ollie comes

back from Magaluf with more than just a smile on his face.

Tease the weasel. Torment the trousers' trout. Old one's marbles!

Teach one's dog to spit? Urgh!

What does it mean? Masturbating, apparently.

At the clinic, the staff like to keep up to date with all the latest sexual trends.

Oh, yeah. There are sometimes new words being created all the time.

Growl at the badger. Have a moustache.

Chew the fish.

Fist fuck - insert one's hand and forearm into someone else's anus or vagina.

Unicorning, I've heard just recently.

Oh, yeah. Unicorning, where they put the dildos on their head.

What pleasure do they get out of it?

I don't know, cos can you imagine what you'd be looking at while you're doing that?!

E for Eiffel Towering.

"When the woman is on her knees performing fellatio to a man,

"and another man is having sex with her from behind,

"thus the two men join hands above the woman to form

"what looks like the Eiffel Tower"!

Ah, I like that. It's novel, isn't it?

Working in an STI clinic means all the staff pick up a certain level of expertise.

I've learnt a little bit of what some of it means by asking staff.

Despite having no contact with the patients themselves,

housekeeper Leslie has acquired a fair knowledge

in her ten years cleaning the clinic.

They're to go up the men's...

..penis.

That's got a willy on.

That's got two different willies on.

Urine bottle. Faeces bottle.

Nothing shocks me any more. I've seen a lot of things. And I've got used to it now.

Extra safe. Normal.

And flavoured condoms. Disgusting.

I mean, why would you want flavours anyway? Uff!

Worst thing I've ever blown up in my life.

Hiya. Are you all right? I'm really late for an appointment.

Joined by boyfriend Adam, Heather's back at the clinic

to find out if she has called a dose of the highly contagious infection, herpes.

I'm a bit nervous. So, I'm very glad that I've got Adam here today.

He's helped a lot through this

Seeing Heather and Adam today is consultant Dr Amy Evans.

Hello. Is it Heather? Yeah. Sorry to keep you waiting.

Come and have a seat, please. OK? Thank you.

Right, so just bear with me.

And we'll just check your results for you. OK?

OK. We picked up Type I herpes virus on your swab

because you did have some areas of sore, broken skin... Yeah.

..when the doctor examined you Herpes Type I, or cold sore virus, OK?

Have you ever had that before?

Em, I've had it around my mouth before but never down there, no

OK, OK. Essentially, herpes will come and go on its own, all right?

Normally the first time that you get it is the worst. All right

And then, after that, it doesn't tend to be as bad. All right?

I think it's important just to say, it is very common.

Many of us bring it into the relationship without knowing it's there.

We know that the highest risk time of passing the virus on

is when you've got spots.

So you might want to say, "No sex at that time", OK?

Thank you. Take care. Thanks. Bye now.

I see lots and lots of people who get very, very seriously

psychologically distressed with herpes.

And a lot of the part of that distress can be, "How do I tell a partner about this?"

So I think nothing better than to see people as a couple

and be able to broach those issues together, so they can then make

a decision together as a couple about how they want to go forward.

As well as resisting any sexual contact,

Adam will soon be returning to the clinic to see if he too

has caught herpes or any other sexually transmitted infections

It was herpes.

But it's a common kind. Mm. So, at least it's treatable.

Yeah. So we'll be supporting each other throughout the process.

It's nearing the end of the day

The leaflets are in here and the condoms are in there.

Becky, bring the condoms. OK?

But for some of the clinic staff in Exeter,

their work is far from over.

Senior doctor Rachel has worked in sexual health

for the last ten years.

Today, for the first time ever

she is taking her clinic out to the Young Farmers of Devon.

We're off to a Young Farmer's Club

shindig, a foam party,

and our job there tonight is to raise awareness of safe sex

and sexually transmitted infections.

We're also providing a lot of chlamydia screening kits,

so it'll be good to see people taking them

and doing some samples and getting some chlamydia testing done.

It's actually a left turn.

One of the biggest challenges for the Exeter clinic is to

access patients in hard-to-reach corners of the county.

You have isolated farms, isolated little villages, no public transport.

It's difficult for young people to access clinics. Left, yes, YFC

It's my farming roots.

What's going on there?

This is the younger members.

Beautiful, isn't it?

Doctors Rachel and Sophie, and health care assistant Becky

are hoping to tempt as many people to get tested tonight as possible.

Shall I put something like condoms

and chlamydia testing next to the bar? Yeah.

Stick them on the loo doors.

Why don't we put a handful in the loos from each one

and put something like free pants with every test. Yes.

Lovely. A bit of gaffer tape does wonders. There we are. That'll do.

We've got some chlamydia testing kits.

Pink's for girls, blue for boys which people can either

take with them and send back in

straightaway in the toilets

and we'll post it off for them

the clinic staff are all set. All they need now are patients

Have we got some testers coming forward? Pee in a pot. Dead easy.

Free T-shirt. Free T-shirt, free condoms. Come and give a test.

Free chlamydia testing. Free chlamydia testing, free pants.

You can have a chlamydia test at any time. I'll be back in a minute.

Oh, dear. We're being stared at though. That's good. Yeah, yeah

We're attracting curiosity.

That is always encouraging. So maybe we'll get a few takers later.

We'll just have to see whether anybody is interested or

whether they give us a wide berth.

Just sometimes it's how things end up happening at this sort of thing.

After an hour at the event, it would appear

the Young Farmers of Devon would prefer not to know

if they have chlamydia or not.

It is a public event and it is difficult for people

to come forward and say they want a chlamydia test.

If you want a chlamydia test, it suggests you've been having sex

and there are a lot of people who don't want other people to know

they're having sex. Yeah, I'm good, thank you.

Well, you know. Good for trying I feel encouraged.

With the alcohol beginning to flow,

will the Young Farmers of Devon drop their inhibitions

as well as their pants and take a chlamydia test?

Get off my land.

For farmer Greg, the results of his tests can't come soon enough.

To get an all clear, to me, would be brilliant. It means that...

I'm going into a new relationship, then if we do ever have sex or

anything, you don't have to worry about stuff like that.

He's waiting to call his girlfriend with the news.

TELEPHONE RINGS

Bloody hell, it is the results, actually.

All right, my darling? How's it going?

My results have come back clean today. Clear. Yeah, completely clear.

So, we can all relax now. OK, I'll see you a bit later on anyway.

She was quite happy.

I'll go and see her in a couple of hours once I finish work.

Be a real man again.

The results of your recent test is negative, all clear.

They even put a little thank you in it. I can drill on.

Drilling on is on the minds of a lot of young people tonight.

Pair of pants?

But Dr Rachel and the team are hoping that they'll also

think about getting tested.

All you have to do is pee in a pot, basically.

Bring back the pee in a pot and we'll sort the rest out for you.

Is it that envelope I put it in as well? Yes, put it in that bag.

We've persuaded the monkey and the cow to have the chlamydia test

Free pair of pants if you piss in a bottle.

After a slow start,

the locals are starting to see the benefits of chlamydia testing.

The pants are going down well. I want the free pants. I'll do a test.

Yep, lovely. Becka will show you how to do it.

I get a free pair of pants? I've got spares.

I think one of the most important things in an event like this

is to normalise talking about sex, normalise having tests done.

Make it so that people don't feel uncomfortable.

We don't have the opportunity here easily.

You have to drive to get it done and we're also busy working,

and a lot of people just don't have the time or don't think about it.

As night falls and the booze flows,

it's not just sexual inhibitions that free up.

The temporary outdoor clinic is swamped with young people.

Do you want any free condoms? Free condoms? Yes, please.

No socks, no shirts. We've only got pants.

Good evening, Devon!

Free condoms.

So what you need to do is pee in a pot. Where do we go?

Toilets are around there or you can just find a dark corner of the field.

Chris. Chris? I need the first bit of pee that comes out. Very first?

Chris is a farmer from a local village.

I'll get you a goodie bag together. Yay. Does that include beer?

And with the offer of free pants, he's happy to be tested.

If I've had unprotected sex with someone, it's always on my mind

I'm always thinking, like, "Shit!" So, why not?

Whilst he isn't keen to wear protection, Chris is more

than happy to show his friends just how easy it is to carry out a test.

Better to be safe than sorry, guys.

Chris' sample will be sent off for testing and he'll soon discover

if he's filled his pot with lager or something more sinister.

Have you got any more? I think they're all gone, actually.

With all the freebies handed out, the team pack up to leave.

Next time, I swear, you'll be in the foam, Rachel.

Raving along with the rest of them. No, no.

I've done my bit for Queen and country.

It's been a great success. Great success.

We've had quite a lot of chlamydia tests done.

We've given out a lot of information about where clinics are held

and raised awareness of safe sex for health.

It'll also make them think about having safe sex

if they're going to have sex tonight,

because I think everybody here has had something from us.

the clinic staff's work is done for another day.

It's first thing in the morning and in Leeds, junior doctor

Sonya is preparing for another busy day at the clinic.

I think Leeds is very sexually active, which is fine

as long as everyone is safe,

that's our, kind of...

the most important message from the clinic.

Sonya graduated from Leeds University last year

and is the youngest doctor in the clinic.

Sometimes young people do find it quite difficult to come to the

clinic and find it difficult to disclose information

and can become quite embarrassed.

I hope they think I'm kind of their age,

I've been at university for six years,

you kind of know what goes on and all that kind of thing.

So, I hope it helps.

Hello. How are you? Fine, thanks. Good.

Sonya faces a day of swabbing, probing

and examining patients from every walk of life.

I've seen, you know, 16-year-old boys and girls,

I've seen a 70-year-old gentleman. You see everybody.

A sexually active 70-year-old. People don't stop.

Now, that's something.

I'll go and see if he's in the waiting room. Room four

First patient for Sonya this morning is Adam,

back at the clinic, after his girlfriend Heather

was diagnosed with herpes.

I'm not too worried about catching anything.

I don't think I'm showing any symptoms.

We've sort of avoided touching sexually to a degree,

but when we have, it's been with protection.

Is it Adam? It is. Hi, I'm Sonya, one of the doctors.

Do you want to come down this way with me?

Herpes is passed by skin-to-skin contact

so Adam using a condom

may not have stopped the infection from spreading.

Adam, have you...been experiencing any particular symptoms at all

Erm, not that I know of.

So have you noticed any pain at all at the end of your penis,

any testicular pain?

Some slight itchiness at the end, but... Some itching, OK.

How long's that been going on for? For a while.

I haven't really thought anything of it.

So, for quite a few months, would you say? Yeah. OK.

Was there any redness there at all? A little bit.

Is that there at the moment, or has that gone? I think it's still there.

Still there, OK. Have you noticed any discharge at all?

Erm, a little bit at times. Especially when it's really itchy.

When it's itchy, OK, and what colour is it? White. White discharge, OK.

An itchy, red penis with a white discharge means Adam has all

the symptoms of a number of sexually transmitted infections.

Lower your trousers and your underwear to just below your knees

and then just lie flat on your back.

Is that all right? Yep. Feeling all right there? Yep. Can I come round?

I'll start with a general examination, OK?

Do you regularly check the testicular area? Yeah.

Have you noticed any changes recently? Not recently, no.

OK, so there is a bit of discharge there, isn't there?

It looks quite dry as well. Would you agree? Yeah.

At the top, it looks quite dry

It looks like there may have been a bit of bleeding.

Has there been any bleeding at all?

A little bit, yeah, it's cracked open slightly.

Just because of the dryness? Yeah.

OK, we'll take a swab.

OK, this bit is a little bit painful.

Are you all right there? Yep. OK.

If you want to get dressed, Adam,

I'll give you a minute just to sort yourself out.

HEATHER: Watch you don't catch it in the zip again!

Mmm!

He's got a slide to read, if that's all right?

It's difficult to say what the discharge was due to,

it could be due to an STI but there's definitely,

definitely some very dry skin down below. Mmm.

Sometimes we can see something on the slide,

so say we can see some maybe just some pus cells

or potentially some gonorrhoea cells, if there is anything.

What can you see? Tons and tons and tons of... Of pus cells?

..and tons of pus.

Any... Pus made me think gonorrhoea in that one.

Pete, would you just read that slide, mate?

Let the big man read it!

On first appearances, Adam may like Heather, have caught herpes.

He also may have gonorrhoea or chlamydia.

Could be a sexually transmitted infection.

And if it is, we'll deal with it as a couple together.

The couple will soon be back at the clinic

to discover if Adam's test results confirm he's caught an STI.

Across the country in Devon, Alex is waiting to hear back

from the clinic after her recent sexual health check.

Waiting for my results today, it's a little bit stressful.

I've been waiting every day, checking my phone,

waiting to see if they've come through.

The 18-year-old has slept with 23 people to date...

Play dead.

..many without protection.

Her housemates worry about some of the choices she makes.

I think I DO have a type, you think... Definitely, you don't have a type.

I DO have a type!

What's your type then? Male!

There's no romance any more, there's no nice people,

it's just like, "Hey, do you want to have sex with me?"

He's out there somewhere. Out there somewhere!

Oh, we love her to pieces but we just want her to be more safe.

You don't know, it could be the nicest person in the world

and they might be carrying something pretty deadly, you know?

It's stressing me out.

What if it comes back positive

Aw, look, he knows you're worried.

Aww! He'll give you support.

Aw. He'll start humping your leg!

Oh! Eurgh! That's what you're doing!

TEXT MESSAGE ALERT TONE Ooh!

I'm scared. It's all right. Let's get it over with.

SHE WHISPERS: I don't want to look. Yeah, you do.

"Your results of your recent swab at the clinic are negative "

WHISTLING

"All clear on the 27th. Thank you."

Yes! Oh, yes! You're lucky. Yeah! Yay! Nice one, babe.

'Obviously condoms are a bit of a hindrance.

'There's a slight difference but it's not the end of the world.'

It's always better to use them definitely.

Just be more careful now. Yeah. Please! Stay safe.

This will shake her up a bit and maybe she will change her ways.

I hope so, anyway.

12 miles away, the hangover from the foam party has gone

and young farmer Chris is back on his tractor.

Mate, it was good, yeah, pretty wild. Work the next day was a killer

Clinic staff tested him for chlamydia and his results are back.

Yeah, I got a text from the clinic.

"Your results are all clear, call 01392...blah-blah-blah,

"if more information needed."

Happy days!

I mean, I wasn't really too worried

but I think regular testing's good because if you do,

you find about something quick and you can get rid of it

before, like...before you get a massive reputation

for being a...massive slut!

I've got an appointment at 20 past.

In Leeds, Heather's boyfriend Adam is back at the clinic

after doctors discovered a number of suspicious-looking symptoms

in and around his penis.

I was very red and very sore.

I was also very... The skin was very tight

and there was also some white discharge as well.

So I've come back for the results today.

Adam will be seen today by consultant Jan Clarke.

I'm looking for Adam? Yep. OK, come on through.

The tests that we did show that there was some thrush there

We did some swabs to check for other infections like herpes. Yeah.

But that was negative on the day and the blood test as well,

you had that done, didn't you? Yes. And that was clear too. That's good.

So if you just drop your trousers down.

It turns out Adam is STI-free but has a nasty case of thrush

Dr Jan is keen to get to the bottom of it.

So are you finding it hard to pull the foreskin back,

is that the trouble? Yes. Oh, yeah.

It's still quite thick, isn't it? Yes.

The issue with this is that it's scarred down a bit, yeah.

And it would probably be a good idea to look at treating that... Right.

..to stop it happening again. Do you want to get yourself dressed?

And we'll talk about that in a bit more detail.

There's no more broken skin,

but it's all healed down so that the foreskin's got tighter.

It gets sore through the thrush then it gets split and then

it heals again and it gets tighter and tighter and tighter.

That becomes a practical problem because when you have an erection,

it's going to get really tight and painful.

So one option to think about fairly soon is

whether you want to go forward to have a circumcision

Right. To clear it once and for all.

What do you think about that as an option?

Yes, it's definitely an option yeah.

I think it may be worthwhile to consider having that

circumcision done soon.

If a man is having recurrent problems with fissures and scarring

on his foreskin, it becomes so uncomfortable

it's better to get circumcised

There are actually some ideas that being circumcised,

you're less likely to pick up sexual infections

so in terms of populations, men who are circumcised are less likely

to pick up HIV and other infections.

If we do this, it gets it sorted but, like you say,

looks scary at the same time as well. I'll put up a bandage over it!

HEATHER CHUCKLES

Pretty nervous, but...I think it needs doing.

With Adam prepared to have his foreskin removed,

they can put their problems behind them

and carry on enjoying their new relationship.

After his two-week trip to Magaluf,

18-year-old Ollie has returned to the clinic.

The holiday was good, got up to...all sorts of stuff

I got my balls kissed by a girl

so that was pretty good, on the booze cruise.

Ollie? Yes, Tim. You all right Here you are, mate? Come on.

Now that you've not got much of a tan,

which makes me think that you've been asleep all day and awake all night!

OLLIE LAUGHS That is true, actually..

He's back for more freebies.

These are a new brand we're using now

so you're going to be my first one. We've not handed out any of these to anyone.

Thank you. So I've been having a look of them, I quite like the feel of them.

Just over my two fingers! So, as a lads' holiday, how did it go?

As a lads' holiday, it went very well. Awesome. Lots of laughs?

Yes, and lots of... Beer? ..beer. Sex? Yes, quite a bit of that.

Did Little Ollie have a nice time? Little Ollie had a lovely time

Now then, did we take care of Little Ollie? Yes, I did, actually!

Was it difficult? Did you get many girls asking you to wear a condom?

Not particularly, but you booted me up the arse, didn't you?

So you've made me realise that I should really be wearing them

which is fair enough, to be honest. I knew going to the unknown and Magaluf,

that there's probably a bit going round.

I'm glad you remembered my Little Ollie talk!

I'll never forget that one! Get yourself booked back in, if you want.

I will. If not, remember there's the postal kits you can use.

Cool. And be happy, and stay lucky and stay healthy

And if we're doing the hubba-hubba, make sure it's the hubba-hubba with a rubber!

OLLIE LAUGHS

Right, bud, see you later. Thank you.

Take care. All right, mate, see you later.

With Ollie now wearing condoms Tim has achieved a success story.

You know, you just don't know, do you?

And it's lovely to see that it looks like it might have worked

One day, he'll settle down and have kids like the rest of us,

but all he needs to worry about at the moment is Little Ollie.

Nurse Tim may have convinced Ollie of the benefits of safe sex,

but the clinics' never-ending battle against STIs continues.

Next time, on Unsafe Sex In The City...

..farmers Dan and Ollie compare STI notes...

I'm not worried, you're the one that needs to be worried!

You're saying it's like a pickled gherkin! For Christ's sake!

..and Marie and Nathan are relying on the right results

before their wedding day.

I kind of cheated on Nathan then and he's got me back

quite a lot of times like that I'd love to be clear

for the wedding, I'd love to be able to stand there

and when we make the statement "In sickness and in health,"

we're actually in health when we make it!

And will Sasha start to take her sexual health seriously?

Do you guys do Botox?

I couldn't die a boy with HIV, that'd be horrible.

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