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This programme contains some strong language
Britain is in the grip of an epidemic
of sexually transmitted infections.
-Everyone's shagged everyone.
Behind every rash, lump and itch...
Men will come in with pus coming out everywhere.
-And you said some itching around the back passage?
..is a patient terrified they may have caught an STI.
What is scabies?
This series follows the staff as they treat patients
at the Manchester Centre for Sexual Health.
Some of the things you see,
especially when you see herpes and warts,
some of them look really nasty.
I'm going celibate!
And we work with the clinic to invite Manchester's young people
to get checked out...
Was it protected or unprotected? Unprotected
-One, two, three.
-Agh, I can feel that.
That has actually come back positive for gonorrhoea.
..before learning how the fallout from unprotected sex...
It's going up in increments, mate.
Next it'll be syphilis with holes in your cock.
I feel like it's ruined my life.
Hey, I just want to get my results.
..and their relationships.
I'm calling because I just got a message from the clinic.
This week Lloyd opens up about his prolific sex life.
How many partners have you been with in the last three months?
With a straight face.
Just as a guess. Is it more than 100?
-No, 80, 80. Write 80.
Housemates Martin and Marissa learn the hard way
just how easily some problems can spread.
No! You infected everyone!
And Heidi deals with the life-changing consequences of catching an STI.
I feel like I can't even be in relationships
cos I feel like I need to tell the truth that I don't think I can have children.
The Manchester Centre for Sexual Health is gearing up for another manic day.
Hello, can I help?
-Have you been here before?
-If you'll just take a seat.
Number 12, please.
Seeing nearly 100 people every day,
the staff are used to dealing with the influx of patients
potentially riddled with STIs.
Yeah, it's very busy, very demanding.
You just get to meet lots of different people.
Characters. Perfect word - characters.
Busy day ahead, ladies?
You don't know what you're going to get,
so we'll have to see what comes in.
Why would anybody want to work with people's bits?
Cos it is a slight conversation stopper.
You say to someone, "What's your job?" "I'm a nurse."
"Interesting. What do you do?"
"I work in sexual health." and they're like, "OK, moving on."
It's when you get your friends say,
-"Can you have a look at a spot on my bits, please?"
You think, "No, you're stepping over the line now!"
However, when the clinic doors open, the staff are more than happy
to look at your bits, no matter what state they're in.
Just have a seat.
-Um, I think I might have a few little warts.
-And then there's some, er, ulcers I'd like you to look at as well.
So you've got some discharge, is that right?
-Do you have any pain when you go for a pee?
I didn't really do anything bad till I was about 20
and now I'm just dealing with regrets.
There's quite a bit of discharge there, isn't there?
After that happened, I was pretty much like,
"I'm done having sex this year."
We need to do a wee swab from your bum, is that OK?
Oh, be careful. Sorry. Be careful.
-Are you all right?
-Have you had this done before?
It only takes a second, just bear with me.
-Oh, it's not that bad.
-Told you I was gentle.
It was much more painful last time.
Oh, actually, while we're here... Yes, go on, while we're here...
20-year-old housemates Lloyd and Skylar
are in a gym just off Canal Street in Manchester's glitzy gay village.
We'll go on the sunbeds, then we'll go for a drink
and then you can go home and fake-tan.
Lloyd moved to Manchester 12 months ago
and met best friend Skylar at work.
As young, free, single boys about town,
the last thing they worry about
is being in a safe, stable relationship.
I want to commit if I'm in a relationship, not like you.
-I've only been out...
-..just over a year though!
I've only been out since I was 18 and a half.
I hadn't had sex before.
-I'm not like you and start at, like, 12.
I did not start at 12. I came out when I was probably about 15.
Yeah. you probably have slept with more people, though.
-Make up for lost time.
Although Lloyd has had a prolific year since coming out,
it's Skylar that holds the record for most men in one night.
Oh, yeah, your new year!
-Oh, I went in a sauna at new year.
-How many did you have that day?
-It was like about...
-About five. No.
Did you catch anything then?
I think that's when I probably...
I think that's when I got gonorrhoea, I think.
OK, here you go, then.
That's fine for me, so masturbation, masturbation, masturbation...
That's lovely, don't pout.
Away from their private sexploits,
Lloyd and Skylar earn a respectable living in the porn industry.
When we get to that part of the scene,
it has to look like you and Skylar are on the desperate stakes.
-I hate acting.
-I hate acting.
So, oh, just shag me! I don't want to act!
Lloyd first started working in porn to earn a bit of extra cash.
But seven months later, and he's now appeared in 40 films.
My first shoot was in Manchester. Um...
It was just a straightforward duo.
The DVD was called Well Hung Virgins. Yeah, right.
It all went from there.
Right, fellas, so it's the same routine as usual.
Just chuck 'em and say you may as well join in.
And down you come. You've given in.
And then it's feeding time at the zoo.
As well as their own careers being dependent on their sexual health,
it also affects other actors and crew.
Oh, sexual health is absolutely key,
both for the industry, because it would shut us down,
it would close us really quickly, so there's a huge cost implication
to having an outbreak of any STI and also to the boys themselves.
And they understand that their job depends
on looking after their sexual health and their physical health,
and also making sure they're checked regularly.
Both Lloyd and Skylar have been cast in a new movie
being made in Manchester
and need negative test results if they are to perform.
It'll be Lloyd's first condom-free "bareback" movie,
so a positive test result would make taking part impossible.
You will get paid like extra and stuff if it is, like, bareback,
so if you don't use protection you do get paid more,
although you are meant to, like, check up like regularly.
Like once a month.
Not once every two years.
If they report the fact they've got an STI,
that would be it for them.
Depending on what it was, it might mean they'd be out of action for a few weeks,
they might be out of action for a very long time
or it may need a completely new education if it was something like HIV.
Having not had a test in over a year,
Lloyd is at high risk of having gonorrhoea, chlamydia, syphilis or HIV.
Even unprotected oral sex is risky
with nearly a fifth of gonorrhoea cases being detected in the throat.
Er, I really need to go for a test.
You really do need to go. You really do need to go.
I'm dreading it. I actually am. Cos...
You might have a whole set.
With so much at stake, they'll be hoping the unsafe sex they've had
won't come back to haunt them.
Hello, Manchester Centre for Sexual Health, can I help you?
For the nurses at the clinic, appearing in porn is nothing
compared to some of the sexploits they hear about.
Well, I was quite naive before I worked in sexual health,
I've got to be honest.
I didn't know half the things, I suppose.
There was like this guy...
Have you ever seen
when the gay men wear the leathers with the bum hole missing?
You know they wear the leather pants
but they have the ones that look like they're about to ride a horse or something.
-The chaps? Chaps.
And they have... And this guy said he was a bouncer in an all-male club
and, um, he said, "I never got why people wore those," he said,
"but I watched them once and this guy went up and fisted him."
Single student Heidi has come to the clinic
for her regular six-monthly checkup.
It's something she's always done since catching an STI as a teenager.
When I was 18, um, I was living down in Cornwall
and I was with a boyfriend. I'd been with him about a year
and I started to get really bad pains in...
It seemed like in my abdominal area
and I wasn't... didn't know what it was,
and when I went to the doctors they said I should go to an STI clinic.
I got tested and they said that I had chlamydia.
Right, so I just need to run through some questions with you.
-Do you take any contraception?
-Do you use condoms when you have sex?
Is there any reason that you're not taking any contraception at all?
-Um, I don't think I can get pregnant.
-You don't? OK.
What makes you think you can't get pregnant?
-Cos I had chlamydia.
Chlamydia, if left untreated,
can cause serious fertility problems for women.
Around half of those infected with chlamydia
won't experience any symptoms and may be spreading the infection
and doing damage to their reproductive organs without even realising.
And did you get your treatment and everything?
I did, and then they said I had about a 10% chance of being able to have kids.
-And who said that to you?
-That was my doc... That was at the GUM clinic.
-The GUM clinic.
I just don't think I can have children.
I see all my friends and family having babies
and everyone around me
and I go onto Facebook and it's all pictures of families
and their young children and I don't think I'll ever have that.
Chlamydia is the most common STI in the UK
with over 160,000 cases last year.
And 18- to 25-year-olds are the age group
most likely to be carrying the infection.
I don't think a lot of people are aware of the risks and stuff.
I didn't know you could get even chlamydia in your mouth
and gonorrhoea in your throat or anything like that,
so I just think a lot of young people are really...
They're not aware of the risks.
They think you can come in and take some tablets and it's gone.
I think there is a little bit more complacency
with things like chlamydia.
I mean, if you sort of said to somebody,
"It could stop you from having children
"in the future," then you might think of it in a different way.
But while there CAN be serious consequences,
Alison knows it's far too soon for Heidi
to give up hope of having children all together.
Unless you've been investigated with regards to your fertility, you know,
there's no way of knowing whether you can have children or not.
There is a risk that you could have fertility problems
but I would suggest, once you're in a relationship with someone,
get investigated further.
Due to her extreme anxiety over the issue,
Heidi has asked her GP to refer her to a fertility consultant
in the hope of allaying some of her worst fears.
I think it's important that you take it further.
-I think it'd be good if I knew. If I just knew.
-Even if I knew...
-I'm not saying anyone can tell you.
If I knew definitely not, then I could try and...
-Yeah, it's tricky, isn't it?
-..think about other options.
There we go, just press down there.
Today's tests will show
whether Heidi has contracted any new STIs in the last six months.
Getting tested regularly is now a way of life.
Even though, yes, I had chlamydia and, yes, I do believe it's made me infertile,
the actual treatment of the actual infection,
that was treated straightaway
and it was only the damage that had already been done that can't be rectified
and that's because I didn't go to the STI clinic quick enough.
If I'd gone there within a couple of weeks, this would never have happened.
For 29-year-old Martin,
the main problem with his sexual health is rather irritating.
He's come to the clinic with an itchy groin
and dragged his friend and housemate Marissa along for moral support.
It feels a lot easier coming with a friend
because you feel at ease, they feel... He feels at ease as well
and, like, it's just like a normal daily outing for us!
There's four of us that live together
and we're very open with each other.
It's best to know than not to know
because you never know what you could catch.
-Have we got Martin?
-Hiya, all right?
-Is it Marissa?
-Sorry, I'm dropping everything.
I don't always practise safe sex, no.
Um, nine times out of ten I do,
but obviously you always have one too many drinks
and things lead to different things and you don't, so...
When was the last time you had sex with anybody?
-Er... Last weekend.
-And did you have oral sex?
Toys on this one.
Don't know how to word it.
That's the only way I can think of saying it.
Toys, that's fine, whatever you want to call it. OK.
-So was it a dildo?
-Um... No other way to put it really, is there?
-And tick everything else cos...
-Tick everything else?
Except for the last one.
-Well, whatever floats your boat is what we say.
-I'm not up for that.
You're not up for that, that's fine.
I think if you look at the person and think, "They're all right,
"they've not said anything to..."
You would think if anybody had a disease,
they would tell you before you slept with them.
But I suppose you should be more careful.
But Martin's judgment hasn't been quite up to scratch.
I'm a little bit itchy at the moment,
so I don't know if it's the washing powder or...
-Generally or just in that area?
-Round here there's little red dots
but I didn't know if it was cos of the washing powder or something else.
An itchy groin can mean you have anything from herpes to warts to crabs.
Just lie yourself down. Let me have a proper look, all right?
See these little spots here?
But at night it's more itchy, like last night it was doing my head in.
Underneath my balls is the most...
You know that little line you've got?
-Just under the sac?
-Yeah. That's really itchy at night.
-OK. And you've had them for a couple of weeks?
-You've definitely not shaved or anything like that?
They just look like little, um, little heat spots if you like.
-Like irritation spots.
It doesn't look like a fungal infection that you can get in the groin.
That's what I thought but it is really itchy.
-Shall I get somebody to have a look?
-Yeah, will you?
Unsure of the diagnosis,
Lisa calls in specialist consultant Dr Ash for a second opinion.
-Tell me if it hurts, OK.
-It's all right.
Are these itchy?
With 24 years in the business of STIs,
Ash quickly diagnoses the problem.
These look like scabies, you see?
Scabies is a contagious skin infection
caused by a tiny parasite that burrows under the skin.
Do you have any itching anywhere else?
-Nothing on the body elsewhere at all?
-No, not really.
What we usually do is... Again, scabies is a very minor infection,
infestation I should say,
-and we just give you a cream to apply below your neck.
All over the body.
-Do you share your accommodation with anyone else?
-Uh, they might need treatment as well.
Because it's sort of a... contagious infection in that sense.
Yeah, sure. We use the same towels and everything as well...
It's important then... to treat both together.
Is it just one other?
-There's four of us altogether.
-Four of you? OK.
While scabies CAN be passed on during sex,
it can also be caught from sharing bed sheets or towels
with an infected person.
Not coming here again.
Not coming here again? We treated you properly today.
I know, thanks. Been a right treat(!)
Having received his treatment,
Martin now faces an uncomfortable conversation with his housemates.
And first up will be Marissa, who is waiting for him outside,
'Just a full sexual health check.'
You've got no current symptoms or concerns at all?
For receptionists Jo and Claire,
surprises are an everyday occurrence.
-You still do get shocked, don't you?
-Yeah, every day you do.
You hear... Well, you thought you'd heard everything,
then somebody'll come in and then tell you something
-or try and confess their sins at the desk...
-I don't think...
I'm like, "You really don't need to!" But we're here to listen.
Being on the front line in the fight against STIs,
it's vital they recognise the ever-changing slang names
for the various infections.
The clap, riddled. What is it? Daisy chaining?
-What else is it?
-Blue cheese. I've heard of that.
-Blue cheese, yeah.
What else is there?
But I think each generation think of completely different names.
-Let me write that down. What is that?
-I don't know what it is.
-Blue waffle, blue cheese.
Blue waffle and blue cheese isn't actually an infection.
It's just a name that people have made up.
I have incidents every day.
Yeah, it's every day it's different.
You get different things every day.
Gay porn stars Lloyd and Skylar
have come to the clinic to get a full sexual health checkup.
Hi. Follow me.
They're both at high risk of infection.
Just come and take a seat for me, please.
My name is Chitra Babu. I'm one of the doctors here.
Just going to take you across.
In the UK, gay men are at the greatest risk of catching HIV.
But with a quarter of all people unaware they have the virus,
failing to use protection could change your life for ever.
What we do here is give you a full sexual health screen.
That includes tests for common things like chlamydia and gonorrhoea
but also a blood test for things like HIV, syphilis, possibly hepatitis B.
-Are you OK with that?
-That's fine, yeah.
So I just need to ask you some personal questions.
Er, have you ever had sex with someone that was non-British?
-Someone from abroad?
-And where were they from?
Czech-land or whatever, Prague.
Have you ever had sex with a man?
Have you ever paid for sex?
Have I paid for it? No.
Have you ever BEEN paid for sex?
I've been paid for the filming of it, not for the actual sex.
OK, and can I ask you how many partners have you been with in the last three months?
With a straight face.
Whilst most questions are easy,
for Lloyd, counting up all his recent sexual partners
requires some testing mental arithmetic.
Is it just full-on sex or including other stuff?
Any type of sex.
Any type of sex whatsoever, so it's oral sex,
anal, given, received.
-Just as a guess. Is it more than 100?
-No. 80, 80. Write 80.
Can you check here, please,
and let me know which number option you would choose today?
We need a water sample first of all
to test for things like chlamydia and gonorrhoea.
We need to take a swab from the back of your throat
looking for the same infections, and a swab from the back passage.
So what you need to do is take the lid off, pop it up your bottom.
This is... That's what I needed to do. Not nice.
For Pam, the number of Lloyd's direct sexual partners
is only the tip of the iceberg.
He's got 80 partners in three months -
that's a lot of partners.
Now potentially if he comes back positive
and he last had a test, when was it?
2011. January 2011.
So you've got to then, if you come back positive,
trace all them partners, contacts that he's been with since then
because he's not had regular checkups.
The highest I've known was 150 and they were HIV positive.
I contacted quite a few of them
but you're not going to contact them all.
They might change phones, they might've moved.
You just do the best you can.
I mean we see lots of people, you know, like that, really.
He's not shy anyway, bless him.
With the appointments over, Lloyd and Skylar will begin the waiting game.
They'll find out their results within the next two weeks.
A serious infection would stop them working but, more importantly,
could change their lives for ever.
Hopefully, it'll be fine. Hopefully. But I don't know.
I haven't got a clue.
The odds are against me, let's just say that.
Like everyone that comes into the clinic,
Lloyd and Skylar didn't leave empty-handed.
Just say the word and you get a free gift.
So a little bag of condoms. Imagine that in your house.
That's a good night out.
Probably in a week you'd get through the whole lot.
They come in different sizes as well.
These are your regular size and you get large as well.
-Oh, and you get trim.
-And you get trim.
-For the, you know...
Um, but if you'll say to somebody, "What do you need?
"Is it regular or would you want large?"
they're like, "I'll have large, please."
-You go, "OK, then."
-Yes, I think everybody would...
I think everybody would like to be large, wouldn't they?
Martin has just been diagnosed with scabies
but now he has to let Marissa know
that she and her other housemates, and possibly their friends,
might also be infected.
-They tested me for everything.
Like went through absolutely everything
and obviously cos I said I had a bit of a rash,
-so they wanted to check that as well.
So they checked it and they got the doctor in and he checked it as well
-and they said it's scabies.
What the fuck is scabies?
It can be passed on through skin-to-skin contact.
-So you could've had it first and passed it on to me.
-It could've come from anyone.
-Yeah, yeah, fair one.
I think it was you.
But whoever the source of the infestation, there's no doubt
they need to warn their other housemates.
One of us is going to have to ring
and tell them we're going to the pharmacy to pick them up some stuff.
-Well, do you want to ring 'em?
-Who's got the phone?
-I've got the phone. Do you want me to ring 'em?
Oh, God. Shall I say it's me?
Just say that one of us has had contact with somebody
and because we all live together...
Um, me and Martin have been to the sexual health clinic today...
and, um... And one of us has got, um...
So, basically, we've got to go to the clinic and go and get...
No, we've got to go to the pharmacy.
We've got to go to the pharmacy and get some cream.
Cos we've got to put it on ourselves.
We've all got to put it on at the same time.
I don't know where you've got to put it. Where do you put it?
From your neck down to your toes. You've got to have a shower.
-You've got to have a shower.
-You put it all over.
-You've got to put it all over yourself.
-And leave it on.
-And leave it on.
-Do it a week later.
-And do it a week later.
-She's going to kill us.
You infected everyone, you fucker! No!
We're going to have to go to the pharmacy
-and get some cream for you.
-And the other two.
Come on, let's go get some cream on.
-If we don't do it, we'll never get rid of it.
-Come on, yeah.
With everyone now aware of the problem,
Martin and Marissa must get enough cream to treat the entire household.
-Sorry, it wasn't my fault.
-It's all right.
-Could've been yours.
-What, I could've had it and then given it to you?
After another busy day, the lights go out in the clinic.
And that's when Manchester's nightlife comes alive.
Jarmain and Francis spend their evenings
battle-rapping in Manchester's Northern Quarter.
You fuck so many slappers, mate, the clap is in ya
That shrivelled your cock to the size of a maggot
Now you wank with a finger.
I'll just murk him with banter.
What's his two favourite things in life? Herpes and Fanta.
What's his proudest achievement thus far? Cervical cancer.
WHISTLING AND APPLAUSE
Guess what he's got on his cock and rear? Gonorrhoea.
On his nipple tips he's got syphilis.
WHISTLING AND APPLAUSE
MUSIC STARTS UP
I choked. Well, I didn't choke
but I just like got my fucking lyrics muddled up.
-It happens sometimes.
-I told you, I'm a born winner, I'm a champion.
Today they've both been brought into the clinic
to have a sexual health checkup.
the only time I really have unprotected sex
or have had unprotected sex is either,
A, if I'm in a relationship,
or if I've just been absolutely slaughtered out of my face
and...and condoms are too fiddly.
I'm a little bit nervous because, like,
I don't know, it's just... I don't know why, I'm... I am, you know.
I don't really go out having sex
with any old skanky slapper or anything.
Just people who seem decent, like me.
Francis, do you want to come through? Hiya, come in.
-Hi, you all right?
-Have a seat.
Ta. Thank you.
Um, Jarmain. Hello.
Right, come this way, darling.
'Do you use condoms when you have sex?'
-Er, most of the time, try to, yeah, sometimes.
What about contraception?
Would you say you used condoms sometimes, always, never?
I just need a urine sample from you now.
As Francis pops to the toilet,
Celia is discovering Jarmain has a little fear.
So what is this now that you've got to do?
I'm doing a blood test, that checks for HIV and syphilis.
-Are you OK with rubber gloves?
-You're not allergic?
What have you got to do now?
-I'm going to take your blood.
-How do you take it?
With a needle. Look, it's a lickle baby needle, look.
Oh, my God.
We use this for babies. You won't even feel it.
-You're a man, man, be strong.
-I know but I don't like needles.
-Right, do you get fainty or anything?
Do you get fainty when you're getting your blood done?
Well, I get a bit dizzy and stuff.
Right, let's... Yeah, let's get you on the bed, then.
But, nah, I don't want to lie down,
-I'll just stay here because I don't want to...
-I'll just do it here.
-Are you sure?
All right. OK.
While Jarmain begins to panic...
Oh, flipping heck.
..Francis runs through some of his rap-battle insults with Alison.
-Got the lyrics here. Do you want to read them?
-I'll have a look,
I'm not doing it rapping.
It's a bit crude so you might not like it.
-Oh, I work here. Honestly, nothing shocks me.
Chron. "Chron goes hunting for sluts on pub-crawl bickers."
Oh, that's quite good. "Collects STIs the same way
we used to collect Pokemon cards and football stickers."
That's quite good, actually, isn't it?
-That's what I say.
-I'll bring me crew down.
Let's have a look at your arm.
Alison's clinic crew might enjoy
seeing rap battlers give each other needle,
but right now needle is the last thing Jarmain wants to see.
You'll be all right. Just a small scratch. You won't even feel it.
-Don't think about it.
-Please, God, help me now.
Goodness. You're going on like I'm going to murder you.
-I know but it...
-Right, just relax. Honestly.
Wait a minute, let me just... Oh, my God.
You won't even feel it when I push it in, believe me.
Straighten your arm for me. That's it, right, it's a small scratch.
Whatever you do, don't move.
Right, I won't.
Honestly, it won't hurt.
That's it, that's it.
Right, relax, hon, just think you're on the beach, having a rum, in Jamaica.
See, that's it. Are you all right?
-That weren't so bad.
-Yeah, see, what did I tell you?
-Put some pressure.
Did that hurt?
-No, it didn't.
-There you go.
-Do you want a drink of water?
Yeah, you do get some patients who do feel scared of getting...
but once I'm in they think they're all right.
It's just the thought of it, you know?
I ain't had no patient yet what's fainted. Yeah.
I have got the touch.
-Are you feeling all right?
-Yeah, I'm OK. I'm just a little bit dizzy
and I don't like needles and stuff,
so it's just made me a little bit queasy but I'll be all right.
-Are you all right, sweetheart?
-Yeah, I'm all right.
If you feel dizzy, just put your head down like that,
Yeah, between you arms like that.
-Right, you drink that.
You'll be all right.
-You all right?
-STI man. How you doing, man, you OK?
-Don't worry about it.
I've just been like winding him up
while I was obviously back there and he was in there, like just saying...
Oh, you been texting me or...?
You're a dyslexic epic failure with infected genitalia.
But, yeah, I hope it went well for him obviously.
I hope he hasn't got anything and...
I hope he's got AIDS and everything, to be fair, like!
Celia knows that relating to patients
in a way that they'll understand and appreciate
is a key skill for any sexual health worker.
I was going to say this to him. I was going to say
(RAPPING) "Jarmain, Jarmain, you know how to do it
"Just take me home and I'll show you how to do it
"I'll touch you and make it feel right
"So come on, let me and you do it tonight!"
We're not doing it tonight but you know what I mean. That's my rapping.
Like Jarmain and Francis,
19-year-old Chantelle has come into the clinic for a regular checkup.
Despite being in a relationship, she feels it's important to come to the clinic.
I come quite regularly.
I find it a bit embarrassing sometimes
but when you come, you just get used to it.
But today Chantelle is here for more than just a standard sexual-health check.
-Have a seat, Chantelle.
OK. What can we do for you today?
-Um, just a sexual-health screen.
-And a pregnancy test, please.
-OK, that's fine.
Having had unprotected sex with her boyfriend,
Chantelle believes she could be pregnant.
-Are you on any contraception?
So you're not sure... You want a pregnancy test today
-but you're not sure whether you're pregnant?
-I'm two weeks late, though.
I feel that I should use some sort of contraception
but, like I say,
if I was sleeping with more than one person on a regular basis,
then yeah, I would,
but because I trust my partner and he trusts me,
we have that kind of agreement where we're just having casual sex,
unprotected casual sex.
Like everyone that comes to the clinic,
Chantelle is asked some personal questions.
Have you ever had sex with anyone that's bisexual
or known to have HIV?
-When you have sex with your partners, do you give oral sex?
You do. OK. And do your receive any anal sex?
You shouldn't be scared of coming to the clinic to get tested
cos a few of my friends don't really like it
cos of the embarrassment
or they feel like people are going to judge them and stuff,
but you should just come and get checked out for your own health.
-Will you just tip your head back for me and say "ah"?
-Does that not hurt in your mouth, that stud?
-Does it not feel weird?
-Don't get your dinner round it or anything?
So that's your test done.
-so we've tested you for gonorrhoea and chlamydia.
And HIV and syphilis. And I'll go and test your urine now.
-What I'd ask you to do is go and wait in the female wait.
I'll call you when your results are ready. Is that all right?
-Yeah, that's fine, yeah. Thank you.
-No problem at all.
Chantelle will find out within two weeks
whether she has caught any STIs.
But it'll only be a short wait to discover if she is pregnant.
It's been a fortnight
since Heidi came in for her six-monthly sexual-health checkup.
Having caught chlamydia as a teenager,
regular testing has become the norm.
Today she'll get the results of her latest test.
I feel happy.
I feel relieved.
Heidi is meeting up with her friend Sinead
to celebrate her negative result.
But she's preoccupied by her fear
that chlamydia may already have done irreparable damage
to her reproductive organs.
I still don't know whether I'm fertile or infertile
but I think that... Every single time I go,
it is a relief to know that I haven't got anything
and it's not going to make me worse than what I already am.
I feel like there's a part of me
that will never be able to be 100% happy
because I can't have children, and I know I don't know
but, you know, I've not...
I've been in relationships for many years now
and in those relationships I've had unprotected sex for the majority of the time
and I've never got pregnant and it absolutely kills me.
You've not been told definitely though, have you?
I still don't know but it doesn't look good.
Heidi has been referred by her GP to see a fertility expert
for a preliminary examination.
It won't give her any conclusive answers
but it could help allay her worst fears.
I would like to find out if I'm infertile or not.
I already think I am
but if I knew for definite, then at least I can then try and...
and deal with it better, um, and look at other options,
whereas at the moment I'm sort of... I don't know
and secretly, deep down inside, I'm praying that I'm not,
so I would... I would really like to find out.
Chantelle came into the clinic for her regular sexual-health check,
and also to find if she's pregnant.
Its one of the many services the clinic provide to their patients.
With the test complete, Alison can now give Chantelle the result.
-So we've got your pregnancy test results back.
-And it's come back positive.
-So that means you're pregnant.
-Are you all right about that?
-Are you quite happy?
With regards to your tests,
it takes two to three weeks for everything to come back.
When we get your results, we'll be in touch. We'll text you...
-Yeah. That's fine.
-But that's everything sorted.
-You're welcome. I'm pleased to deliver some good news for you.
At the clinic it's not often a positive test result
gets such a positive reaction.
I'm happy, I'm really happy.
I'm just a bit shocked...but happy!
Chantelle will get the results of her sexual-health screening
within two weeks.
Getting the all-clear is now even more important -
as any STI could harm her unborn child.
Young women like Chantelle are a high-risk group
with two thirds of new STIs being reported by them.
And you wanted a full screen today including HIV testing, yeah?
-Let's have the whole lot.
Condoms - would you say you use never, always, sometimes?
Never. Slap my wrist.
So you've said you've noticed an abnormal smell, is that right?
-Have you ever had a sexually transmitted infection?
That you're aware of? No.
That's my worst nightmare.
When was the last time that you had any sexual contact?
-Was that protected or unprotected?
It's bad when you have to think.
-Have you ever been paid for sex?
Do you receive anal?
If you'll just open your mouth and go "ah".
-Let's get right at the back of those tonsils.
-Like you do at the doctor's.
-That's it. Done. Worst bit.
-That is ming.
It's horrible. Horrible thing to have shoved down your throat.
Yeah. It is. Urgh.
Working in sexual health means Alison sees first hand
the way sexual habits of young people have changed over time.
When I was a teenager, which was quite some time ago now,
we didn't tend to have sex until we were quite a bit older
and nowadays I think young people are having sex
at an earlier age outside relationships.
I think it's just something that they do now.
They just tend to have sex quite early.
I think now it's almost become like a recreational thing
It's just think it's the lifestyle young people have today.
It's just something they do. They have sex. They have lots of different partners.
Two weeks ago Jarmain and Francis came into the clinic for a checkup.
Having had unsafe sex in the past, both are eager to find out their results.
I know my test is going to come back good so...
-I'm not really worried about anything.
Says you! If anyone's got anything, it'll be you, mate.
Both Jarmain and Francis have requested a text
if their results are negative,
so a phone call would indicate a positive result.
You've got AIDS! Get to the clinic.
I've got a text.
"Your most recent test results from MCSH," whatever that means,
Yes. And also a girl texts me.
"Afternoon, Francis, nice to meet you."
-Sorted. They should text you now, I reckon.
Francis gets the all-clear
but then Jarmain gets a nasty surprise.
-INDISTINCT VOICE ON PHONE
-Yes, it is.
I'm not interested, mate, thank you.
INDISTINCT VOICE ON PHONE
I want my fucking results. I don't want to buy a new phone!
-There you go.
"Your most recent test results
from MCSH are negative."
-I panicked a little bit
because I knew I was going to get a text.
I'd panic if I got a fucking phone call just like that.
The guy goes, "Hello, is that Jarmain?"
I've gone, "Yeah." He's gone...
That must've shit... I would've shit me up right now.
He's gone, "I'm from the Carphone Warehouse.
"Do you want to buy a phone?"
My fucking heart went zzzz down! Oh, mate!
Having got the all-clear, Jarmain and Francis know that
neither have gonorrhoea of the rear or syphilis of the nipple tips.
-So it's back to...
Back to you choking in battles and banging hos bareback, is it?
And back to you being a twat.
Gay porn star, Lloyd, has received a call from the clinic
and has been asked to come in to get the results of
his first sexual health check in over a year.
When they did your rectal swabs,
it did come back positive on the culture.
-It's grown to say you have gonorrhoea.
Again, on the throat swab, on the one they sent away,
that one came back positive for chlamydia and gonorrhoea as well.
All right? The treatment we'll give you is a tablet and an injection.
Gay men like Lloyd represent one third of all gonorrhoea cases
and it's the fastest-growing STI.
Despite getting gonorrhoea and chlamydia,
Lloyd is lucky not to have caught anything worse.
But while these infections are treatable,
he faces the more immediate problem of not being able to work.
Because it is a sexually-transmitted infection,
that means no sex for two weeks.
-At all. All right?
Because what you could be doing is transmitting that infection
to other people then.
With the prospect of not being able to make films for up to two weeks,
Lloyd is desperate to find a way to get treated,
but also continue working.
I would strongly suggest that you would have your treatment today.
But you have to, sort of, weigh up what you want to do, really.
Do I have to take them here?
Could I not go to the shoot, take them after the shoot?
Unfortunately not, I have to give it to you here, cos it's an injection.
My housemate's a nurse, he can inject me!
Well, unfortunately we're not licensed to allow you to do that.
How many clients have you got lined up? Any...
In the next two weeks?
Um... About four?
And does that represent quite a lot of money to you, then?
Yeah, probably about... over a thousand.
Right, so it's significant.
Having two STIs, Lloyd knows that tomorrow's bareback porn shoot
is off, and the sooner he gets treatment, the better.
-I can understand your quandary.
But, again, if you kind of think a wee bit more about you.
I'll have the thingy today, the treatment today.
-And then you come back in two weeks.
-What's that treatment?
-So, the treatment is an injection.
-The injection's given into your bottom.
Basically, when I say into your bottom, it's not in your rectum.
-It goes into your bum cheek.
The injection's given, sort of, up here, so...
-Does it leave a mark?
-It will leave a tiny wee pin prick.
With Lloyd agreeing to be tested, Fiona has one last challenge.
Basically I need to get a list of all your partners
in the last three months.
-I don't know.
Any that you do know, or any that you know that you can contact,
-because they also will need to be treated.
I actually haven't got a clue of the majority of them.
With 80 partners in the last three months alone,
it's not surprising that Lloyd is having trouble remembering.
If you can give me details of who you do know.
-I haven't got them on me.
-Oh, right, OK.
I'd have to, like, go home,
-look at diaries and laptops and everything.
So, when you come back in, in a couple of weeks, if you can bring
a list of people that you can contact, that would be perfect.
Just from the last three months, or the last year?
-Well I think...
-I haven't been for a year!
Well, I've noted you've got 80 partners in the last three months.
That was optimistic!
We don't know how long he's had gonorrhoea and chlamydia.
He could've had it for a while, so, within that three months,
he's potentially infected 80 people.
OK, so just lie on there for a second, while I just put my pinny on.
Our side of things now have to look at it in view of trying
to get as many people as we can treated,
or in to be tested, at least.
So, it's trying to find out whether he can get that information,
so that we can try and get in touch with people, on his behalf.
Put your arm over there and just keep this nice and relaxed.
'He has to be responsible now because he has an infection'
and he knows about it, so this is why it was
quite strongly suggested he will not have sex for the next two weeks.
'Let's say I've been with, I don't know, 100 people'
in the past year, if each one of them
have only been with one person,
that's like 200, and then each of them...
You can see how it spreads so easily, so yeah. It's bad.
I don't think in a lifetime I could possibly have 80 partners, so...
Never mind in three months, so, that's why, working in that industry,
it's incredibly important that they are checked,
they are monitored and they are treated immediately.
I actually haven't got a clue about half of them.
Not because I was like... just because, like...
I don't need to know the name
for the time period I'm with them, so...
But Lloyd won't be left on his own to contact all his ex partners.
If he can provide details to the clinic,
they'll contact them directly
to suggest they come in and get checked out.
For Pam and the other clinic staff, tracing the sexual contacts
of infected patients, like Lloyd,
is a tricky but necessary part of the job.
So we have a folder, we have a folder
and it gives, obviously, people's contact details.
So, I can phone up somebody saying, "Hi, I'm one of the health advisers.
"I'm just phoning you just to inform you that you may have been
"in contact with a sexually-transmitted infection."
So then they're aware that they've got it,
Now, then it's up to that person to come in and get a check up.
But we can't walk them in.
They have to make that decision and, you know, walk in themselves.
Having found out he has caught both chlamydia
and gonorrhoea, Lloyd meets his best friend, Skylar, to see
if he's caught anything worse.
When do you think you'll get your results, then,
cos it's been, like, two weeks today.
Yeah, you've got everything.
If it takes longer - this is what the nurses said to me,
in this one place -
if it takes longer, then you're less likely to have it.
Why? That doesn't make sense.
They make it an emergency thing if you've got something.
Despite knowing a serious infection could change their lives
and end their porn careers, both are still taking risks.
-I've had unprotected, since.
I've had no unprotected, for months.
-I haven't. I've been really good.
-I think I have.
Excluding one person, I haven't had unprotected for about
-three months, four months.
Yeah, like even if it comes back negative,
I'm going to have to go again, anyway, soon.
As the two weeks since his test have passed,
Skylar calls up the clinic direct.
Hello, Manchester Centre for Sexual Health.
Hey, I just want to get my results.
OK, can I check your name, please, and your date of birth?
'Right I'll just go through your results for you.'
So, your HIV and syphilis test came back negative. OK?
Yeah, that's brilliant. Is that all of it?
'No, everything else came back negative as well.
-'Gonorrhoea and chlamydia was also negative.'
What we did find, though,
was that you don't have enough immunity to hepatitis B.
Now, you had your third vaccine when you came into clinic, didn't you?
'So, just to remind you that you need to have a blood test done
'in six weeks time to make sure
'you've got enough immunity against hepatitis B.'
-Oh that's cool, OK. Thank you.
-'All right then.'
'No problem. OK, see you, bye-bye.'
-Shut up, shut up.
-Who's the slag now?
Heidi's come to the Hewitt Centre in Liverpool,
one of the leading fertility clinics in the country.
For last 13 years she's been consumed by the worry that a bout
of chlamydia has done irreparable damage to her reproductive organs.
Today, she may begin to get some answers.
I've been feeling very nervous.
Nervous and excited, cos it's something that I really want
to know, and I think, once I know,
I'll maybe be able to move on with my life and start...
Rather than dwelling on it, I can hopefully
make positive changes to my life, maybe if I know how to...
that I might need IVF, maybe start saving up for it
and things like that.
The thing that we're worried about with you is
-your chlamydia and what's it done.
Now, the thing about chlamydia is that what chlamydia
does to girls, it causes
an intense endosalpingitis,
that means it causes inflammation
in those fallopian tubes.
Female's enemy number one, because what it does,
it affects the cilia,
the little hairs.
Chlamydia is one of our biggest enemies, because if
there wasn't chlamydia, our workload would drop tremendously.
Heidi will undergo only a preliminary ultrasound examination.
It can't give conclusive answers
about her fertility, but the professor
will be able to see any major damage to the reproductive organs.
-So what we do is we just put the tip of the probe in.
-Not the whole thing.
-All right? So just try and...
Obviously, easiest thing in the world for me to say, just relax.
Now if you want to look at this, Heidi, we can see all your bits.
-You can actually see this thing here, can you see that there?
-That's your uterus.
And if you look at the size and dimensions,
that's a perfectly normal uterus.
-OK? So, that's good.
What we do, now, is to just move around a bit and see
whether we can see your ovaries.
Now there's one of your ovaries, just there, OK?
It's a bit big, but it's fairly normal.
There's a bit of breakfast moving around, can you see it?
Then we swing round here.
We're looking for something that might be...
look like a big black sausage,
that's your fallopian tube sticking out of your uterus.
-There's one there. OK, it's just there.
And if you scan around the length of it, looks normal.
-It looks normal?
-Yeah, that looks normal.
It certainly doesn't look dilated.
I can't tell you for sure whether it's normal,
but what I can tell you that it doesn't look really abnormal.
It sounds good, but, yeah, I really don't know.
I don't know what... Yeah. I'll see what he says
and what he can tell me.
To find out conclusively whether she is infertile or not,
Heidi would need to undergo further tests.
What we'd need to do for you to assess your fertility,
is we'd need to check
-your egg quality.
But, also, we'd need to check
your fallopian tubes.
I've done that scan and it looks OK
but the only way to check
or to prove that they work
is for you to have a baby.
I know that sounds a bit daft,
but that's the only way to
unequivocally prove it.
The next thing we'd need to do is an X-ray.
So what we'd do is we inject some dye through the fallopian tube,
up through the uterus and into there.
We X-ray it, as it goes up.
Until Heidi has a partner with whom she's trying to conceive,
none of these invasive procedures are appropriate.
Obviously, OK, just say I meet someone
and then we're trying for a baby and then they find out
that my fallopian tubes are damaged, is there any way to rectify that?
Can they be un-damaged,
can they unblock the hairs, or is it just IVF, or will IVF not work?
This is one of the things that is a bit of a myth,
that if you've got a block to your fallopian tube - you've just hit the
nail on the head - you can make it unblocked, you can chisel it out,
but you can't re-generate those cilia, those little hairs.
-They've gone for ever, OK?
So what we would normally recommend, if your tubes are blocked,
or you've been trying for a baby for a long time - IVF.
After 13 years of worry, Heidi finally has some hope.
And your chance of getting pregnant, is actually very good.
It's higher than your chance of not getting pregnant.
-Provided your eggs are OK.
And the sperm's OK.
She now knows that if all the necessary tests showed
she did have a fertility problem, IVF would be an option.
See if you said to me,
"Right, you know, gut feeling are you going to have a baby?"
-I'd say, "Yeah."
Yeah. And this idea of saying, "You've only got a 10%..."
-Where did they get that from?
-I don't know.
It's, like, it's upset me so much throughout my life,
because I just...I feel like I can't
even be in relationships because I feel like I need to tell them,
straightaway, that I don't think I can have children and I don't know.
Well, I wouldn't tell them that. Have some of those.
-It's all right.
It's the reassurance Heidi was hoping for.
It's not what I expected at all.
I was preparing myself for the worst.
I thought I was going to find out that I was infertile.
Even though I might not be able to get pregnant naturally,
the option of IVF is a possibility, so I am... I'm really, really happy.
Eager to share the news, she calls her friend, Sinead.
The doctor's basically said that he can't see any problems,
and he thinks that I would definitely be able to have children.
'Oh, Heidi, that's such good news!'
I know. So I've just got to meet the right man, now.
I just wish that I'd been given the right information
from people in the past.
The doctor told me I had a 10% chance of being able to have children,
and that's what I've sort of like based my whole life on, really,
and to find out that that isn't the case, it's just...
I just feel really happy.
'Oh, I'm so happy for you. It must be such a relief.'
It is. It is lovely.
Next time on Unsafe Sex In The City...
And have you ever had a sexually transmitted infection in the past?
-I've had chlamydia three times.
It was a decision I was making and it ultimately was the wrong one.
I can't actually see any of this discharge.
I'm calling cos I just got a message from the clinic.
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