Episode 4 Unsafe Sex in the City

This programme contains strong language

More young people than ever

are catching sexually-transmitted infections.

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

who thinks a night of passion might mean they've got something nasty.

You've got a bit of a discharge

It was quite offensive in odour

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're a bit mental but we're not judgmental.

Watch it!

God gave you a minge. Use it!

Why are we not looking after little Olly? 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'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. .

The results from your recent visit are...

..affects their health...

You were positive to chlamydia

..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 in Leeds...

Anne-Marie and Nathan are getting tested just one week

before their wedding day.

I'd love to be able to stand there when we make the statement

in sickness and health,

we're actually in health when we make it.

While Sasha's clinic trip could have huge consequences for her future.

The worst thing that could happen could be something that's

incurable, like HIV.

And in Exeter, rappers Ziggy and Slim haven't been wrapping up.

I just love sex without condoms

More pleasure, maybe.

But it's less safe.

Good morning, Leeds Centre for Sexual Health.

In Leeds, it's another busy day in the fight against STIs.

I believe we've got a cancellation this afternoon

if you can make it this afternoon.

When they can't get an appointment they just put the phone down on us.

It's quite rude.

Good morning, Leeds Centre for Sexual Health.

Sister Karina has brought in a box of treats

for her fellow staff members,

Do you remember me telling you for my 40th I had some... Willy cakes.

One of the most disgusting cakes I've seen in my life, that one.

I don't know if I'd put my mouth round that

So you can have either a cock or a vagina.

Hi. There's some special cupcakes if you want any.

Which one do you want? Do you want a big black one?

He's got warts as well, him. See the warts?

That one's very unusual.

They've all got gonorrhoea today. Gonorrhoea, warts and thrush.

I'm going to eat thrush, I think.

Hi, I've come to collect my results. That's fine.

Can I take your date of birth?

What do you think I'm most at risk at?

Chlamydia.

You think so? Everyone gets that.

I thought that were like a straight people disease.

You are sleeping with bisexual people. That's true.

Do you want one with gonorrhoea

She's got gonorrhoea.

I'm going to take one for Sister Whitaker

and take a picture and send her it.

Does she want a willy? Yeah, she'll want a big one.

She'll want a big one.

It's a little harder than yours Kerry.

Gorgeous.

Tim's had his fill of gonorrhoea, warts and thrush.

Now it's time to see if his patients have.

Fabian? That's me.

Fabian's come in with best friend Sasha to collect his results.

He's a homosexual.

I'm a heterosexual.

That's how you classify yourself?

No, I'm joking.

Basically, Fabian's gay and I'm transgender.

Thank you, my name's Tim, pleased to meet you.

How are you doing, all right?

I was expecting you to phone me this afternoon,

but you've come in personally.

I like the personal touch, don't you? Yeah.

A problem down below brought the 18-year-old to the clinic

two weeks ago.

I had, like, spots on my... I don't know! A spot.

He found a couple of ingrowing hairs,

but he didn't know if they were ingrowing hairs or genital warts.

So, we did a urine sample for chlamydia and gonorrhoea,

and that's come back negative.

We did a swab from your throat for gonorrhoea,

..for gonorrhoea as well, that's come back negative.

And your blood sample for HIV and syphilis came back negative

so fantastic! Congratulations. Disease-free. You are.

For one more time. HE LAUGHS

Was that all right for you? Yeah

That's great news, isn't it? It is. Peace of mind.

You can enjoy your weekend, now Sleep a bit better tonight.

Yeah! OK? Can he have some condoms? Course you can. Thank you.

Help yourself. Do you have the multicoloured ones?

Oh, I can get some of them for you, Sasha. No problem. Thank you!

All right. I like the pink ones I'll get some multicoloured ones.

Thank you.

Well done!

It is always good to give good news.

Because I always congratulate people when I give good news.

And I do - people do laugh at me for congratulating people,

but I do feel it's worth congratulating over.

We've got orange...

er, blueberry muffin, hot chocolate...

..my favourite, ice cream.

They're primarily for oral sex flavoured ones,

and maybe a bit of a novelty.

But, um, we don't get many because most people don't

really like to give oral sex with a condom.

As one guy once said to me, you might as well be sucking on a rubber glove.

Are you happy? Yeah.

Now I'm worried. I'm not going to lie!

Thank you, beautiful. All right

OK, you're free to go. OK, thank you! Enjoy your weekend.

Thanks a lot. See you soon. Nice to see you.

Are you happy? Definitely.

Fabian's all clear has inspired Sasha to bite the bullet

and book in herself.

Are you actually going to turn up to this one, though?

Three times lucky.

Hiya! Hi there. Can I make an appointment, please?

Yes, that's fine. Have you been here before?

'I've just broken up with my ex-partner,

'and I found out he was cheating on me, and I've been told that

I need to make sure I get myself checked out, so..

That's like the best precaution

but I've been avoiding it and pushing it off.

That's 2:30 on Tuesday. That's great. All right.

All right, then. Thank you. Thank you. Bye.

Sasha's already missed two appointments.

Will she make it back to the clinic to face her STI fears?

Hello!

Sasha isn't the only one who's been putting off getting tested.

like, I still think that's quite irresponsible of me.

It does worry me that I haven't been checked in a long time.

Alice? Yep. Hello.

21-year-old student Alice has come to see health adviser Jane

Come in. Come and take a seat. Yeah.

She's worried past behaviour may have put her

and her boyfriend at risk.

Have you ever had

a sexually transmitted infection

diagnosed before? Not that I know of.

When was the last time you actually had any sexual contact?

About two days ago. Two days ago.

We just ask about sexual contact so, vaginal sex with your partner? Yeah.

Any anal sex with your partner? No?

And any oral sex with your partner? Yeah.

And giving... You giving, him giving, bit of both?

Yeah. Good.

Good!

LAUGHS: I like equity in a relationship.

Have you ever worked in the sex industry? No!

So if anyone had paid you for sex... No. ..or if you paid anyone for sex.

And if anyone had told you they were HIV positive.

No, they haven't.

Did you test for chlamydia before at all, ever? Once ever. Once before.

Like, two-and-a-bit years ago. Yeah.

And do you think you partner has ever? I don't think he has, no

No, so it's obviously... Yeah.

..the weak point in the relationship. Yeah.

So, if it's all right with you I'll get you on the couch

and do a blood test for you.

Just going to clean you off, there. Oh...

I didn't think this would be happening to me today!

Done, though.

You should just do it, you shouldn't give people the option.

Right, I will get you to do the swab,

and I'll get you to do a urine sample as well.

So, you come with me...

Alice's samples will be tested for gonorrhoea, chlamydia,

HIV and syphilis.

If I do have something, it would be a big deal where and why,

like, where from and why, kind of thing. Do you know what I mean?

You definitely want to get it right,

cos you don't want them going home telling 'em they've got whatever.

Sometimes we do have people's relationships, like, in our hands.

I mean, it could break up marriages,

it could break up people that have been together a long time.

You've got to be very careful what you say,

cos you don't want to start planting ideas in people's heads!

Not all infections can be seen under the clinic microscopes

and Alice now faces a nail-biting two-week wait for her results.

In Exeter...

..the weekly delivery of condoms has just arrived.

Hello! Big box for you.

We do have trim for the more slender size, we have extra strong,

we also have large for the more well-endowed gentleman.

Sometimes we'll have the odd joker come in and say they want

the EXTRA large, but we don't have those, unfortunately.

They would have to buy them themselves. Or maybe tell the truth.

Free or not, condoms don't appeal to the clinic's next patient, Baba

aka Slim.

Gambian born Slim has come to the clinic today

with his Italian mate Ziggy.

My name is Awadi, but my friends call me Ziggy.

It's been seven years since Slim's last test,

but for Ziggy it's been even longer.

I'm so scared. Why are you scared?

Hmm? I don't know.

I haven't checked it since 1993

It hasn't been checked. 1993? 19 3.

That's when you were born, right?

So, you've never checked?

And you didn't check the first time you had it?

No, the first time I used condoms.

All right. Good boy.

You know, then that's not the first time.

How can there be a first time when you used condoms? Huh?

For me, I don't call that losing virginity when you use a condom

I know that's fucked up, but you've got to feel everything.

I often just have a look at the urine sample to see

if there's anything floating around.

Nurse advisor Abbey deals with the results of condom-free sex

There's no pus though, is there

It's just debris cos it was an overnight hold,

so it's probably just a bit of. .

Oh.

Oh, oh, oh, oh... That's a sperm there.

So I'm not going to treat him today.

There's no... Not lots of pus.

Baba? Yes. Do you want to come through?

How can I help you?

I was going to be here today for an appointment to do a test

to see if...

I'm clean or not.

Have you got any symptoms that are worrying you? No.

When was the last time you had sex?

Last month. OK. Female partner

Of course.

Can't make assumptions.

Do you use condoms for sex with her?

No.

Er, oral sex? No.

Anal sex?

Is that not the same as oral? No.

Oral sex, blow jobs... Oh, oh..

Anal sex, is sex up...

Yeah, can you take it back. Oral sex, yeah... OK.

Anal sex, no. Fine.

Where was she born? Thailand.

Thailand? Yeah. OK.

Obviously condoms are the way forward for protecting yourself

against infection.

Is there any reason you choose not to use them?

Er, is there any reason? Mm-hm

I hate them. You hate them.

It's not fun. OK.

For casual partners, at least until you know one way or the other

if there are any infections, you should use condoms, OK?

You're happy with how to put them on? Oh...

If I'm not, are you going to show me? If you want me to.

But I'm not... It's on a model

I know, it's all right.

It's all right. I know how.

Thank you. OK? Thanks a lot.

You're welcome. It was nice to meet you.

Yeah, you too.

How's it going?

I wasn't taught how to put a condom on when I was at school.

ABBEY: 'I think I find with a lot of young guys when you ask them

'about condom use, they kind of

And you think,

"Well, that's something that you should negotiate is condom use.

'People are not using them based solely on education,

'it's more fun not to.

'Erm, they're young and that's the risk,'

and the risk is part of the sexual pleasure.

Chlamydia.

Mixing risk and sexual pleasure has brought Ziggy to the clinic

for his first ever sexual health check.

Oh, shit!

I'm worried about this, mate. Chlamydia.

Did Slim say that I might have that? I don't know.

Hi, come on down. All right.

And he'll be seen today by Dr Jane.

So when did you last have sex? Three months ago, maybe. Three months ago.

And was that with a regular partner at the time? No, it wasn t.

It was a one-off, was it? Was it just vaginal and oral sex you had,

or was there any anal sex?

No, she gave me a blow job too OK. No anal sex? No. No.

When was the last time you had sex with anybody that wasn't this girl?

Before, I sleep with my girlfriend. It was my girlfriend.

So, it was your ex long-term partner? Yeah, my girlfriend.

And did you use condoms with her? Em... Yeah, sometimes.

Sometimes. Was she on another method of contraception

Mmm...

She was saying something about eating parsley.

Eating parsley?! Yeah. I've not heard of that one.

Yeah, you have to come to Italy OK!

We put parsley everywhere!

Right, I'll have to look that one up.

Have you ever paid for sex or been paid for sex?

Eh... I think, yeah, my friends paid for me.

Your friends paid for you? They buy me a girl.

They did? Yeah. OK. When was that? It was last summer.

I think we should take a blood test for you for HIV, syphilis and,

because of the time that you had a girl bought for you for sex,

I think that we should add in a hepatitis check as well.

OK? There we are. Pop your finger on there and press hard.

We'll contact you in about ten days. Ten days? Really, Jane? Mm-hm.

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

OK? All right. Thank you, Jane, yeah?

Imagine if I have something. When you're with someone,

they say, look at that guy,

"He got chlamydia, he's got HIV whatever."

Maybe that guy is me.

Whatever Ziggy fears, he'll be a lot better off

using condoms than relying on his herbs.

You do hear some bizarre things about contraception.

But I hadn't heard parsley before. I was a bit slow off the mark.

I didn't ask him what they do with the parsley.

Is it vaginal parsley? Exactly

That's novel to me, I must say Yeah, that is novel.

I thought you just had it for bad breath!

People use tampons as a method of contraception.

I've heard that one before.

Oh, it's, "You can't possibly get pregnant if you've got a tampon in."

And, yeah. You can't get pregnant if you're standing up.

You can't get pregnant if you have sex standing up. Em...

Yeah. Douching. And actually that's worse.

It is, cos you shove it up. Yeah, you're pushing the sperm right up.

giving them a good head start! LAUGHTER

Back in Leeds, Sasha is putting the STI fears to one side

as she works as a beauty therapist.

How long have you been putting make-up on for yourself?

Since about 12 or 13.

It were inspired by Katie Price I remember.

I used to walk around in the big, white fur hats. Yeah.

I think what it is with me like I know I want to be a girl.

How far are you going to go to be a girl? All the way.

I knew when I was 12. Yeah.

I didn't tell home until I was 3 cos I just wanted to like

make sure that I weren't gay or anything.

I just - I didn't just want to think it was a phase. Yeah.

As Sasha identifies as a heterosexual woman,

she sleeps with heterosexual men.

I don't really practise safe sex.

I think because I go for straight people,

I'm more complacent about them not having anything.

I don't hate condoms, I just don't find the use.

When it comes to the point, it's never planned.

There's never a condom in your bag, or...

It's just not planned.

But will Sasha's complacency with condoms come back to haunt her?

How many sugars, 500?! Six.

Six? Yeah. Look, half of the cup is sugar! Yeah.

In Exeter, best mates Ziggy and Slim are waiting for their results.

I hope that now, at 19 years and 8 months, I didn't get shit.

I hope that, mate. No, don't worry. You ain't got shit.

I ain't got shit either. What are you talking about?

The pair share a flat but not the same views on safe sex.

Fuck first, then get to know later.

Fuck first and then get to know later? Yeah.

For me, every girl is right. Ain't nobody wrong. Everybody is right.

You fuck everything that moves

It's not that I fuck everything that moves. I got class too, but...

Nah. They all... It depends on the girl.

She might be pretty. She might be good inside.

She might be... How can you say she's good inside

if you don't hang out with her before?

There's no pleasure in condoms I just love sex without condoms

More pleasure, maybe. More. But it's less safe.

Less safe. It's better shoot.

Yo, the moment you get that girl's clothes off,

forget about safe. Well, shit, you already did it.

Oh, shit! Oh, yeah! Bye-bye. I'll catch you later.

I'll see you later. You want a hug? You want some love, Mr Lover Lover?

But has no condoms and more pleasure

given either of them a sexual health wake-up call?

Not all patients can make it to the Exeter city clinic.

So senior nurse adviser Laurance is preparing to hold a pop-up clinic

in a rural community.

I'll have some condoms because we always need those.

So because our catchment area is a wide geographical area,

not everybody can get to Exeter easily.

So it's good for us to take the clinic on the road to various places,

for us to go to people rather than them coming to us.

The youngsters can't necessarily ask...easily ask a parent

for a lift to the clinic or something.

Deep in the Devon countryside, this weekly outreach allows staff

to do STI checks at a small hospital.

You don't necessarily know

what people are coming in for until you see them.

I've got somebody that says they re coming for treatment for chlamydia,

and a couple of people where it says they're coming for a screen.

The others, it could be anything.

Taking time off tilling the land to get checked out,

are farmers Dan and Oli.

They've recently found out about the service

and have booked their first ever STI check.

You're all booked in, Daniel, if you want to take a seat,

just back through the door there? Right on. OK?

I thought it'd be a good idea to get it checked out, really.

I might have slept with maybe 10 people.

Most young farmers are pretty, eh, pretty mad for a good go, I suppose.

Have you ever had any unprotected sex?

Maybe once, or twice. Em...

Yeah. You look a bit sheepish there.

HE LAUGHS

It's him that needs to worry really.

I think some of his past partners haven't been all that, have they?

No, I'm not worried. I ain't got nothing to worry about.

Yours looks like a pickled gherkin, for Christ's sake!

Daniel? Yeah, that's me.

All right, come on this way.

You've not been to see us before, I don't think? No, I haven't.

Can I ask when you last had sex Three weeks ago.

Can you remember if that was with a condom or without? Without.

Without, OK. The check-up's all very straightforward, OK?

I'm very happy to examine you, but I don't need to

if you're not concerned that anything doesn't look or feel right.

Right, right, OK.

So what I need is a urine sample .. Right.

..to check for chlamydia and gonorrhoea. Mm-hm.

Then we normally take a blood test to check for HIV, syphilis,

hepatitis B and hepatitis C.

I'll just get a plaster to put on that for you.

I don't reckon I need a plaster

You sure? Yeah. It's not going to gush out.

Sometimes you get a little spot No. You sure?

I've had a hell of a lot worse than that. I bet you have

I suppose the whole nature of that life is it's all quite remote

and seem to know each other's business

How did that go?

Er, it was all right. Didn't jack anything down my todger.

Nothing to worry about. Oli? Hello.

How many people would you say you've had sex with

in the last six months, so since about February?

Two. Any sexual partners from abroad? Nope.

Paid for sex or been paid for sex? Nope.

And not been subject to any sexual assault or domestic abuse? No.

So I need to take a drop of blood from you.

Are you OK with needles and blood tests? Yeah.

I'm use to injecting things but not in myself! No!

Into animals or...? Yeah.

Yeah, yeah. It must be harder doing it to an animal, actually.

Well, you don't feel it, do you

You can't say, "Look..."

You can't explain to them what you're going to do.

No. You just go bang! Oh, right

Maybe that's the strategy we should take!

I'll give that to you. Lovely. OK. Thank you very much.

Take care then. Cheers, bye. Just push, yeah.

It's nothing anyone ever worries about, you know,

round our area, cos it's just kind of unheard of, really.

Perhaps it's unheard of because no-one's ever gone

and got themselves checked out

Perhaps if people started going

everyone might realise we've got a problem!

And the boys will find out if THEY'VE got a problem

when they get their results.

'There is kind of sexual behaviour going on

'that may put people at risk, but'

it's probably easily overlooked

and so it's a reason why it's important for us

to come to places like this.

In Leeds with best mate Billee Alice is waiting for her results.

She left it two years between check-ups

and her boyfriend of 18 months has never been tested.

What would you do if you both had it?

I don't know. This is why it's difficult.

It's like, where's it from? Do you know what I mean? Yeah.

If you did have something, like .. I know this sounds ridiculous..

What would be the least bad? Yeah!

Or, what would you want? As awful as that sounds.

Having something like HIV,

I can't even comprehend how bad that would be.

for the rest of our life.

whether "clap" meant gonorrhoea or chlamydia.

How they get rid of... There's syphilis as well. Oh, God.

And that back in the day - probably still does -

that can mess about with your brain. You do go crazy,

so I guess at least you have a bit of fun with it. A bit of fun?

That sounds awful! But, er,

I think chlamydia's the most common.

Alice will soon find out if she s caught any of the long list of STIs.

The neurotic, hypochondriac bit of me is like...

SHE PANTS QUICKLY .."Agh!"

because it could be bad. So...yeah.

For most people, getting an STI is a big surprise.

Can I just take your date of birth to book you in?

I can get you in on Thursday.

But it takes something extraordinary to shock the clinic staff.

I've think there's been a couple of people,

injuries with fisting, which is anal fisting.

Sometimes though, we'll send them to A

if the injuries can be that bad

cos they might actually need a little bit of surgery.

And the amount of people that cheat as well. Yeah.

Like married people. Married people, yeah.

A man and a woman came to the clinic,

and I'm guessing by the looks of things he'd been playing away,

and were at the side having a little argument in the waiting room.

And he was quite a tall man and she was only little.

And she took a running jump and she kicked him in't chest!

Hiya. Hi there. I've got an appointment at half past one.

There's two forms for you to fill out then.

OK, thank you.

Anne-Marie and Nathan are 21 and in one week,

they're due to get married.

We're going to Burger King after.

SHE GIGGLES

No.

Can I go to Burger King after?

If you like.

And they want to make sure

they start their wedded life free from STIs.

I'd love to be clear for the wedding.

I'd love to be able to stand there,

and when we make the statement of in sickness, in health,

we're actually in health when we make it!

It just means a lot to us right now.

To ensure that we're in the best position we can

to move forward with our family

Hello, I'm Dr Monteiro. Hi. Can I take that? Yeah. That's great.

Do you want to come through this way?

Would you like to have a seat there? Yeah.

If you pop this inside the vagina, OK.

And it needs to go at least up to the line. OK?

And then you need to twiddle it around about ten times.

Is there any chance I could do it really soon?

Cos I really need to go to the toilet. Yeah, no problem at all

Are you coming in as well?

SHE CHUCKLES

I'm sure there is a dodgy pun in there somewhere.

A Durex box with Kleenex tissues in it.

Do you mind shutting up?

Despite going out with Nathan for four years, Anne-Marie keeps

coming back for regular screenings.

In fact, this is her 25th chlamydia test.

So I was just interested that you've had quite a few tests for chlamydia

and is there a particular concern about chlamydia? Because...

Well, I've had chlamydia before and so has Nathan.

It's always with someone...other people,

so I caught it from my ex-partner who cheated on me.

So I got told there's a chance of it coming back. But it could reappear.

So I prefer to get it...just make sure.

What we do know is the treatment for chlamydia's very effective

Yes. So once the infection is clear, the only way you can pick it up

is through sexual contact within infected partners.

I've you've been in a monogamous relationship

and you've both been screened for chlamydia and you're negative,

and you're not having sex with any other partners, then I would say

that you don't really need to have... continue to have chlamydia tests.

But with Anne-Marie still determined to get the results

before the wedding day,

is she concerned for more than just the couple's health?

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

if you're not sleeping with anyone but me?

It's just for peace of mind, really.

Cos we both know we're not both sleeping with anyone else...

..so there shouldn't be any problems there.

Across the city, 21-year-old Alice is waiting for news from the clinic.

PHONE RINGS

Oh, God. Hello?

INDISTINCT VOICE ON PHONE I am.

Mm-hm...mm-hm...

mm-hmm. Mm?

Yeah, 11:30's fine. All right, bye. Bye.

I have chlamydia!

Oh, God. What the fuck?

Oh, my God. What the fuck?

What the fuck?

Oh, my God. I know, yeah.

Either way, it's not... I'm sorry, man.

What the fuck? Oh, cheers, babe

Yeah, I'm really, really sorry you've got it. I know.

I know this is going to be, like, a really, really stupid question

but, like, what are you going to do? How do you feel and stuff?

I don't know.

I don't think she deserves it.

Like, no-one deserves to have an STI or to get accidentally

pregnant or anything like that

Because, like with any STI, it's who's given it to who.

What's happened? How's she got it? And then, it's not fair,

but you have to deal with it.

Alice now has the tricky task of telling her boyfriend

and trying to work out how the chlamydia

entered their relationship.

Sasha's arriving at the city centre clinic with best mate, Fabian.

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

Hiya, you all right?

Hi. I've got an appointment.

That's fine, if you just want to go up to level one.

All right, thank you.

She fears one of her exes may have left her with a nasty legacy.

I feel nervous but I know I need to be. When you're with someone

or other people like me, and you don't know what we've got!

I'm not going to lie.

Oh, God! I don't like the look of that board up there, do you?

Vaginas and stuff! Fucking hell

Looks like a stuffed turkey or something!

BOTH LAUGH

I'm Mags, I'm one of the doctors. Nice to meet you.

So do you have any specific worries about anything?

I've been told an ex-partner that I was with

was having, like, multiple partners

whilst he was with me. OK. So that's my main worry, about that.

OK. Any allergies to anything?

Chinese food. OK.

You're not going to wine and dine me though, are you? No No.

OK, so when did you last have any sex with anybody?

About three or four weeks ago. (Two.) Or two or three weeks ago.

Two weeks ago? Yeah, about two About two weeks ago.

When it was sunny, can't remember. Sunny? Yeah. Oh. About two.

So two weeks ago? And that was a one-off? Yeah.

OK. Male partner? Yeah. OK.

And is it somebody that you know or you didn't know?

Just an old friend.

OK. So did you have oral sex with him?

I had oral... OK. ..anal and I took... OK.

Did you use a condom for the oral?

No, but I did for everything else. OK.

So when did you come out of your regular relationship?

About May, mid-May.

Since then, so that's probably just over a month ago,

about how many different people do you think you've had sex with?

About three or four. OK.

So the tests we'll be taking

are to check for chlamydia and gonorrhoea. Right.

OK, and then ask for a urine sample as well. Yeah, that's fine.

OK. Do you want to come through

Are you going to wait here? No, he can come with me.

Are you sure? Yeah, positive. Yeah, OK, fine.

We'd normally ask you to take your bottom things off and put a gown on.

Is that OK? What colour's the gown?

It's blue. Well, white with blue bits on it.

Can I just keep this one on? Yeah.

If I had a belt, I probably would, I'm not going to lie.

What I'm going to do is your throat swab first.

That's fine.

Then we'll have a look down here, OK, then we'll take the swabs.

Sasha is tested for gonorrhoea chlamydia, HIV and syphilis.

Right, I want you to say "ah" for me.

I'll just sit back. Like when you had tonsillitis.

Not in the clinic here, no.

I'm really trying to get someone who's a bit cheaper.

Get yourself sorted. Thank you See you soon. See you again, bye.

As somebody who is presenting as a female, as a girl,

we would see them as a girl and we would aim to see them

in the female examination room

which sometimes might be slightly more difficult if they are pre-op,

but, I mean, it's very straightforward

to work round that, really.

Now, it's a waiting game, in't it?

And it is quite a bit since we last got... Checked.

It's only, like, April.

Like, I think we both need to start maybe doing it a bit more often

We need to start getting checked or stop having sex.

Yeah! One or't other. Either one of the two!

I know. Help me up, help an old lady up.

She's taking the brave step of getting tested.

Now Sasha must wait to see if her STI fears come true.

Lexi? Yeah. Hiya. Hello. Come through. I'm Karina.

Sasha is far from the only transgender person

to use the Leeds clinic.

We're going to do a rectal swab

And today one patient is causing sister Karina some confusion.

You did that really well, didn't you?

I've had practice!

Do you have oral sex, yeah? Yeah. Is that giving or receiving, or both?

Both.

Are you having periods? (No.)

No, you won't be. Sorry, you won't be having periods!

What a daft question, sorry.

And no pregnancies?

No pregnancies. Unfortunately.

Talk about asking a daft question.

KARINA LAUGHS I'm sorry!

KARINA CHUCKLES

'Well, I did actually ask her when her last period was.'

Obviously, she's got a penis, so ..

I did feel a bit sort of...incompetent.

We did have a bit of a laugh about it.

I mean, she did tell me to cross the vulva out.

But I've said, "My drawings of penises are..."

Oh, yeah! "..are not very good. Childlike.

They'd have a wonky testicle or something!

Don't worry about it, it's fine

I feel like crying. Don't!

MOOING

Finish these drinks!

BELCHING

Dan and Oli are getting ready for a young farmers' night out

FURTHER BELCHING

A young farmers' event is like when, er, all the young farmers

basically have a good piss-up.

The boys are not letting a potential STI stop them

hunting for their perfect girl

Yeah, farmers' daughters with lots of acres. Yeah!

They're always round, but let's try and find one with no brothers

and lots of acres, or cousins.

It's a hard thing to find.

ENGINES REV

CHEERING AND SHOUTING

Oh, yeah. The cars are rolling in. It's got potential, I'd say.

Let's get in there, have a few sharpeners, I suppose.

Two rum and cokes, please.

If you speak to a lot of old farmers,

they say, you know, "How did you meet your wife?"

And they'll tell you, "At a young farmers' piss-up."

How many acres you got?

None, ha-ha! She has no acres.

Yeah, apparently I'm not a future wife.

A farmer's wife is hard to find

especially when you're waiting for STI results.

Haven't you got your result yet No.

Have you really? I don't have anything to worry about.

Neither have I! What about you, Oli?

DAN LAUGHS

Who knows? Who knows!

How's your test results come back? I don't know yet.

Have you ever felt the urge to go and get yourself tested at all?

Have you been in a few dirty fannies?

But at least the lads' clinic trip has inspired new

a chat-up technique.

How many sexual partners have you had?

None. I'm a good girl. I'm a very good girl.

From what I've heard, you've had your share of unprotected sex.

Is it ever something

No? No. You're always very cautious.

GIRL: No sex before marriage.

With no wives bagged and a different type of seed to sow

early in the morning, the farmers call it a night.

So I'll see you later.

MUSIC: "Country House" by Blur

The next morning, a sober Dan is worried that a positive STI result

might taper his chances of ever finding a wife with acres.

You could get a bad name for yourself very quickly

if you did end up having something and spreading it around.

There's a lot of times when you can't go out in the evenings

in the harvest time and that and, you know, all the hours you put in.

And when you do get to go out, I think a lot of us,

we do go quite hard.

And Dan will soon find out

if going hard without a condom has given him an STI.

In Leeds, Sasha's meeting up with best friend Fabian

for a pep talk ahead of her results.

You've got to expect the best and hope for worst.

Hope for worst?! Are you serous What am I saying?

Say it the other way round, but then flip it.

So you're saying, "Hope for the best and expect the worst."

You've got to hope for the best and expect the worst.

Just go with an open mind.

Open mind, open legs.

Just think positive, that way.

STD positive.

Negative.

Negative. STD negative and I'm going to think positive

I think the anticipation's starting to kill me... Yeah.

..for these results.

What are you actually expecting

I'm expecting to have summat.

What'd be the worst thing for you to happen today? Obviously, like..

The worst thing... If you just checked all the boxes!

The worst thing that could happen...

could be, like, summat that's incurable like HIV.

Things like HIV and stuff.

It's, like, not necessarily the illness

that's the most upsetting part, it's...

The ripple effect. Yeah. What happens after.

Yeah, I'd still support you.

Will you be able to have gender reassignment

if you've got summat?

Yeah, but not with, like, HIV and stuff.

So, if you have HIV you just can't...? That's so bad.

You die.

As in, if you did the surgery, you'd just die?

No, then you're better off dead

Pfff! Because they won't do your surgery.

I think a lot of people think it's a choice to be trans, and it's not.

I don't want to be like this.

If I had summat that were incurable,

that were going to affect my surgery, I'd just go.

What do you mean? Just die. Kill me. That'd be the worst way to go.

I'd have it on my coffin, engraved - "Died a boy."

Even for open-minded clinic staff,

treating patients like Sasha can be an eye-opener.

Well, I remember when I first came here

and we went in to see this patient

and...it was a very feminine patient, very glamorous.

Obviously lots of lovely, you know, feminine clothes.

And nobody warned me, and then when they lifted their gown up,

it was all male genitalia and I was quite shocked.

The patient who I saw, she had a sexual pro forma for a lady,

so it was quite confusing.

I asked her when her last period was, and she's obviously got a penis

so she's not going to have periods, so...

SHE SIGHS

After Karina's recent slip-up with a transgender patient,

she and the rest of the staff are keen

to do some refresher training.

I think part of me inside is thinking,

"Please don't let me ask the wrong question." You're like almost..

well, me personally, almost focusing on what you're saying

that actually you're focusing a bit too much.

I don't know the difference between a transman or a transwoman?

"Trans" means that...it stands for the transition

and then whatever's on the end is what that person is identifying as.

Transsexual is just somebody that

dresses in the opposite sex...clothes?

Like Eddie Izzard or somebody like that? Yeah, Lily Savage?

No, I wouldn't say Lily Savage was transsexual. No.

He would identify as a transsexual, wouldn't he?

It is confusing. It IS confusing.

It's why I want to learn more. It's why this talk is valid, really

Have no assumptions about anything, Jane. Anything.

Don't think that this is this person and they're called this.

Do we say transperson?

Transperson's probably the most. . the least offensive term to use

It's already uncomfortable coming here for anybody

regardless of their gender, sexuality.

You just want to provide a good service.

You want to be making sure they are going on the right floor,

they are being asked the right questions and that they're not going

to go away feeling uncomfortable and they don't want to come back.

All right.

With the glasses she looked kind of smart and sexy at the same time.

She got nice everything.

In Exeter, best mates Ziggy and Slim

are due to get their results from the clinic.

If you get the sickness, they're going to call you.

If you don't got it, you get a text.

Oh, my days. Oh, I got a message! Look.

"The results of the test at the clinic are negative."

All clear. Eat that shit!

THEY LAUGH

I don't got shit.

I don't got shit. They don't text me, man.

Oh, look, I'm going to save it for life.

Now I don't have nothing to worry about.

Just enjoying, and always use condoms.

I just need to find someone to use them with.

Check your phone, you may have some too.

You better be honest, man. Fuck

You too? Read that shit.

"The results of your recent test at the clinic are positive

"You got all the illness possible.

"You're going to die in one day "

Oh, I can't believe it.

My heart just wants to pop out of my chest, man. Oh, I can't breathe.

Let me send this to these girls All the girls.

I know I've got the cleanest, meanest penis.

Slim's also got the all clear,

but perhaps the stress has inspired a change.

Nah, I think I'm going to buy a box-load of condoms,

cos I don't want to do another test, they're telling me,

Hey, you all right? Yeah.

In Leeds, after being diagnosed with chlamydia,

Alice had to undergo a course of antibiotics.

You all right? Yeah, I'm good. I'm just tired.

It's too warm, that's why.

Best mate Billee wants to know how her boyfriend swallowed the news.

I saw him later that afternoon He was fine about it.

That's good, cos there's no point in getting

all crazy. Jeremy Kyle-ing about it. Yeah

There's no point trying to point the finger at anybody

because it's something that I could have given to him

or he could have given it to me From my point of view,

and from what I was told by the health care assistant,

she just said there's no point turning round

to your boyfriend and going, "You obviously cheated on me.

"This has happened. We're breaking up for ever!"

because she was like, "That might not be the case."

It's just such a complicated but simple process,

in that it's so simple to get

but so complicated to figure out that you can

kind of cause unhappiness when you don't really need to.

It's been resolved.

It's been resolved, that's a good way of putting it

Yeah. Good, I'm glad.

It's resolved now. I'm really glad.

And we can all have a good old laugh about it at my expense.

For years to come. Yep.

In Devon, farmer Oli is a natural with his tractor.

But with his STI results due, is his other equipment in such good shape?

We've been busy combining, harvesting and baling, so...

I haven't been worrying about them too much, really.

At the age of 23, after unprotected sex with 10 partners,

Oli took his first ever test with best mate Dan.

Yeah, I'd be gutted if I had something and Dan didn't.

Nervous times. Oh, I got a text

"Dear Oli,

"the results of your recent test at the clinic are negative.

"All clear. Thank you."

Yes!

Top result. Can't get any better.

Oli's clear to plough once more but has his mate Dan been as lucky?

PHONE RINGS

You had your text yet?

Yeah, I have. You? Yeah. You're all clear?

Yeah, you clear? I'm clear.

Oh, rock on.

All right, then, I will see you in a bit.

Yeah, catch you later. All right, bye.

Both negative, yeah. It's good

Yeah, I think I'm one jammy bugger, really. Yeah.

Dodged a bullet there.

I didn't expect it to come in such a small box.

This one is small as well.

This is my overpriced wedding suit.

With no tail at the back because, well, I'm a person, not a bird

In Leeds, it's the day before Anne-Marie and Nathan

take their wedding vows.

Married life will mark a fresh start for the couple.

We have had a really rough start to the relationship.

A long time ago, when we first got together,

I kind of cheated on Nathan,

and he's kind of got me back quite a lot of times for that.

Today the pair will hear back from the clinic and for Anne-Marie,

the results have implications for more than just her health.

I do trust Nathan, but I guess we'll both have that sort of feeling

We know we've cheated on each other before.

There's always something in your mind saying,

"It could happen again."

I love her to pieces,

so...there's no doubt in my mind that I'm doing the right thing

so there's no place for nerves to set in.

MOBILE RINGS

Hello. 'Oh, hi, is that Anne-Marie?' Speaking.

'Hi, it's Michelle from the sexual health clinic in Leeds.

'I'm really pleased to let you know that your results are negative.

That's brilliant.

All right, then. Thank you.

'Bye!' Bye.

All negative.

That's brilliant news.

SHE SIGHS HEAVILY

Yeah. How did you get on? I'm all right.

I've got some news.

Oh, they left a message for you Yeah, I've got my results.

Still waiting on yours. Let me guess, all clear?

Yeah.

That's fantastic.

MOBILE RINGS

Hello. 'Hi, Jason, I'm just phoning to give you your results.'

Only an all clear for both

can stop their wedding taking place under an STI cloud.

'Just to inform you that all your results are negative.

That's fantastic news, thank you. 'Fantastic. You're welcome.

'Thank you, love, bye-bye.' Thank you, bye! 'Bye.'

Both all clear!

Brilliant.

We've been counting down days for so long,

and now we're counting down hours.

Just think, eh, babe.

You're never going to have anyone else but me ever again.

Yep.

Hi, babe, I'm just here for my results.

Beauty therapist Sasha's nervous wait is almost over,

and her best friend Fabian is sticking by her side.

I am anxious for her.

I think, with Sasha, obviously

because there is a lot more at stake, such as HIV or syphilis.

That's not a thought in my head because I don't think about it

I can't think about it. Genuinely, I can't actually think about that.

Sasha? Y'all right? I'm all right, thank you. Are you?

Good, I'm not bad. It a bit too hot, though, isn't it? A bit sweaty

Come down, come with me. Where are we going?

We're going to go right down the end here if that's all right?

So I'll just go through what we did for you.

We looked for HIV, syphilis,

hepatitis B, hepatitis C.

We looked for chlamydia and gonorrhoea.

And it's all come back negative all right? Right, that's fine.

Were you worrying about it? That's really good.

That's really good!

Tell me that's not good. Yeah, that's good.

Oh, I'm happy. Wahey!

Wahey! Oh, my gosh! That's really good.

Oh, that's so great, honestly. Excellent. I'm happy.

All right! Well, that's you sorted, then.

Thank you. That's all right. It's nice to give good news. It is.

Yeah, we need a hug, we do, that's what I need.

"Oh, you're...not clean.

"You could have AIDS," people telling me,

or stuff like this, texting me

"Your ex has been sleeping around, go and get yourself checked."

I don't have to worry about that now, cos I know I'm clean, so it's fine.

It's great news for Sasha

and a chance for her to rethink her approach to relationships.

I think what I want to do now is take things a lot slower.

Like a lot slower.

I feel like I've had my experience, I've gone wild,

now it's time to be a good girl

Keep my head down and do what I need to do.

The worm has turned!

Not going to be heading towards the sex.

Heading towards the relationships.

The worm has turned.

I like that, I love that saying

Ah, Fabio... Fabio!

Time for a well-deserved drink Definitely!

Sasha can look forward to her future,

and for the clinic's staff,

it's the end of another long day of fighting STIs.

Diplococci.

And that is not a dinosaur, it's gonorrhoea.

Those are extinct.

Unfortunately, gonorrhoea isn't

Been busy all day, to be honest I feel quite tired.

I'm ready now to go and meet my friend and have a drink.

And a curry!

Ha! My reward!

Goodbye!

Next time on Unsafe Sex In The City: Scott's drunken nights out...

Whoo! ..lead to a sobering experience at the clinic.

Oh, my God, I'm so nervous!

You think you're probably having unprotected sex

with strangers most weekends. I guess so, yeah.

Chloe confides in her mum about her recent STI test.

What if it comes back positive for AIDS?

And how would you feel about the person that gave me AIDS?

I'd probably de-ball them.

And big man Carl... Can I have your digits?

..gets fresh with the ladies.

Do you want some condoms? Yes, please. There we go.

They don't make 'em big enough though, for me.

Oh, thank you! Oh, dear...

Subtitles by Red Bee Media Ltd