Episode 4

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0:00:02 > 0:00:07This programme contains strong language

0:00:07 > 0:00:08More young people than ever

0:00:08 > 0:00:11are catching sexually-transmitted infections.

0:00:11 > 0:00:15And Britain's STI clinics are the first stop for anyone

0:00:15 > 0:00:19who thinks a night of passion might mean they've got something nasty.

0:00:19 > 0:00:21You've got a bit of a discharge

0:00:21 > 0:00:23It was quite offensive in odour

0:00:23 > 0:00:25Are you nervous? Yeah.

0:00:25 > 0:00:27I should know better, really.

0:00:27 > 0:00:30This series goes behind the doors of two clinics...

0:00:30 > 0:00:32Bit cold, as you know, OK?

0:00:33 > 0:00:36..in two very different cities

0:00:36 > 0:00:39We're a bit mental but we're not judgmental.

0:00:39 > 0:00:47Watch it!

0:00:47 > 0:00:51God gave you a minge. Use it!

0:00:51 > 0:00:54Why are we not looking after little Olly? What's he'd done to upset you?

0:00:54 > 0:00:57..and Exeter in the heart of the Devon countryside.

0:00:57 > 0:01:00This is Exeter, mate. Everyone sleeps with everyone.

0:01:00 > 0:01:02Condoms for sex? No.

0:01:02 > 0:01:05Getting a sexually transmitted infection from a farm animal.

0:01:07 > 0:01:10We help bring patients to get checked out...

0:01:10 > 0:01:12I've trusted people that I shouldn't have.

0:01:12 > 0:01:13Oh, my God!

0:01:13 > 0:01:16I'm just hoping and praying that I haven't got anything.

0:01:16 > 0:01:18..before following them home.

0:01:18 > 0:01:1912 months?

0:01:19 > 0:01:2220 partners? That's well shocked me.

0:01:22 > 0:01:24To find out how getting tested. .

0:01:24 > 0:01:27The results from your recent visit are...

0:01:27 > 0:01:29..affects their health...

0:01:29 > 0:01:31You were positive to chlamydia

0:01:32 > 0:01:34..their relationships...

0:01:34 > 0:01:36Why would you need to carry on coming and taking the tests

0:01:36 > 0:01:39if you're not sleeping with anyone but me?

0:01:39 > 0:01:41..and their sex lives.

0:01:41 > 0:01:43She wanted it so bad!

0:01:48 > 0:01:49This week in Leeds...

0:01:49 > 0:01:52Anne-Marie and Nathan are getting tested just one week

0:01:52 > 0:01:54before their wedding day.

0:01:54 > 0:01:56I'd love to be able to stand there when we make the statement

0:01:56 > 0:01:57in sickness and health,

0:01:57 > 0:01:59we're actually in health when we make it.

0:02:00 > 0:02:05While Sasha's clinic trip could have huge consequences for her future.

0:02:05 > 0:02:08The worst thing that could happen could be something that's

0:02:08 > 0:02:09incurable, like HIV.

0:02:11 > 0:02:15And in Exeter, rappers Ziggy and Slim haven't been wrapping up.

0:02:15 > 0:02:17I just love sex without condoms

0:02:17 > 0:02:18More pleasure, maybe.

0:02:20 > 0:02:21But it's less safe.

0:02:33 > 0:02:35Good morning, Leeds Centre for Sexual Health.

0:02:35 > 0:02:40In Leeds, it's another busy day in the fight against STIs.

0:02:40 > 0:02:42I believe we've got a cancellation this afternoon

0:02:42 > 0:02:45if you can make it this afternoon.

0:02:45 > 0:02:48When they can't get an appointment they just put the phone down on us.

0:02:48 > 0:02:49It's quite rude.

0:02:49 > 0:02:51Good morning, Leeds Centre for Sexual Health.

0:02:58 > 0:03:00Sister Karina has brought in a box of treats

0:03:00 > 0:03:05for her fellow staff members,

0:03:07 > 0:03:10Do you remember me telling you for my 40th I had some... Willy cakes.

0:03:10 > 0:03:13One of the most disgusting cakes I've seen in my life, that one.

0:03:13 > 0:03:16I don't know if I'd put my mouth round that

0:03:16 > 0:03:19So you can have either a cock or a vagina.

0:03:25 > 0:03:28Hi. There's some special cupcakes if you want any.

0:03:31 > 0:03:34Which one do you want? Do you want a big black one?

0:03:34 > 0:03:36He's got warts as well, him. See the warts?

0:03:40 > 0:03:42That one's very unusual.

0:03:42 > 0:03:45They've all got gonorrhoea today. Gonorrhoea, warts and thrush.

0:03:45 > 0:03:47I'm going to eat thrush, I think.

0:03:49 > 0:03:51Hi, I've come to collect my results. That's fine.

0:03:51 > 0:03:53Can I take your date of birth?

0:03:53 > 0:03:55What do you think I'm most at risk at?

0:03:56 > 0:03:58Chlamydia.

0:03:58 > 0:03:59You think so? Everyone gets that.

0:03:59 > 0:04:03I thought that were like a straight people disease.

0:04:03 > 0:04:06You are sleeping with bisexual people. That's true.

0:04:06 > 0:04:08Do you want one with gonorrhoea

0:04:08 > 0:04:10She's got gonorrhoea.

0:04:10 > 0:04:12I'm going to take one for Sister Whitaker

0:04:12 > 0:04:13and take a picture and send her it.

0:04:13 > 0:04:16Does she want a willy? Yeah, she'll want a big one.

0:04:16 > 0:04:17She'll want a big one.

0:04:17 > 0:04:20It's a little harder than yours Kerry.

0:04:20 > 0:04:21Gorgeous.

0:04:22 > 0:04:25Tim's had his fill of gonorrhoea, warts and thrush.

0:04:25 > 0:04:28Now it's time to see if his patients have.

0:04:28 > 0:04:31Fabian? That's me.

0:04:31 > 0:04:34Fabian's come in with best friend Sasha to collect his results.

0:04:37 > 0:04:39He's a homosexual.

0:04:39 > 0:04:40I'm a heterosexual.

0:04:42 > 0:04:44That's how you classify yourself?

0:04:44 > 0:04:46No, I'm joking.

0:04:46 > 0:04:49Basically, Fabian's gay and I'm transgender.

0:04:49 > 0:04:51Thank you, my name's Tim, pleased to meet you.

0:04:51 > 0:04:53How are you doing, all right?

0:04:53 > 0:04:55I was expecting you to phone me this afternoon,

0:04:55 > 0:04:56but you've come in personally.

0:04:56 > 0:04:59I like the personal touch, don't you? Yeah.

0:04:59 > 0:05:02A problem down below brought the 18-year-old to the clinic

0:05:02 > 0:05:03two weeks ago.

0:05:03 > 0:05:08I had, like, spots on my... I don't know! A spot.

0:05:08 > 0:05:11He found a couple of ingrowing hairs,

0:05:11 > 0:05:14but he didn't know if they were ingrowing hairs or genital warts.

0:05:16 > 0:05:19So, we did a urine sample for chlamydia and gonorrhoea,

0:05:19 > 0:05:20and that's come back negative.

0:05:20 > 0:05:25We did a swab from your throat for gonorrhoea,

0:05:25 > 0:05:28..for gonorrhoea as well, that's come back negative.

0:05:28 > 0:05:31And your blood sample for HIV and syphilis came back negative

0:05:31 > 0:05:35so fantastic! Congratulations. Disease-free. You are.

0:05:35 > 0:05:36For one more time. HE LAUGHS

0:05:36 > 0:05:38Was that all right for you? Yeah

0:05:38 > 0:05:40That's great news, isn't it? It is. Peace of mind.

0:05:40 > 0:05:43You can enjoy your weekend, now Sleep a bit better tonight.

0:05:43 > 0:05:45Yeah! OK? Can he have some condoms? Course you can. Thank you.

0:05:45 > 0:05:48Help yourself. Do you have the multicoloured ones?

0:05:48 > 0:05:50Oh, I can get some of them for you, Sasha. No problem. Thank you!

0:05:50 > 0:05:53All right. I like the pink ones I'll get some multicoloured ones.

0:05:53 > 0:05:54Thank you.

0:05:58 > 0:05:59Well done!

0:05:59 > 0:06:01It is always good to give good news.

0:06:01 > 0:06:04Because I always congratulate people when I give good news.

0:06:04 > 0:06:07And I do - people do laugh at me for congratulating people,

0:06:07 > 0:06:10but I do feel it's worth congratulating over.

0:06:10 > 0:06:12We've got orange...

0:06:12 > 0:06:14er, blueberry muffin, hot chocolate...

0:06:15 > 0:06:17..my favourite, ice cream.

0:06:17 > 0:06:21They're primarily for oral sex flavoured ones,

0:06:21 > 0:06:23and maybe a bit of a novelty.

0:06:23 > 0:06:27But, um, we don't get many because most people don't

0:06:27 > 0:06:29really like to give oral sex with a condom.

0:06:29 > 0:06:32As one guy once said to me, you might as well be sucking on a rubber glove.

0:06:32 > 0:06:34Are you happy? Yeah.

0:06:34 > 0:06:37Now I'm worried. I'm not going to lie!

0:06:37 > 0:06:39Thank you, beautiful. All right

0:06:39 > 0:06:42OK, you're free to go. OK, thank you! Enjoy your weekend.

0:06:42 > 0:06:44Thanks a lot. See you soon. Nice to see you.

0:06:47 > 0:06:50Are you happy? Definitely.

0:06:50 > 0:06:53Fabian's all clear has inspired Sasha to bite the bullet

0:06:53 > 0:06:56and book in herself.

0:06:56 > 0:06:58Are you actually going to turn up to this one, though?

0:06:58 > 0:06:59Three times lucky.

0:06:59 > 0:07:01Hiya! Hi there. Can I make an appointment, please?

0:07:01 > 0:07:04Yes, that's fine. Have you been here before?

0:07:04 > 0:07:06'I've just broken up with my ex-partner,

0:07:06 > 0:07:08'and I found out he was cheating on me, and I've been told that

0:07:08 > 0:07:11I need to make sure I get myself checked out, so..

0:07:11 > 0:07:13That's like the best precaution

0:07:13 > 0:07:15but I've been avoiding it and pushing it off.

0:07:15 > 0:07:17That's 2:30 on Tuesday. That's great. All right.

0:07:17 > 0:07:20All right, then. Thank you. Thank you. Bye.

0:07:20 > 0:07:22Sasha's already missed two appointments.

0:07:22 > 0:07:25Will she make it back to the clinic to face her STI fears?

0:07:38 > 0:07:39Hello!

0:07:39 > 0:07:51Sasha isn't the only one who's been putting off getting tested.

0:07:51 > 0:07:54like, I still think that's quite irresponsible of me.

0:07:54 > 0:07:57It does worry me that I haven't been checked in a long time.

0:07:57 > 0:07:59Alice? Yep. Hello.

0:07:59 > 0:08:0321-year-old student Alice has come to see health adviser Jane

0:08:03 > 0:08:06Come in. Come and take a seat. Yeah.

0:08:06 > 0:08:08She's worried past behaviour may have put her

0:08:08 > 0:08:10and her boyfriend at risk.

0:08:10 > 0:08:12Have you ever had

0:08:12 > 0:08:14a sexually transmitted infection

0:08:14 > 0:08:16diagnosed before? Not that I know of.

0:08:16 > 0:08:18When was the last time you actually had any sexual contact?

0:08:18 > 0:08:20About two days ago. Two days ago.

0:08:20 > 0:08:24We just ask about sexual contact so, vaginal sex with your partner? Yeah.

0:08:24 > 0:08:26Any anal sex with your partner? No?

0:08:26 > 0:08:28And any oral sex with your partner? Yeah.

0:08:28 > 0:08:31And giving... You giving, him giving, bit of both?

0:08:31 > 0:08:33Yeah. Good.

0:08:33 > 0:08:34Good!

0:08:34 > 0:08:37LAUGHS: I like equity in a relationship.

0:08:37 > 0:08:41Have you ever worked in the sex industry? No!

0:08:41 > 0:08:44So if anyone had paid you for sex... No. ..or if you paid anyone for sex.

0:08:44 > 0:08:47And if anyone had told you they were HIV positive.

0:08:47 > 0:08:48No, they haven't.

0:08:48 > 0:08:51Did you test for chlamydia before at all, ever? Once ever. Once before.

0:08:51 > 0:08:53Like, two-and-a-bit years ago. Yeah.

0:08:53 > 0:08:57And do you think you partner has ever? I don't think he has, no

0:08:57 > 0:08:59No, so it's obviously... Yeah.

0:08:59 > 0:09:01..the weak point in the relationship. Yeah.

0:09:01 > 0:09:04So, if it's all right with you I'll get you on the couch

0:09:04 > 0:09:06and do a blood test for you.

0:09:07 > 0:09:10Just going to clean you off, there. Oh...

0:09:10 > 0:09:13I didn't think this would be happening to me today!

0:09:13 > 0:09:15Done, though.

0:09:15 > 0:09:18You should just do it, you shouldn't give people the option.

0:09:18 > 0:09:19Right, I will get you to do the swab,

0:09:19 > 0:09:22and I'll get you to do a urine sample as well.

0:09:22 > 0:09:24So, you come with me...

0:09:24 > 0:09:27Alice's samples will be tested for gonorrhoea, chlamydia,

0:09:27 > 0:09:29HIV and syphilis.

0:09:29 > 0:09:34If I do have something, it would be a big deal where and why,

0:09:34 > 0:09:37like, where from and why, kind of thing. Do you know what I mean?

0:09:43 > 0:09:45You definitely want to get it right,

0:09:45 > 0:09:48cos you don't want them going home telling 'em they've got whatever.

0:09:48 > 0:09:51Sometimes we do have people's relationships, like, in our hands.

0:09:51 > 0:09:54I mean, it could break up marriages,

0:09:54 > 0:09:56it could break up people that have been together a long time.

0:09:56 > 0:09:58You've got to be very careful what you say,

0:09:58 > 0:10:07cos you don't want to start planting ideas in people's heads!

0:10:07 > 0:10:11Not all infections can be seen under the clinic microscopes

0:10:11 > 0:10:15and Alice now faces a nail-biting two-week wait for her results.

0:10:26 > 0:10:27In Exeter...

0:10:29 > 0:10:32..the weekly delivery of condoms has just arrived.

0:10:35 > 0:10:38Hello! Big box for you.

0:10:40 > 0:10:47We do have trim for the more slender size, we have extra strong,

0:10:47 > 0:10:50we also have large for the more well-endowed gentleman.

0:10:50 > 0:10:53Sometimes we'll have the odd joker come in and say they want

0:10:53 > 0:10:58the EXTRA large, but we don't have those, unfortunately.

0:10:58 > 0:11:02They would have to buy them themselves. Or maybe tell the truth.

0:11:09 > 0:11:13Free or not, condoms don't appeal to the clinic's next patient, Baba

0:11:13 > 0:11:15aka Slim.

0:11:17 > 0:11:19Gambian born Slim has come to the clinic today

0:11:19 > 0:11:22with his Italian mate Ziggy.

0:11:22 > 0:11:25My name is Awadi, but my friends call me Ziggy.

0:11:27 > 0:11:30It's been seven years since Slim's last test,

0:11:30 > 0:11:32but for Ziggy it's been even longer.

0:11:33 > 0:11:36I'm so scared. Why are you scared?

0:11:36 > 0:11:38Hmm? I don't know.

0:11:38 > 0:11:41I haven't checked it since 1993

0:11:41 > 0:11:45It hasn't been checked. 1993? 19 3.

0:11:45 > 0:11:47That's when you were born, right?

0:11:47 > 0:11:49So, you've never checked?

0:11:49 > 0:11:52And you didn't check the first time you had it?

0:11:52 > 0:11:55No, the first time I used condoms.

0:11:55 > 0:11:57All right. Good boy.

0:11:57 > 0:11:59You know, then that's not the first time.

0:11:59 > 0:12:02How can there be a first time when you used condoms? Huh?

0:12:02 > 0:12:05For me, I don't call that losing virginity when you use a condom

0:12:05 > 0:12:08I know that's fucked up, but you've got to feel everything.

0:12:12 > 0:12:15I often just have a look at the urine sample to see

0:12:15 > 0:12:17if there's anything floating around.

0:12:17 > 0:12:22Nurse advisor Abbey deals with the results of condom-free sex

0:12:22 > 0:12:24There's no pus though, is there

0:12:24 > 0:12:26It's just debris cos it was an overnight hold,

0:12:26 > 0:12:29so it's probably just a bit of. .

0:12:29 > 0:12:30Oh.

0:12:30 > 0:12:35Oh, oh, oh, oh... That's a sperm there.

0:12:37 > 0:12:39So I'm not going to treat him today.

0:12:39 > 0:12:42There's no... Not lots of pus.

0:12:47 > 0:12:49Baba? Yes. Do you want to come through?

0:12:52 > 0:12:53How can I help you?

0:12:53 > 0:12:55I was going to be here today for an appointment to do a test

0:12:55 > 0:12:57to see if...

0:12:57 > 0:12:59I'm clean or not.

0:13:00 > 0:13:03Have you got any symptoms that are worrying you? No.

0:13:03 > 0:13:05When was the last time you had sex?

0:13:05 > 0:13:08Last month. OK. Female partner

0:13:08 > 0:13:10Of course.

0:13:10 > 0:13:12Can't make assumptions.

0:13:12 > 0:13:15Do you use condoms for sex with her?

0:13:15 > 0:13:16No.

0:13:17 > 0:13:19Er, oral sex? No.

0:13:19 > 0:13:21Anal sex?

0:13:22 > 0:13:24Is that not the same as oral? No.

0:13:24 > 0:13:27Oral sex, blow jobs... Oh, oh..

0:13:27 > 0:13:29Anal sex, is sex up...

0:13:29 > 0:13:31Yeah, can you take it back. Oral sex, yeah... OK.

0:13:31 > 0:13:33Anal sex, no. Fine.

0:13:33 > 0:13:36Where was she born? Thailand.

0:13:36 > 0:13:37Thailand? Yeah. OK.

0:13:41 > 0:13:44Obviously condoms are the way forward for protecting yourself

0:13:44 > 0:13:46against infection.

0:13:46 > 0:13:48Is there any reason you choose not to use them?

0:13:48 > 0:13:50Er, is there any reason? Mm-hm

0:13:50 > 0:13:52I hate them. You hate them.

0:13:52 > 0:13:54It's not fun. OK.

0:13:54 > 0:14:00For casual partners, at least until you know one way or the other

0:14:00 > 0:14:04if there are any infections, you should use condoms, OK?

0:14:04 > 0:14:07You're happy with how to put them on? Oh...

0:14:07 > 0:14:10If I'm not, are you going to show me? If you want me to.

0:14:10 > 0:14:13But I'm not... It's on a model

0:14:13 > 0:14:15I know, it's all right.

0:14:15 > 0:14:17It's all right. I know how.

0:14:17 > 0:14:19Thank you. OK? Thanks a lot.

0:14:19 > 0:14:21You're welcome. It was nice to meet you.

0:14:21 > 0:14:23Yeah, you too.

0:14:26 > 0:14:29How's it going?

0:14:29 > 0:14:32I wasn't taught how to put a condom on when I was at school.

0:14:32 > 0:14:35ABBEY: 'I think I find with a lot of young guys when you ask them

0:14:35 > 0:14:49'about condom use, they kind of

0:14:49 > 0:14:51And you think,

0:14:51 > 0:14:55"Well, that's something that you should negotiate is condom use.

0:14:55 > 0:14:57'People are not using them based solely on education,

0:14:57 > 0:14:58'it's more fun not to.

0:14:58 > 0:15:01'Erm, they're young and that's the risk,'

0:15:01 > 0:15:03and the risk is part of the sexual pleasure.

0:15:05 > 0:15:07Chlamydia.

0:15:07 > 0:15:11Mixing risk and sexual pleasure has brought Ziggy to the clinic

0:15:11 > 0:15:13for his first ever sexual health check.

0:15:13 > 0:15:16Oh, shit!

0:15:16 > 0:15:20I'm worried about this, mate. Chlamydia.

0:15:20 > 0:15:23Did Slim say that I might have that? I don't know.

0:15:27 > 0:15:31Hi, come on down. All right.

0:15:31 > 0:15:33And he'll be seen today by Dr Jane.

0:15:34 > 0:15:39So when did you last have sex? Three months ago, maybe. Three months ago.

0:15:39 > 0:15:42And was that with a regular partner at the time? No, it wasn t.

0:15:42 > 0:15:46It was a one-off, was it? Was it just vaginal and oral sex you had,

0:15:46 > 0:15:47or was there any anal sex?

0:15:47 > 0:15:51No, she gave me a blow job too OK. No anal sex? No. No.

0:15:51 > 0:15:54When was the last time you had sex with anybody that wasn't this girl?

0:15:54 > 0:15:57Before, I sleep with my girlfriend. It was my girlfriend.

0:15:57 > 0:15:59So, it was your ex long-term partner? Yeah, my girlfriend.

0:15:59 > 0:16:04And did you use condoms with her? Em... Yeah, sometimes.

0:16:04 > 0:16:07Sometimes. Was she on another method of contraception

0:16:07 > 0:16:09Mmm...

0:16:09 > 0:16:12She was saying something about eating parsley.

0:16:12 > 0:16:15Eating parsley?! Yeah. I've not heard of that one.

0:16:15 > 0:16:17Yeah, you have to come to Italy OK!

0:16:17 > 0:16:19We put parsley everywhere!

0:16:19 > 0:16:21Right, I'll have to look that one up.

0:16:21 > 0:16:24Have you ever paid for sex or been paid for sex?

0:16:24 > 0:16:28Eh... I think, yeah, my friends paid for me.

0:16:28 > 0:16:31Your friends paid for you? They buy me a girl.

0:16:31 > 0:16:35They did? Yeah. OK. When was that? It was last summer.

0:16:35 > 0:16:40I think we should take a blood test for you for HIV, syphilis and,

0:16:40 > 0:16:45because of the time that you had a girl bought for you for sex,

0:16:45 > 0:16:48I think that we should add in a hepatitis check as well.

0:16:48 > 0:16:51OK? There we are. Pop your finger on there and press hard.

0:16:52 > 0:17:01We'll contact you in about ten days. Ten days? Really, Jane? Mm-hm.

0:17:01 > 0:17:05I'm working 15 hours a day for 0 days, it's going to be killing me.

0:17:05 > 0:17:08OK? All right. Thank you, Jane, yeah?

0:17:08 > 0:17:11Imagine if I have something. When you're with someone,

0:17:11 > 0:17:13they say, look at that guy,

0:17:13 > 0:17:17"He got chlamydia, he's got HIV whatever."

0:17:17 > 0:17:19Maybe that guy is me.

0:17:22 > 0:17:25Whatever Ziggy fears, he'll be a lot better off

0:17:25 > 0:17:28using condoms than relying on his herbs.

0:17:28 > 0:17:32You do hear some bizarre things about contraception.

0:17:32 > 0:17:36But I hadn't heard parsley before. I was a bit slow off the mark.

0:17:36 > 0:17:38I didn't ask him what they do with the parsley.

0:17:38 > 0:17:39Is it vaginal parsley? Exactly

0:17:39 > 0:17:43That's novel to me, I must say Yeah, that is novel.

0:17:43 > 0:17:45I thought you just had it for bad breath!

0:17:45 > 0:17:48People use tampons as a method of contraception.

0:17:48 > 0:17:50I've heard that one before.

0:17:50 > 0:17:54Oh, it's, "You can't possibly get pregnant if you've got a tampon in."

0:17:54 > 0:17:57And, yeah. You can't get pregnant if you're standing up.

0:17:57 > 0:18:01You can't get pregnant if you have sex standing up. Em...

0:18:01 > 0:18:04Yeah. Douching. And actually that's worse.

0:18:04 > 0:18:07It is, cos you shove it up. Yeah, you're pushing the sperm right up.

0:18:07 > 0:18:09giving them a good head start! LAUGHTER

0:18:15 > 0:18:19Back in Leeds, Sasha is putting the STI fears to one side

0:18:19 > 0:18:21as she works as a beauty therapist.

0:18:24 > 0:18:28How long have you been putting make-up on for yourself?

0:18:28 > 0:18:30Since about 12 or 13.

0:18:30 > 0:18:34It were inspired by Katie Price I remember.

0:18:34 > 0:18:38I used to walk around in the big, white fur hats. Yeah.

0:18:38 > 0:18:42I think what it is with me like I know I want to be a girl.

0:18:42 > 0:18:44How far are you going to go to be a girl? All the way.

0:18:44 > 0:18:47I knew when I was 12. Yeah.

0:18:47 > 0:18:50I didn't tell home until I was 3 cos I just wanted to like

0:18:50 > 0:18:54make sure that I weren't gay or anything.

0:18:54 > 0:18:57I just - I didn't just want to think it was a phase. Yeah.

0:18:57 > 0:19:00As Sasha identifies as a heterosexual woman,

0:19:00 > 0:19:02she sleeps with heterosexual men.

0:19:02 > 0:19:05I don't really practise safe sex.

0:19:05 > 0:19:07I think because I go for straight people,

0:19:07 > 0:19:10I'm more complacent about them not having anything.

0:19:10 > 0:19:13I don't hate condoms, I just don't find the use.

0:19:13 > 0:19:16When it comes to the point, it's never planned.

0:19:16 > 0:19:20There's never a condom in your bag, or...

0:19:20 > 0:19:23It's just not planned.

0:19:23 > 0:19:27But will Sasha's complacency with condoms come back to haunt her?

0:19:35 > 0:19:38How many sugars, 500?! Six.

0:19:38 > 0:19:43Six? Yeah. Look, half of the cup is sugar! Yeah.

0:19:43 > 0:19:48In Exeter, best mates Ziggy and Slim are waiting for their results.

0:19:50 > 0:19:54I hope that now, at 19 years and 8 months, I didn't get shit.

0:19:54 > 0:19:57I hope that, mate. No, don't worry. You ain't got shit.

0:19:57 > 0:20:00I ain't got shit either. What are you talking about?

0:20:00 > 0:20:04The pair share a flat but not the same views on safe sex.

0:20:04 > 0:20:07Fuck first, then get to know later.

0:20:07 > 0:20:10Fuck first and then get to know later? Yeah.

0:20:10 > 0:20:14For me, every girl is right. Ain't nobody wrong. Everybody is right.

0:20:14 > 0:20:16You fuck everything that moves

0:20:16 > 0:20:18It's not that I fuck everything that moves. I got class too, but...

0:20:18 > 0:20:21Nah. They all... It depends on the girl.

0:20:21 > 0:20:24She might be pretty. She might be good inside.

0:20:24 > 0:20:27She might be... How can you say she's good inside

0:20:27 > 0:20:29if you don't hang out with her before?

0:20:29 > 0:20:33There's no pleasure in condoms I just love sex without condoms

0:20:33 > 0:20:38More pleasure, maybe. More. But it's less safe.

0:20:38 > 0:20:40Less safe. It's better shoot.

0:20:40 > 0:20:43Yo, the moment you get that girl's clothes off,

0:20:43 > 0:20:47forget about safe. Well, shit, you already did it.

0:20:47 > 0:20:50Oh, shit! Oh, yeah! Bye-bye. I'll catch you later.

0:20:50 > 0:20:55I'll see you later. You want a hug? You want some love, Mr Lover Lover?

0:20:55 > 0:20:57But has no condoms and more pleasure

0:20:57 > 0:21:00given either of them a sexual health wake-up call?

0:21:08 > 0:21:11Not all patients can make it to the Exeter city clinic.

0:21:13 > 0:21:17So senior nurse adviser Laurance is preparing to hold a pop-up clinic

0:21:17 > 0:21:19in a rural community.

0:21:20 > 0:21:23I'll have some condoms because we always need those.

0:21:23 > 0:21:26So because our catchment area is a wide geographical area,

0:21:26 > 0:21:29not everybody can get to Exeter easily.

0:21:29 > 0:21:32So it's good for us to take the clinic on the road to various places,

0:21:32 > 0:21:35for us to go to people rather than them coming to us.

0:21:38 > 0:21:40The youngsters can't necessarily ask...easily ask a parent

0:21:40 > 0:21:43for a lift to the clinic or something.

0:21:44 > 0:21:48Deep in the Devon countryside, this weekly outreach allows staff

0:21:48 > 0:21:51to do STI checks at a small hospital.

0:21:53 > 0:21:55You don't necessarily know

0:21:55 > 0:21:57what people are coming in for until you see them.

0:21:57 > 0:22:00I've got somebody that says they re coming for treatment for chlamydia,

0:22:00 > 0:22:04and a couple of people where it says they're coming for a screen.

0:22:04 > 0:22:05The others, it could be anything.

0:22:05 > 0:22:08Taking time off tilling the land to get checked out,

0:22:08 > 0:22:10are farmers Dan and Oli.

0:22:10 > 0:22:13They've recently found out about the service

0:22:13 > 0:22:16and have booked their first ever STI check.

0:22:16 > 0:22:19You're all booked in, Daniel, if you want to take a seat,

0:22:19 > 0:22:21just back through the door there? Right on. OK?

0:22:21 > 0:22:24I thought it'd be a good idea to get it checked out, really.

0:22:24 > 0:22:27I might have slept with maybe 10 people.

0:22:27 > 0:22:32Most young farmers are pretty, eh, pretty mad for a good go, I suppose.

0:22:33 > 0:22:36Have you ever had any unprotected sex?

0:22:36 > 0:22:40Maybe once, or twice. Em...

0:22:40 > 0:22:44Yeah. You look a bit sheepish there.

0:22:44 > 0:22:49HE LAUGHS

0:22:49 > 0:22:52It's him that needs to worry really.

0:22:52 > 0:22:56I think some of his past partners haven't been all that, have they?

0:22:56 > 0:22:59No, I'm not worried. I ain't got nothing to worry about.

0:22:59 > 0:23:03Yours looks like a pickled gherkin, for Christ's sake!

0:23:03 > 0:23:04Daniel? Yeah, that's me.

0:23:06 > 0:23:07All right, come on this way.

0:23:07 > 0:23:11You've not been to see us before, I don't think? No, I haven't.

0:23:11 > 0:23:14Can I ask when you last had sex Three weeks ago.

0:23:14 > 0:23:17Can you remember if that was with a condom or without? Without.

0:23:17 > 0:23:21Without, OK. The check-up's all very straightforward, OK?

0:23:21 > 0:23:23I'm very happy to examine you, but I don't need to

0:23:23 > 0:23:27if you're not concerned that anything doesn't look or feel right.

0:23:27 > 0:23:28Right, right, OK.

0:23:28 > 0:23:30So what I need is a urine sample .. Right.

0:23:30 > 0:23:33..to check for chlamydia and gonorrhoea. Mm-hm.

0:23:33 > 0:23:35Then we normally take a blood test to check for HIV, syphilis,

0:23:35 > 0:23:37hepatitis B and hepatitis C.

0:23:41 > 0:23:43I'll just get a plaster to put on that for you.

0:23:43 > 0:23:45I don't reckon I need a plaster

0:23:45 > 0:23:47You sure? Yeah. It's not going to gush out.

0:23:47 > 0:23:49Sometimes you get a little spot No. You sure?

0:23:49 > 0:23:52I've had a hell of a lot worse than that. I bet you have

0:23:52 > 0:23:58I suppose the whole nature of that life is it's all quite remote

0:23:58 > 0:24:02and seem to know each other's business

0:24:02 > 0:24:03How did that go?

0:24:03 > 0:24:06Er, it was all right. Didn't jack anything down my todger.

0:24:06 > 0:24:09Nothing to worry about. Oli? Hello.

0:24:11 > 0:24:13How many people would you say you've had sex with

0:24:13 > 0:24:16in the last six months, so since about February?

0:24:16 > 0:24:19Two. Any sexual partners from abroad? Nope.

0:24:19 > 0:24:21Paid for sex or been paid for sex? Nope.

0:24:21 > 0:24:25And not been subject to any sexual assault or domestic abuse? No.

0:24:25 > 0:24:27So I need to take a drop of blood from you.

0:24:27 > 0:24:29Are you OK with needles and blood tests? Yeah.

0:24:29 > 0:24:32I'm use to injecting things but not in myself! No!

0:24:32 > 0:24:35Into animals or...? Yeah.

0:24:35 > 0:24:38Yeah, yeah. It must be harder doing it to an animal, actually.

0:24:38 > 0:24:40Well, you don't feel it, do you

0:24:40 > 0:24:41You can't say, "Look..."

0:24:41 > 0:24:44You can't explain to them what you're going to do.

0:24:44 > 0:24:45No. You just go bang! Oh, right

0:24:45 > 0:24:48Maybe that's the strategy we should take!

0:24:48 > 0:24:52I'll give that to you. Lovely. OK. Thank you very much.

0:24:52 > 0:24:55Take care then. Cheers, bye. Just push, yeah.

0:24:57 > 0:25:00It's nothing anyone ever worries about, you know,

0:25:00 > 0:25:04round our area, cos it's just kind of unheard of, really.

0:25:04 > 0:25:07Perhaps it's unheard of because no-one's ever gone

0:25:07 > 0:25:08and got themselves checked out

0:25:08 > 0:25:10Perhaps if people started going

0:25:10 > 0:25:13everyone might realise we've got a problem!

0:25:13 > 0:25:16And the boys will find out if THEY'VE got a problem

0:25:16 > 0:25:18when they get their results.

0:25:21 > 0:25:24'There is kind of sexual behaviour going on

0:25:24 > 0:25:26'that may put people at risk, but'

0:25:26 > 0:25:29it's probably easily overlooked

0:25:29 > 0:25:31and so it's a reason why it's important for us

0:25:31 > 0:25:33to come to places like this.

0:25:41 > 0:25:46In Leeds with best mate Billee Alice is waiting for her results.

0:25:46 > 0:25:47She left it two years between check-ups

0:25:47 > 0:25:52and her boyfriend of 18 months has never been tested.

0:25:52 > 0:25:55What would you do if you both had it?

0:25:55 > 0:25:57I don't know. This is why it's difficult.

0:25:57 > 0:26:00It's like, where's it from? Do you know what I mean? Yeah.

0:26:00 > 0:26:03If you did have something, like .. I know this sounds ridiculous..

0:26:03 > 0:26:05What would be the least bad? Yeah!

0:26:05 > 0:26:08Or, what would you want? As awful as that sounds.

0:26:08 > 0:26:09Having something like HIV,

0:26:09 > 0:26:14I can't even comprehend how bad that would be.

0:26:14 > 0:26:17for the rest of our life.

0:26:17 > 0:26:23whether "clap" meant gonorrhoea or chlamydia.

0:26:23 > 0:26:25How they get rid of... There's syphilis as well. Oh, God.

0:26:25 > 0:26:28And that back in the day - probably still does -

0:26:28 > 0:26:30that can mess about with your brain. You do go crazy,

0:26:30 > 0:26:33so I guess at least you have a bit of fun with it. A bit of fun?

0:26:33 > 0:26:35That sounds awful! But, er,

0:26:35 > 0:26:38I think chlamydia's the most common.

0:26:38 > 0:26:43Alice will soon find out if she s caught any of the long list of STIs.

0:26:43 > 0:26:45The neurotic, hypochondriac bit of me is like...

0:26:45 > 0:26:47SHE PANTS QUICKLY .."Agh!"

0:26:47 > 0:26:51because it could be bad. So...yeah.

0:26:59 > 0:27:03For most people, getting an STI is a big surprise.

0:27:03 > 0:27:06Can I just take your date of birth to book you in?

0:27:06 > 0:27:08I can get you in on Thursday.

0:27:08 > 0:27:12But it takes something extraordinary to shock the clinic staff.

0:27:12 > 0:27:14I've think there's been a couple of people,

0:27:14 > 0:27:17injuries with fisting, which is anal fisting.

0:27:17 > 0:27:20Sometimes though, we'll send them to A

0:27:20 > 0:27:21if the injuries can be that bad

0:27:21 > 0:27:24cos they might actually need a little bit of surgery.

0:27:24 > 0:27:27And the amount of people that cheat as well. Yeah.

0:27:27 > 0:27:30Like married people. Married people, yeah.

0:27:30 > 0:27:32A man and a woman came to the clinic,

0:27:32 > 0:27:35and I'm guessing by the looks of things he'd been playing away,

0:27:35 > 0:27:38and were at the side having a little argument in the waiting room.

0:27:38 > 0:27:41And he was quite a tall man and she was only little.

0:27:41 > 0:27:45And she took a running jump and she kicked him in't chest!

0:27:50 > 0:27:53Hiya. Hi there. I've got an appointment at half past one.

0:27:53 > 0:27:55There's two forms for you to fill out then.

0:27:55 > 0:27:57OK, thank you.

0:27:57 > 0:28:00Anne-Marie and Nathan are 21 and in one week,

0:28:00 > 0:28:02they're due to get married.

0:28:02 > 0:28:04We're going to Burger King after.

0:28:04 > 0:28:06SHE GIGGLES

0:28:06 > 0:28:08No.

0:28:08 > 0:28:10Can I go to Burger King after?

0:28:10 > 0:28:12If you like.

0:28:13 > 0:28:15And they want to make sure

0:28:15 > 0:28:18they start their wedded life free from STIs.

0:28:18 > 0:28:20I'd love to be clear for the wedding.

0:28:20 > 0:28:22I'd love to be able to stand there,

0:28:22 > 0:28:24and when we make the statement of in sickness, in health,

0:28:24 > 0:28:26we're actually in health when we make it!

0:28:26 > 0:28:28It just means a lot to us right now.

0:28:28 > 0:28:30To ensure that we're in the best position we can

0:28:30 > 0:28:32to move forward with our family

0:28:41 > 0:28:44Hello, I'm Dr Monteiro. Hi. Can I take that? Yeah. That's great.

0:28:44 > 0:28:46Do you want to come through this way?

0:28:48 > 0:28:50Would you like to have a seat there? Yeah.

0:28:52 > 0:28:54If you pop this inside the vagina, OK.

0:28:54 > 0:28:57And it needs to go at least up to the line. OK?

0:28:57 > 0:29:00And then you need to twiddle it around about ten times.

0:29:00 > 0:29:02Is there any chance I could do it really soon?

0:29:02 > 0:29:05Cos I really need to go to the toilet. Yeah, no problem at all

0:29:08 > 0:29:09Are you coming in as well?

0:29:09 > 0:29:10SHE CHUCKLES

0:29:10 > 0:29:13I'm sure there is a dodgy pun in there somewhere.

0:29:15 > 0:29:17A Durex box with Kleenex tissues in it.

0:29:19 > 0:29:20Do you mind shutting up?

0:29:24 > 0:29:27Despite going out with Nathan for four years, Anne-Marie keeps

0:29:27 > 0:29:29coming back for regular screenings.

0:29:29 > 0:29:34In fact, this is her 25th chlamydia test.

0:29:34 > 0:29:38So I was just interested that you've had quite a few tests for chlamydia

0:29:38 > 0:29:41and is there a particular concern about chlamydia? Because...

0:29:41 > 0:29:44Well, I've had chlamydia before and so has Nathan.

0:29:44 > 0:29:46It's always with someone...other people,

0:29:46 > 0:29:49so I caught it from my ex-partner who cheated on me.

0:29:49 > 0:29:55So I got told there's a chance of it coming back. But it could reappear.

0:29:55 > 0:29:58So I prefer to get it...just make sure.

0:29:58 > 0:30:01What we do know is the treatment for chlamydia's very effective

0:30:01 > 0:30:06Yes. So once the infection is clear, the only way you can pick it up

0:30:06 > 0:30:11is through sexual contact within infected partners.

0:30:11 > 0:30:13I've you've been in a monogamous relationship

0:30:13 > 0:30:17and you've both been screened for chlamydia and you're negative,

0:30:17 > 0:30:20and you're not having sex with any other partners, then I would say

0:30:20 > 0:30:24that you don't really need to have... continue to have chlamydia tests.

0:30:24 > 0:30:27But with Anne-Marie still determined to get the results

0:30:27 > 0:30:29before the wedding day,

0:30:29 > 0:30:32is she concerned for more than just the couple's health?

0:30:32 > 0:30:35Why would you need to carry on coming and taking the tests

0:30:35 > 0:30:37if you're not sleeping with anyone but me?

0:30:39 > 0:30:41It's just for peace of mind, really.

0:30:47 > 0:30:49Cos we both know we're not both sleeping with anyone else...

0:30:51 > 0:30:53..so there shouldn't be any problems there.

0:31:02 > 0:31:07Across the city, 21-year-old Alice is waiting for news from the clinic.

0:31:07 > 0:31:08PHONE RINGS

0:31:08 > 0:31:10Oh, God. Hello?

0:31:12 > 0:31:15INDISTINCT VOICE ON PHONE I am.

0:31:17 > 0:31:20Mm-hm...mm-hm...

0:31:20 > 0:31:23mm-hmm. Mm?

0:31:23 > 0:31:27Yeah, 11:30's fine. All right, bye. Bye.

0:31:27 > 0:31:29I have chlamydia!

0:31:29 > 0:31:30Oh, God. What the fuck?

0:31:30 > 0:31:32Oh, my God. What the fuck?

0:31:39 > 0:31:41What the fuck?

0:31:41 > 0:31:43Oh, my God. I know, yeah.

0:31:46 > 0:31:49Either way, it's not... I'm sorry, man.

0:31:49 > 0:31:51What the fuck? Oh, cheers, babe

0:31:51 > 0:31:54Yeah, I'm really, really sorry you've got it. I know.

0:31:56 > 0:31:59I know this is going to be, like, a really, really stupid question

0:31:59 > 0:32:02but, like, what are you going to do? How do you feel and stuff?

0:32:02 > 0:32:03I don't know.

0:32:08 > 0:32:10I don't think she deserves it.

0:32:10 > 0:32:14Like, no-one deserves to have an STI or to get accidentally

0:32:14 > 0:32:16pregnant or anything like that

0:32:16 > 0:32:19Because, like with any STI, it's who's given it to who.

0:32:19 > 0:32:23What's happened? How's she got it? And then, it's not fair,

0:32:23 > 0:32:24but you have to deal with it.

0:32:24 > 0:32:28Alice now has the tricky task of telling her boyfriend

0:32:28 > 0:32:30and trying to work out how the chlamydia

0:32:30 > 0:32:32entered their relationship.

0:32:44 > 0:32:48Sasha's arriving at the city centre clinic with best mate, Fabian.

0:32:48 > 0:32:51TANNOY: 'Please proceed to counter number one, thank you.'

0:32:51 > 0:32:52Hiya, you all right?

0:32:52 > 0:32:54Hi. I've got an appointment.

0:32:54 > 0:32:56That's fine, if you just want to go up to level one.

0:32:56 > 0:32:58All right, thank you.

0:32:58 > 0:33:02She fears one of her exes may have left her with a nasty legacy.

0:33:02 > 0:33:14I feel nervous but I know I need to be. When you're with someone

0:33:14 > 0:33:17or other people like me, and you don't know what we've got!

0:33:17 > 0:33:18I'm not going to lie.

0:33:21 > 0:33:24Oh, God! I don't like the look of that board up there, do you?

0:33:24 > 0:33:28Vaginas and stuff! Fucking hell

0:33:28 > 0:33:30Looks like a stuffed turkey or something!

0:33:30 > 0:33:32BOTH LAUGH

0:33:35 > 0:33:38I'm Mags, I'm one of the doctors. Nice to meet you.

0:33:38 > 0:33:40So do you have any specific worries about anything?

0:33:40 > 0:33:43I've been told an ex-partner that I was with

0:33:43 > 0:33:45was having, like, multiple partners

0:33:45 > 0:33:49whilst he was with me. OK. So that's my main worry, about that.

0:33:49 > 0:33:50OK. Any allergies to anything?

0:33:50 > 0:33:52Chinese food. OK.

0:33:52 > 0:33:55You're not going to wine and dine me though, are you? No No.

0:33:55 > 0:33:58OK, so when did you last have any sex with anybody?

0:33:58 > 0:34:02About three or four weeks ago. (Two.) Or two or three weeks ago.

0:34:02 > 0:34:05Two weeks ago? Yeah, about two About two weeks ago.

0:34:05 > 0:34:08When it was sunny, can't remember. Sunny? Yeah. Oh. About two.

0:34:08 > 0:34:11So two weeks ago? And that was a one-off? Yeah.

0:34:11 > 0:34:14OK. Male partner? Yeah. OK.

0:34:14 > 0:34:17And is it somebody that you know or you didn't know?

0:34:17 > 0:34:18Just an old friend.

0:34:18 > 0:34:21OK. So did you have oral sex with him?

0:34:21 > 0:34:25I had oral... OK. ..anal and I took... OK.

0:34:25 > 0:34:27Did you use a condom for the oral?

0:34:27 > 0:34:30No, but I did for everything else. OK.

0:34:31 > 0:34:34So when did you come out of your regular relationship?

0:34:34 > 0:34:36About May, mid-May.

0:34:36 > 0:34:39Since then, so that's probably just over a month ago,

0:34:39 > 0:34:42about how many different people do you think you've had sex with?

0:34:42 > 0:34:46About three or four. OK.

0:34:46 > 0:34:47So the tests we'll be taking

0:34:47 > 0:34:49are to check for chlamydia and gonorrhoea. Right.

0:34:49 > 0:34:53OK, and then ask for a urine sample as well. Yeah, that's fine.

0:34:53 > 0:34:56OK. Do you want to come through

0:34:56 > 0:34:58Are you going to wait here? No, he can come with me.

0:34:58 > 0:35:01Are you sure? Yeah, positive. Yeah, OK, fine.

0:35:01 > 0:35:04We'd normally ask you to take your bottom things off and put a gown on.

0:35:04 > 0:35:06Is that OK? What colour's the gown?

0:35:06 > 0:35:08It's blue. Well, white with blue bits on it.

0:35:08 > 0:35:11Can I just keep this one on? Yeah.

0:35:11 > 0:35:13If I had a belt, I probably would, I'm not going to lie.

0:35:13 > 0:35:16What I'm going to do is your throat swab first.

0:35:16 > 0:35:17That's fine.

0:35:17 > 0:35:20Then we'll have a look down here, OK, then we'll take the swabs.

0:35:20 > 0:35:25Sasha is tested for gonorrhoea chlamydia, HIV and syphilis.

0:35:25 > 0:35:27Right, I want you to say "ah" for me.

0:35:27 > 0:35:34I'll just sit back. Like when you had tonsillitis.

0:35:34 > 0:35:35Not in the clinic here, no.

0:35:35 > 0:35:39I'm really trying to get someone who's a bit cheaper.

0:35:39 > 0:35:43Get yourself sorted. Thank you See you soon. See you again, bye.

0:35:44 > 0:35:48As somebody who is presenting as a female, as a girl,

0:35:48 > 0:35:52we would see them as a girl and we would aim to see them

0:35:52 > 0:35:54in the female examination room

0:35:54 > 0:35:57which sometimes might be slightly more difficult if they are pre-op,

0:35:57 > 0:35:59but, I mean, it's very straightforward

0:35:59 > 0:36:01to work round that, really.

0:36:01 > 0:36:03Now, it's a waiting game, in't it?

0:36:03 > 0:36:06And it is quite a bit since we last got... Checked.

0:36:06 > 0:36:07It's only, like, April.

0:36:07 > 0:36:11Like, I think we both need to start maybe doing it a bit more often

0:36:11 > 0:36:13We need to start getting checked or stop having sex.

0:36:13 > 0:36:15Yeah! One or't other. Either one of the two!

0:36:15 > 0:36:19I know. Help me up, help an old lady up.

0:36:19 > 0:36:22She's taking the brave step of getting tested.

0:36:22 > 0:36:26Now Sasha must wait to see if her STI fears come true.

0:36:38 > 0:36:43Lexi? Yeah. Hiya. Hello. Come through. I'm Karina.

0:36:43 > 0:36:46Sasha is far from the only transgender person

0:36:46 > 0:36:48to use the Leeds clinic.

0:36:48 > 0:36:50We're going to do a rectal swab

0:36:53 > 0:36:57And today one patient is causing sister Karina some confusion.

0:36:57 > 0:36:59You did that really well, didn't you?

0:36:59 > 0:37:02I've had practice!

0:37:02 > 0:37:05Do you have oral sex, yeah? Yeah. Is that giving or receiving, or both?

0:37:05 > 0:37:06Both.

0:37:06 > 0:37:08Are you having periods? (No.)

0:37:08 > 0:37:10No, you won't be. Sorry, you won't be having periods!

0:37:10 > 0:37:12What a daft question, sorry.

0:37:14 > 0:37:15And no pregnancies?

0:37:15 > 0:37:17No pregnancies. Unfortunately.

0:37:19 > 0:37:22Talk about asking a daft question.

0:37:22 > 0:37:23KARINA LAUGHS I'm sorry!

0:37:25 > 0:37:27KARINA CHUCKLES

0:37:27 > 0:37:30'Well, I did actually ask her when her last period was.'

0:37:30 > 0:37:33Obviously, she's got a penis, so ..

0:37:33 > 0:37:37I did feel a bit sort of...incompetent.

0:37:37 > 0:37:38We did have a bit of a laugh about it.

0:37:38 > 0:37:42I mean, she did tell me to cross the vulva out.

0:37:42 > 0:37:45But I've said, "My drawings of penises are..."

0:37:45 > 0:37:48Oh, yeah! "..are not very good. Childlike.

0:37:48 > 0:37:52They'd have a wonky testicle or something!

0:37:52 > 0:37:54Don't worry about it, it's fine

0:37:54 > 0:37:56I feel like crying. Don't!

0:38:04 > 0:38:05MOOING

0:38:07 > 0:38:08Finish these drinks!

0:38:11 > 0:38:12BELCHING

0:38:12 > 0:38:15Dan and Oli are getting ready for a young farmers' night out

0:38:15 > 0:38:16FURTHER BELCHING

0:38:16 > 0:38:22A young farmers' event is like when, er, all the young farmers

0:38:22 > 0:38:24basically have a good piss-up.

0:38:24 > 0:38:27The boys are not letting a potential STI stop them

0:38:27 > 0:38:29hunting for their perfect girl

0:38:29 > 0:38:32Yeah, farmers' daughters with lots of acres. Yeah!

0:38:32 > 0:38:36They're always round, but let's try and find one with no brothers

0:38:36 > 0:38:40and lots of acres, or cousins.

0:38:40 > 0:38:41It's a hard thing to find.

0:38:44 > 0:38:46ENGINES REV

0:38:46 > 0:38:47CHEERING AND SHOUTING

0:38:47 > 0:38:52Oh, yeah. The cars are rolling in. It's got potential, I'd say.

0:38:52 > 0:38:55Let's get in there, have a few sharpeners, I suppose.

0:38:59 > 0:39:02Two rum and cokes, please.

0:39:02 > 0:39:04If you speak to a lot of old farmers,

0:39:04 > 0:39:08they say, you know, "How did you meet your wife?"

0:39:08 > 0:39:11And they'll tell you, "At a young farmers' piss-up."

0:39:11 > 0:39:13How many acres you got?

0:39:13 > 0:39:16None, ha-ha! She has no acres.

0:39:16 > 0:39:18Yeah, apparently I'm not a future wife.

0:39:20 > 0:39:22A farmer's wife is hard to find

0:39:22 > 0:39:25especially when you're waiting for STI results.

0:39:25 > 0:39:28Haven't you got your result yet No.

0:39:28 > 0:39:31Have you really? I don't have anything to worry about.

0:39:31 > 0:39:33Neither have I! What about you, Oli?

0:39:33 > 0:39:35DAN LAUGHS

0:39:35 > 0:39:37Who knows? Who knows!

0:39:37 > 0:39:40How's your test results come back? I don't know yet.

0:39:40 > 0:39:44Have you ever felt the urge to go and get yourself tested at all?

0:39:45 > 0:39:49Have you been in a few dirty fannies?

0:39:49 > 0:39:52But at least the lads' clinic trip has inspired new

0:39:52 > 0:39:54a chat-up technique.

0:39:54 > 0:39:56How many sexual partners have you had?

0:39:56 > 0:40:00None. I'm a good girl. I'm a very good girl.

0:40:00 > 0:40:11From what I've heard, you've had your share of unprotected sex.

0:40:11 > 0:40:15Is it ever something

0:40:15 > 0:40:18No? No. You're always very cautious.

0:40:18 > 0:40:19GIRL: No sex before marriage.

0:40:19 > 0:40:23With no wives bagged and a different type of seed to sow

0:40:23 > 0:40:25early in the morning, the farmers call it a night.

0:40:25 > 0:40:27So I'll see you later.

0:40:32 > 0:40:35MUSIC: "Country House" by Blur

0:40:39 > 0:40:43The next morning, a sober Dan is worried that a positive STI result

0:40:43 > 0:40:47might taper his chances of ever finding a wife with acres.

0:40:49 > 0:40:53You could get a bad name for yourself very quickly

0:40:53 > 0:40:57if you did end up having something and spreading it around.

0:40:57 > 0:41:01There's a lot of times when you can't go out in the evenings

0:41:01 > 0:41:05in the harvest time and that and, you know, all the hours you put in.

0:41:05 > 0:41:09And when you do get to go out, I think a lot of us,

0:41:09 > 0:41:12we do go quite hard.

0:41:12 > 0:41:14And Dan will soon find out

0:41:14 > 0:41:18if going hard without a condom has given him an STI.

0:41:27 > 0:41:30In Leeds, Sasha's meeting up with best friend Fabian

0:41:30 > 0:41:32for a pep talk ahead of her results.

0:41:33 > 0:41:36You've got to expect the best and hope for worst.

0:41:36 > 0:41:39Hope for worst?! Are you serous What am I saying?

0:41:39 > 0:41:42Say it the other way round, but then flip it.

0:41:42 > 0:41:44So you're saying, "Hope for the best and expect the worst."

0:41:44 > 0:41:47You've got to hope for the best and expect the worst.

0:41:47 > 0:41:50Just go with an open mind.

0:41:50 > 0:41:52Open mind, open legs.

0:41:52 > 0:41:53Just think positive, that way.

0:41:53 > 0:41:55STD positive.

0:41:55 > 0:41:57Negative.

0:41:57 > 0:42:00Negative. STD negative and I'm going to think positive

0:42:00 > 0:42:03I think the anticipation's starting to kill me... Yeah.

0:42:03 > 0:42:04..for these results.

0:42:04 > 0:42:06What are you actually expecting

0:42:06 > 0:42:07I'm expecting to have summat.

0:42:07 > 0:42:11What'd be the worst thing for you to happen today? Obviously, like..

0:42:11 > 0:42:14The worst thing... If you just checked all the boxes!

0:42:14 > 0:42:17The worst thing that could happen...

0:42:17 > 0:42:20could be, like, summat that's incurable like HIV.

0:42:20 > 0:42:21Things like HIV and stuff.

0:42:21 > 0:42:23It's, like, not necessarily the illness

0:42:23 > 0:42:25that's the most upsetting part, it's...

0:42:25 > 0:42:32The ripple effect. Yeah. What happens after.

0:42:32 > 0:42:34Yeah, I'd still support you.

0:42:34 > 0:42:36Will you be able to have gender reassignment

0:42:36 > 0:42:38if you've got summat?

0:42:38 > 0:42:41Yeah, but not with, like, HIV and stuff.

0:42:41 > 0:42:43So, if you have HIV you just can't...? That's so bad.

0:42:43 > 0:42:44You die.

0:42:44 > 0:42:46As in, if you did the surgery, you'd just die?

0:42:46 > 0:42:48No, then you're better off dead

0:42:48 > 0:42:52Pfff! Because they won't do your surgery.

0:42:52 > 0:42:56I think a lot of people think it's a choice to be trans, and it's not.

0:42:56 > 0:42:57I don't want to be like this.

0:42:57 > 0:42:59If I had summat that were incurable,

0:42:59 > 0:43:01that were going to affect my surgery, I'd just go.

0:43:01 > 0:43:08What do you mean? Just die. Kill me. That'd be the worst way to go.

0:43:08 > 0:43:12I'd have it on my coffin, engraved - "Died a boy."

0:43:19 > 0:43:22Even for open-minded clinic staff,

0:43:22 > 0:43:25treating patients like Sasha can be an eye-opener.

0:43:26 > 0:43:28Well, I remember when I first came here

0:43:28 > 0:43:30and we went in to see this patient

0:43:30 > 0:43:35and...it was a very feminine patient, very glamorous.

0:43:35 > 0:43:38Obviously lots of lovely, you know, feminine clothes.

0:43:38 > 0:43:43And nobody warned me, and then when they lifted their gown up,

0:43:43 > 0:43:46it was all male genitalia and I was quite shocked.

0:43:46 > 0:43:50The patient who I saw, she had a sexual pro forma for a lady,

0:43:50 > 0:43:52so it was quite confusing.

0:43:52 > 0:43:55I asked her when her last period was, and she's obviously got a penis

0:43:55 > 0:43:58so she's not going to have periods, so...

0:43:58 > 0:43:59SHE SIGHS

0:44:03 > 0:44:07After Karina's recent slip-up with a transgender patient,

0:44:07 > 0:44:09she and the rest of the staff are keen

0:44:09 > 0:44:11to do some refresher training.

0:44:13 > 0:44:14I think part of me inside is thinking,

0:44:14 > 0:44:17"Please don't let me ask the wrong question." You're like almost..

0:44:17 > 0:44:20well, me personally, almost focusing on what you're saying

0:44:20 > 0:44:22that actually you're focusing a bit too much.

0:44:22 > 0:44:26I don't know the difference between a transman or a transwoman?

0:44:26 > 0:44:28"Trans" means that...it stands for the transition

0:44:28 > 0:44:33and then whatever's on the end is what that person is identifying as.

0:44:33 > 0:44:35Transsexual is just somebody that

0:44:35 > 0:44:38dresses in the opposite sex...clothes?

0:44:38 > 0:44:40Like Eddie Izzard or somebody like that? Yeah, Lily Savage?

0:44:40 > 0:44:44No, I wouldn't say Lily Savage was transsexual. No.

0:44:44 > 0:44:48He would identify as a transsexual, wouldn't he?

0:44:48 > 0:44:49It is confusing. It IS confusing.

0:44:49 > 0:44:53It's why I want to learn more. It's why this talk is valid, really

0:44:53 > 0:44:56Have no assumptions about anything, Jane. Anything.

0:44:56 > 0:45:00Don't think that this is this person and they're called this.

0:45:00 > 0:45:02Do we say transperson?

0:45:02 > 0:45:07Transperson's probably the most. . the least offensive term to use

0:45:07 > 0:45:09It's already uncomfortable coming here for anybody

0:45:09 > 0:45:11regardless of their gender, sexuality.

0:45:11 > 0:45:13You just want to provide a good service.

0:45:13 > 0:45:15You want to be making sure they are going on the right floor,

0:45:15 > 0:45:18they are being asked the right questions and that they're not going

0:45:18 > 0:45:21to go away feeling uncomfortable and they don't want to come back.

0:45:28 > 0:45:30All right.

0:45:32 > 0:45:35With the glasses she looked kind of smart and sexy at the same time.

0:45:37 > 0:45:39She got nice everything.

0:45:39 > 0:45:41In Exeter, best mates Ziggy and Slim

0:45:41 > 0:45:44are due to get their results from the clinic.

0:45:44 > 0:45:47If you get the sickness, they're going to call you.

0:45:47 > 0:45:49If you don't got it, you get a text.

0:45:49 > 0:45:54Oh, my days. Oh, I got a message! Look.

0:45:54 > 0:45:58"The results of the test at the clinic are negative."

0:45:58 > 0:46:00All clear. Eat that shit!

0:46:00 > 0:46:02THEY LAUGH

0:46:02 > 0:46:04I don't got shit.

0:46:04 > 0:46:06I don't got shit. They don't text me, man.

0:46:06 > 0:46:08Oh, look, I'm going to save it for life.

0:46:08 > 0:46:11Now I don't have nothing to worry about.

0:46:11 > 0:46:13Just enjoying, and always use condoms.

0:46:13 > 0:46:15I just need to find someone to use them with.

0:46:17 > 0:46:18Check your phone, you may have some too.

0:46:19 > 0:46:21You better be honest, man. Fuck

0:46:25 > 0:46:26You too? Read that shit.

0:46:26 > 0:46:30"The results of your recent test at the clinic are positive

0:46:30 > 0:46:33"You got all the illness possible.

0:46:33 > 0:46:36"You're going to die in one day "

0:46:36 > 0:46:37Oh, I can't believe it.

0:46:37 > 0:46:40My heart just wants to pop out of my chest, man. Oh, I can't breathe.

0:46:40 > 0:46:43Let me send this to these girls All the girls.

0:46:46 > 0:46:49I know I've got the cleanest, meanest penis.

0:46:50 > 0:46:52Slim's also got the all clear,

0:46:52 > 0:46:55but perhaps the stress has inspired a change.

0:46:55 > 0:46:57Nah, I think I'm going to buy a box-load of condoms,

0:46:57 > 0:47:07cos I don't want to do another test, they're telling me,

0:47:13 > 0:47:15Hey, you all right? Yeah.

0:47:15 > 0:47:18In Leeds, after being diagnosed with chlamydia,

0:47:18 > 0:47:21Alice had to undergo a course of antibiotics.

0:47:21 > 0:47:23You all right? Yeah, I'm good. I'm just tired.

0:47:23 > 0:47:25It's too warm, that's why.

0:47:25 > 0:47:29Best mate Billee wants to know how her boyfriend swallowed the news.

0:47:29 > 0:47:31I saw him later that afternoon He was fine about it.

0:47:31 > 0:47:34That's good, cos there's no point in getting

0:47:34 > 0:47:37all crazy. Jeremy Kyle-ing about it. Yeah

0:47:37 > 0:47:40There's no point trying to point the finger at anybody

0:47:40 > 0:47:42because it's something that I could have given to him

0:47:42 > 0:47:44or he could have given it to me From my point of view,

0:47:44 > 0:47:47and from what I was told by the health care assistant,

0:47:47 > 0:47:49she just said there's no point turning round

0:47:49 > 0:47:51to your boyfriend and going, "You obviously cheated on me.

0:47:51 > 0:47:53"This has happened. We're breaking up for ever!"

0:47:53 > 0:47:55because she was like, "That might not be the case."

0:47:55 > 0:47:59It's just such a complicated but simple process,

0:47:59 > 0:48:00in that it's so simple to get

0:48:00 > 0:48:03but so complicated to figure out that you can

0:48:03 > 0:48:07kind of cause unhappiness when you don't really need to.

0:48:07 > 0:48:08It's been resolved.

0:48:08 > 0:48:11It's been resolved, that's a good way of putting it

0:48:11 > 0:48:12Yeah. Good, I'm glad.

0:48:12 > 0:48:14It's resolved now. I'm really glad.

0:48:14 > 0:48:16And we can all have a good old laugh about it at my expense.

0:48:16 > 0:48:19For years to come. Yep.

0:48:30 > 0:48:33In Devon, farmer Oli is a natural with his tractor.

0:48:33 > 0:48:38But with his STI results due, is his other equipment in such good shape?

0:48:39 > 0:48:44We've been busy combining, harvesting and baling, so...

0:48:44 > 0:48:47I haven't been worrying about them too much, really.

0:48:47 > 0:48:51At the age of 23, after unprotected sex with 10 partners,

0:48:51 > 0:48:55Oli took his first ever test with best mate Dan.

0:48:55 > 0:48:58Yeah, I'd be gutted if I had something and Dan didn't.

0:49:00 > 0:49:03Nervous times. Oh, I got a text

0:49:03 > 0:49:05"Dear Oli,

0:49:05 > 0:49:08"the results of your recent test at the clinic are negative.

0:49:08 > 0:49:10"All clear. Thank you."

0:49:11 > 0:49:12Yes!

0:49:14 > 0:49:16Top result. Can't get any better.

0:49:17 > 0:49:22Oli's clear to plough once more but has his mate Dan been as lucky?

0:49:22 > 0:49:28PHONE RINGS

0:49:28 > 0:49:30You had your text yet?

0:49:30 > 0:49:34Yeah, I have. You? Yeah. You're all clear?

0:49:34 > 0:49:36Yeah, you clear? I'm clear.

0:49:37 > 0:49:39Oh, rock on.

0:49:39 > 0:49:41All right, then, I will see you in a bit.

0:49:42 > 0:49:45Yeah, catch you later. All right, bye.

0:49:45 > 0:49:48Both negative, yeah. It's good

0:49:50 > 0:49:53Yeah, I think I'm one jammy bugger, really. Yeah.

0:49:53 > 0:49:55Dodged a bullet there.

0:50:04 > 0:50:07I didn't expect it to come in such a small box.

0:50:07 > 0:50:08This one is small as well.

0:50:11 > 0:50:16This is my overpriced wedding suit.

0:50:16 > 0:50:21With no tail at the back because, well, I'm a person, not a bird

0:50:21 > 0:50:24In Leeds, it's the day before Anne-Marie and Nathan

0:50:24 > 0:50:25take their wedding vows.

0:50:25 > 0:50:28Married life will mark a fresh start for the couple.

0:50:28 > 0:50:31We have had a really rough start to the relationship.

0:50:33 > 0:50:36A long time ago, when we first got together,

0:50:36 > 0:50:38I kind of cheated on Nathan,

0:50:38 > 0:50:41and he's kind of got me back quite a lot of times for that.

0:50:41 > 0:50:45Today the pair will hear back from the clinic and for Anne-Marie,

0:50:45 > 0:50:49the results have implications for more than just her health.

0:50:49 > 0:50:55I do trust Nathan, but I guess we'll both have that sort of feeling

0:50:55 > 0:50:57We know we've cheated on each other before.

0:50:57 > 0:50:59There's always something in your mind saying,

0:50:59 > 0:51:01"It could happen again."

0:51:01 > 0:51:02I love her to pieces,

0:51:02 > 0:51:05so...there's no doubt in my mind that I'm doing the right thing

0:51:05 > 0:51:08so there's no place for nerves to set in.

0:51:08 > 0:51:12MOBILE RINGS

0:51:12 > 0:51:15Hello. 'Oh, hi, is that Anne-Marie?' Speaking.

0:51:15 > 0:51:18'Hi, it's Michelle from the sexual health clinic in Leeds.

0:51:18 > 0:51:22'I'm really pleased to let you know that your results are negative.

0:51:22 > 0:51:23That's brilliant.

0:51:24 > 0:51:26All right, then. Thank you.

0:51:26 > 0:51:28'Bye!' Bye.

0:51:28 > 0:51:29All negative.

0:51:29 > 0:51:31That's brilliant news.

0:51:31 > 0:51:32SHE SIGHS HEAVILY

0:51:32 > 0:51:36Yeah. How did you get on? I'm all right.

0:51:36 > 0:51:38I've got some news.

0:51:38 > 0:51:41Oh, they left a message for you Yeah, I've got my results.

0:51:41 > 0:51:44Still waiting on yours. Let me guess, all clear?

0:51:44 > 0:51:45Yeah.

0:51:48 > 0:51:49That's fantastic.

0:51:50 > 0:51:52MOBILE RINGS

0:51:52 > 0:51:55Hello. 'Hi, Jason, I'm just phoning to give you your results.'

0:51:55 > 0:51:56Only an all clear for both

0:51:56 > 0:52:01can stop their wedding taking place under an STI cloud.

0:52:01 > 0:52:04'Just to inform you that all your results are negative.

0:52:04 > 0:52:06That's fantastic news, thank you. 'Fantastic. You're welcome.

0:52:06 > 0:52:09'Thank you, love, bye-bye.' Thank you, bye! 'Bye.'

0:52:12 > 0:52:15Both all clear!

0:52:15 > 0:52:16Brilliant.

0:52:17 > 0:52:19We've been counting down days for so long,

0:52:19 > 0:52:21and now we're counting down hours.

0:52:21 > 0:52:22Just think, eh, babe.

0:52:22 > 0:52:25You're never going to have anyone else but me ever again.

0:52:25 > 0:52:26Yep.

0:52:37 > 0:52:40Hi, babe, I'm just here for my results.

0:52:40 > 0:52:44Beauty therapist Sasha's nervous wait is almost over,

0:52:44 > 0:52:48and her best friend Fabian is sticking by her side.

0:52:48 > 0:52:50I am anxious for her.

0:52:50 > 0:52:52I think, with Sasha, obviously

0:52:52 > 0:52:56because there is a lot more at stake, such as HIV or syphilis.

0:52:56 > 0:52:59That's not a thought in my head because I don't think about it

0:52:59 > 0:53:03I can't think about it. Genuinely, I can't actually think about that.

0:53:05 > 0:53:08Sasha? Y'all right? I'm all right, thank you. Are you?

0:53:08 > 0:53:12Good, I'm not bad. It a bit too hot, though, isn't it? A bit sweaty

0:53:12 > 0:53:14Come down, come with me. Where are we going?

0:53:14 > 0:53:17We're going to go right down the end here if that's all right?

0:53:17 > 0:53:19So I'll just go through what we did for you.

0:53:19 > 0:53:23We looked for HIV, syphilis,

0:53:23 > 0:53:26hepatitis B, hepatitis C.

0:53:26 > 0:53:29We looked for chlamydia and gonorrhoea.

0:53:29 > 0:53:32And it's all come back negative all right? Right, that's fine.

0:53:32 > 0:53:35Were you worrying about it? That's really good.

0:53:35 > 0:53:36That's really good!

0:53:36 > 0:53:39Tell me that's not good. Yeah, that's good.

0:53:39 > 0:53:41Oh, I'm happy. Wahey!

0:53:41 > 0:53:44Wahey! Oh, my gosh! That's really good.

0:53:44 > 0:53:48Oh, that's so great, honestly. Excellent. I'm happy.

0:53:48 > 0:53:51All right! Well, that's you sorted, then.

0:53:51 > 0:53:55Thank you. That's all right. It's nice to give good news. It is.

0:53:55 > 0:54:05Yeah, we need a hug, we do, that's what I need.

0:54:05 > 0:54:09"Oh, you're...not clean.

0:54:09 > 0:54:11"You could have AIDS," people telling me,

0:54:11 > 0:54:12or stuff like this, texting me

0:54:12 > 0:54:16"Your ex has been sleeping around, go and get yourself checked."

0:54:16 > 0:54:19I don't have to worry about that now, cos I know I'm clean, so it's fine.

0:54:19 > 0:54:20It's great news for Sasha

0:54:20 > 0:54:24and a chance for her to rethink her approach to relationships.

0:54:25 > 0:54:29I think what I want to do now is take things a lot slower.

0:54:31 > 0:54:32Like a lot slower.

0:54:32 > 0:54:35I feel like I've had my experience, I've gone wild,

0:54:35 > 0:54:36now it's time to be a good girl

0:54:38 > 0:54:40Keep my head down and do what I need to do.

0:54:40 > 0:54:42The worm has turned!

0:54:43 > 0:54:46Not going to be heading towards the sex.

0:54:46 > 0:54:48Heading towards the relationships.

0:54:48 > 0:54:50The worm has turned.

0:54:50 > 0:54:52I like that, I love that saying

0:54:52 > 0:54:54Ah, Fabio... Fabio!

0:54:58 > 0:55:01Time for a well-deserved drink Definitely!

0:55:05 > 0:55:07Sasha can look forward to her future,

0:55:07 > 0:55:09and for the clinic's staff,

0:55:09 > 0:55:12it's the end of another long day of fighting STIs.

0:55:12 > 0:55:14Diplococci.

0:55:14 > 0:55:17And that is not a dinosaur, it's gonorrhoea.

0:55:17 > 0:55:19Those are extinct.

0:55:19 > 0:55:21Unfortunately, gonorrhoea isn't

0:55:22 > 0:55:26Been busy all day, to be honest I feel quite tired.

0:55:27 > 0:55:30I'm ready now to go and meet my friend and have a drink.

0:55:30 > 0:55:33And a curry!

0:55:33 > 0:55:34Ha! My reward!

0:55:44 > 0:55:45Goodbye!

0:55:47 > 0:55:51Next time on Unsafe Sex In The City: Scott's drunken nights out...

0:55:51 > 0:55:54Whoo! ..lead to a sobering experience at the clinic.

0:55:54 > 0:55:56Oh, my God, I'm so nervous!

0:55:56 > 0:55:59You think you're probably having unprotected sex

0:55:59 > 0:56:02with strangers most weekends. I guess so, yeah.

0:56:02 > 0:56:05Chloe confides in her mum about her recent STI test.

0:56:05 > 0:56:07What if it comes back positive for AIDS?

0:56:07 > 0:56:10And how would you feel about the person that gave me AIDS?

0:56:10 > 0:56:13I'd probably de-ball them.

0:56:13 > 0:56:15And big man Carl... Can I have your digits?

0:56:15 > 0:56:18..gets fresh with the ladies.

0:56:18 > 0:56:20Do you want some condoms? Yes, please. There we go.

0:56:20 > 0:56:22They don't make 'em big enough though, for me.

0:56:22 > 0:56:24Oh, thank you! Oh, dear...

0:56:42 > 0:56:45Subtitles by Red Bee Media Ltd