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This programme contains some strong language | 0:00:02 | 0:00:07 | |
Britain is in the grip of an epidemic | 0:00:07 | 0:00:09 | |
of sexually transmitted infections. | 0:00:09 | 0:00:11 | |
-Everyone's shagged everyone. -Urrrgh! | 0:00:12 | 0:00:15 | |
Behind every rash, lump and itch... | 0:00:15 | 0:00:17 | |
Men will come in with pus coming out everywhere. | 0:00:17 | 0:00:20 | |
-And you said some itching around the back passage? -Yeah. | 0:00:21 | 0:00:24 | |
..is a patient terrified they may have caught an STI. | 0:00:24 | 0:00:26 | |
What is scabies? | 0:00:27 | 0:00:29 | |
This series follows the staff as they treat patients | 0:00:30 | 0:00:33 | |
at the Manchester Centre for Sexual Health. | 0:00:33 | 0:00:35 | |
Some of the things you see, | 0:00:35 | 0:00:36 | |
especially when you see herpes and warts, | 0:00:36 | 0:00:38 | |
some of them look really nasty. | 0:00:38 | 0:00:39 | |
I'm going celibate! | 0:00:39 | 0:00:41 | |
And we work with the clinic to invite Manchester's young people | 0:00:41 | 0:00:46 | |
to get checked out... | 0:00:46 | 0:00:47 | |
Was it protected or unprotected? Unprotected | 0:00:47 | 0:00:50 | |
-One, two, three. -Agh, I can feel that. | 0:00:50 | 0:00:52 | |
That has actually come back positive for gonorrhoea. | 0:00:52 | 0:00:55 | |
..before learning how the fallout from unprotected sex... | 0:00:55 | 0:01:00 | |
It's going up in increments, mate. | 0:01:00 | 0:01:01 | |
Next it'll be syphilis with holes in your cock. | 0:01:01 | 0:01:03 | |
..affects them... | 0:01:03 | 0:01:04 | |
WOMAN MOANS | 0:01:04 | 0:01:06 | |
I feel like it's ruined my life. | 0:01:06 | 0:01:07 | |
MAN GROANS | 0:01:07 | 0:01:09 | |
Hey, I just want to get my results. | 0:01:09 | 0:01:10 | |
..and their relationships. | 0:01:10 | 0:01:12 | |
I'm calling because I just got a message from the clinic. | 0:01:13 | 0:01:17 | |
This week Lloyd opens up about his prolific sex life. | 0:01:21 | 0:01:24 | |
How many partners have you been with in the last three months? | 0:01:25 | 0:01:28 | |
With a straight face. | 0:01:28 | 0:01:30 | |
Just as a guess. Is it more than 100? | 0:01:30 | 0:01:33 | |
-No, 80, 80. Write 80. -Right. | 0:01:33 | 0:01:35 | |
Housemates Martin and Marissa learn the hard way | 0:01:37 | 0:01:39 | |
just how easily some problems can spread. | 0:01:39 | 0:01:43 | |
No! You infected everyone! | 0:01:44 | 0:01:46 | |
And Heidi deals with the life-changing consequences of catching an STI. | 0:01:47 | 0:01:52 | |
I feel like I can't even be in relationships | 0:01:52 | 0:01:55 | |
cos I feel like I need to tell the truth that I don't think I can have children. | 0:01:55 | 0:01:58 | |
The Manchester Centre for Sexual Health is gearing up for another manic day. | 0:02:17 | 0:02:22 | |
Hello, can I help? | 0:02:22 | 0:02:24 | |
-Have you been here before? -Yes. -If you'll just take a seat. | 0:02:25 | 0:02:28 | |
Number 12, please. | 0:02:28 | 0:02:29 | |
Seeing nearly 100 people every day, | 0:02:29 | 0:02:31 | |
the staff are used to dealing with the influx of patients | 0:02:31 | 0:02:34 | |
potentially riddled with STIs. | 0:02:34 | 0:02:37 | |
Yeah, it's very busy, very demanding. | 0:02:38 | 0:02:40 | |
You just get to meet lots of different people. | 0:02:40 | 0:02:44 | |
Characters. | 0:02:44 | 0:02:45 | |
Characters. Perfect word - characters. | 0:02:45 | 0:02:47 | |
Busy day ahead, ladies? | 0:02:49 | 0:02:50 | |
You don't know what you're going to get, | 0:02:50 | 0:02:52 | |
so we'll have to see what comes in. | 0:02:52 | 0:02:54 | |
Why would anybody want to work with people's bits? | 0:02:57 | 0:02:59 | |
Cos it is a slight conversation stopper. | 0:02:59 | 0:03:02 | |
You say to someone, "What's your job?" "I'm a nurse." | 0:03:02 | 0:03:05 | |
"Interesting. What do you do?" | 0:03:05 | 0:03:06 | |
"I work in sexual health." and they're like, "OK, moving on." | 0:03:06 | 0:03:11 | |
It's when you get your friends say, | 0:03:11 | 0:03:13 | |
-"Can you have a look at a spot on my bits, please?" -Yeah. | 0:03:13 | 0:03:16 | |
You think, "No, you're stepping over the line now!" | 0:03:16 | 0:03:18 | |
Exactly. | 0:03:18 | 0:03:19 | |
However, when the clinic doors open, the staff are more than happy | 0:03:19 | 0:03:23 | |
to look at your bits, no matter what state they're in. | 0:03:23 | 0:03:27 | |
Just have a seat. | 0:03:29 | 0:03:30 | |
-Um, I think I might have a few little warts. -OK. | 0:03:30 | 0:03:34 | |
-And then there's some, er, ulcers I'd like you to look at as well. -OK. | 0:03:34 | 0:03:38 | |
So you've got some discharge, is that right? | 0:03:38 | 0:03:40 | |
-Do you have any pain when you go for a pee? -Yep. | 0:03:40 | 0:03:43 | |
I didn't really do anything bad till I was about 20 | 0:03:46 | 0:03:49 | |
and now I'm just dealing with regrets. | 0:03:49 | 0:03:51 | |
There's quite a bit of discharge there, isn't there? | 0:03:51 | 0:03:53 | |
After that happened, I was pretty much like, | 0:03:53 | 0:03:55 | |
"I'm done having sex this year." | 0:03:55 | 0:03:58 | |
We need to do a wee swab from your bum, is that OK? | 0:03:58 | 0:04:00 | |
OK. | 0:04:00 | 0:04:02 | |
Oh! | 0:04:02 | 0:04:03 | |
Oh, be careful. Sorry. Be careful. | 0:04:03 | 0:04:06 | |
-Are you all right? -Yeah. | 0:04:06 | 0:04:08 | |
-Have you had this done before? -Yeah. | 0:04:08 | 0:04:10 | |
It only takes a second, just bear with me. | 0:04:10 | 0:04:13 | |
-Oh, it's not that bad. -Told you I was gentle. | 0:04:13 | 0:04:16 | |
It was much more painful last time. | 0:04:16 | 0:04:18 | |
Oh, actually, while we're here... Yes, go on, while we're here... | 0:04:18 | 0:04:21 | |
20-year-old housemates Lloyd and Skylar | 0:04:28 | 0:04:31 | |
are in a gym just off Canal Street in Manchester's glitzy gay village. | 0:04:31 | 0:04:35 | |
We'll go on the sunbeds, then we'll go for a drink | 0:04:37 | 0:04:40 | |
and then you can go home and fake-tan. | 0:04:40 | 0:04:44 | |
Lloyd moved to Manchester 12 months ago | 0:04:45 | 0:04:49 | |
and met best friend Skylar at work. | 0:04:49 | 0:04:50 | |
As young, free, single boys about town, | 0:04:52 | 0:04:54 | |
the last thing they worry about | 0:04:54 | 0:04:56 | |
is being in a safe, stable relationship. | 0:04:56 | 0:04:58 | |
I want to commit if I'm in a relationship, not like you. | 0:05:00 | 0:05:03 | |
-I'm good! -You're not. | 0:05:03 | 0:05:05 | |
-I've only been out... -Once. -..just over a year though! | 0:05:05 | 0:05:07 | |
I've only been out since I was 18 and a half. | 0:05:07 | 0:05:09 | |
I hadn't had sex before. | 0:05:09 | 0:05:10 | |
-Really? -I'm not like you and start at, like, 12. | 0:05:10 | 0:05:14 | |
I did not start at 12. I came out when I was probably about 15. | 0:05:14 | 0:05:18 | |
Yeah. you probably have slept with more people, though. | 0:05:18 | 0:05:21 | |
-Make up for lost time. -That's true. | 0:05:21 | 0:05:23 | |
Although Lloyd has had a prolific year since coming out, | 0:05:23 | 0:05:26 | |
it's Skylar that holds the record for most men in one night. | 0:05:26 | 0:05:30 | |
Oh, yeah, your new year! | 0:05:30 | 0:05:33 | |
-Oh, I went in a sauna at new year. -How many did you have that day? | 0:05:33 | 0:05:35 | |
-It was like about... -Six? -About five. No. | 0:05:35 | 0:05:38 | |
Did you catch anything then? | 0:05:38 | 0:05:40 | |
I think that's when I probably... | 0:05:40 | 0:05:42 | |
I think that's when I got gonorrhoea, I think. | 0:05:42 | 0:05:44 | |
OK, here you go, then. | 0:05:44 | 0:05:46 | |
That's fine for me, so masturbation, masturbation, masturbation... | 0:05:46 | 0:05:50 | |
That's lovely, don't pout. | 0:05:50 | 0:05:52 | |
Away from their private sexploits, | 0:05:52 | 0:05:54 | |
Lloyd and Skylar earn a respectable living in the porn industry. | 0:05:54 | 0:05:58 | |
When we get to that part of the scene, | 0:05:59 | 0:06:01 | |
it has to look like you and Skylar are on the desperate stakes. | 0:06:01 | 0:06:05 | |
-I hate acting. -I hate acting. | 0:06:05 | 0:06:07 | |
So, oh, just shag me! I don't want to act! | 0:06:07 | 0:06:11 | |
Lloyd first started working in porn to earn a bit of extra cash. | 0:06:11 | 0:06:15 | |
But seven months later, and he's now appeared in 40 films. | 0:06:15 | 0:06:20 | |
My first shoot was in Manchester. Um... | 0:06:20 | 0:06:22 | |
It was just a straightforward duo. | 0:06:22 | 0:06:24 | |
The DVD was called Well Hung Virgins. Yeah, right. | 0:06:26 | 0:06:30 | |
It all went from there. | 0:06:30 | 0:06:31 | |
Right, fellas, so it's the same routine as usual. | 0:06:31 | 0:06:34 | |
Just chuck 'em and say you may as well join in. | 0:06:34 | 0:06:37 | |
And down you come. You've given in. | 0:06:37 | 0:06:40 | |
And then it's feeding time at the zoo. | 0:06:40 | 0:06:41 | |
As well as their own careers being dependent on their sexual health, | 0:06:43 | 0:06:46 | |
it also affects other actors and crew. | 0:06:46 | 0:06:50 | |
Oh, sexual health is absolutely key, | 0:06:50 | 0:06:52 | |
both for the industry, because it would shut us down, | 0:06:52 | 0:06:54 | |
it would close us really quickly, so there's a huge cost implication | 0:06:54 | 0:06:58 | |
to having an outbreak of any STI and also to the boys themselves. | 0:06:58 | 0:07:03 | |
And they understand that their job depends | 0:07:03 | 0:07:05 | |
on looking after their sexual health and their physical health, | 0:07:05 | 0:07:08 | |
and also making sure they're checked regularly. | 0:07:08 | 0:07:12 | |
Both Lloyd and Skylar have been cast in a new movie | 0:07:13 | 0:07:15 | |
being made in Manchester | 0:07:15 | 0:07:17 | |
and need negative test results if they are to perform. | 0:07:17 | 0:07:20 | |
It'll be Lloyd's first condom-free "bareback" movie, | 0:07:20 | 0:07:24 | |
so a positive test result would make taking part impossible. | 0:07:24 | 0:07:28 | |
You will get paid like extra and stuff if it is, like, bareback, | 0:07:29 | 0:07:32 | |
so if you don't use protection you do get paid more, | 0:07:32 | 0:07:35 | |
although you are meant to, like, check up like regularly. | 0:07:35 | 0:07:38 | |
Like once a month. | 0:07:40 | 0:07:42 | |
Not once every two years. | 0:07:43 | 0:07:44 | |
If they report the fact they've got an STI, | 0:07:44 | 0:07:47 | |
that would be it for them. | 0:07:47 | 0:07:48 | |
Depending on what it was, it might mean they'd be out of action for a few weeks, | 0:07:48 | 0:07:51 | |
they might be out of action for a very long time | 0:07:51 | 0:07:53 | |
or it may need a completely new education if it was something like HIV. | 0:07:53 | 0:07:57 | |
Having not had a test in over a year, | 0:07:58 | 0:08:00 | |
Lloyd is at high risk of having gonorrhoea, chlamydia, syphilis or HIV. | 0:08:00 | 0:08:05 | |
Even unprotected oral sex is risky | 0:08:05 | 0:08:08 | |
with nearly a fifth of gonorrhoea cases being detected in the throat. | 0:08:08 | 0:08:13 | |
Er, I really need to go for a test. | 0:08:13 | 0:08:16 | |
You really do need to go. You really do need to go. | 0:08:16 | 0:08:19 | |
I'm dreading it. I actually am. Cos... | 0:08:19 | 0:08:22 | |
You might have a whole set. | 0:08:22 | 0:08:23 | |
With so much at stake, they'll be hoping the unsafe sex they've had | 0:08:23 | 0:08:28 | |
won't come back to haunt them. | 0:08:28 | 0:08:30 | |
PHONE RINGS | 0:08:42 | 0:08:44 | |
Hello, Manchester Centre for Sexual Health, can I help you? | 0:08:44 | 0:08:47 | |
For the nurses at the clinic, appearing in porn is nothing | 0:08:47 | 0:08:50 | |
compared to some of the sexploits they hear about. | 0:08:50 | 0:08:53 | |
Well, I was quite naive before I worked in sexual health, | 0:08:53 | 0:08:56 | |
I've got to be honest. | 0:08:56 | 0:08:57 | |
I didn't know half the things, I suppose. | 0:08:57 | 0:08:59 | |
There was like this guy... | 0:08:59 | 0:09:01 | |
Have you ever seen | 0:09:01 | 0:09:02 | |
when the gay men wear the leathers with the bum hole missing? | 0:09:02 | 0:09:06 | |
You know they wear the leather pants | 0:09:06 | 0:09:08 | |
but they have the ones that look like they're about to ride a horse or something. | 0:09:08 | 0:09:14 | |
-The chaps? Chaps. -Yeah. -Yeah. | 0:09:14 | 0:09:16 | |
And they have... And this guy said he was a bouncer in an all-male club | 0:09:16 | 0:09:20 | |
and, um, he said, "I never got why people wore those," he said, | 0:09:20 | 0:09:24 | |
"but I watched them once and this guy went up and fisted him." | 0:09:24 | 0:09:27 | |
Single student Heidi has come to the clinic | 0:09:33 | 0:09:36 | |
for her regular six-monthly checkup. | 0:09:36 | 0:09:39 | |
It's something she's always done since catching an STI as a teenager. | 0:09:39 | 0:09:43 | |
When I was 18, um, I was living down in Cornwall | 0:09:45 | 0:09:48 | |
and I was with a boyfriend. I'd been with him about a year | 0:09:48 | 0:09:53 | |
and I started to get really bad pains in... | 0:09:53 | 0:09:55 | |
It seemed like in my abdominal area | 0:09:55 | 0:09:58 | |
and I wasn't... didn't know what it was, | 0:09:58 | 0:10:00 | |
and when I went to the doctors they said I should go to an STI clinic. | 0:10:00 | 0:10:04 | |
I got tested and they said that I had chlamydia. | 0:10:04 | 0:10:06 | |
Right, so I just need to run through some questions with you. | 0:10:06 | 0:10:09 | |
-Do you take any contraception? -No. -No. | 0:10:09 | 0:10:11 | |
-Do you use condoms when you have sex? -Yes. -You do. | 0:10:11 | 0:10:14 | |
Is there any reason that you're not taking any contraception at all? | 0:10:14 | 0:10:18 | |
-Um, I don't think I can get pregnant. -You don't? OK. | 0:10:18 | 0:10:21 | |
What makes you think you can't get pregnant? | 0:10:21 | 0:10:23 | |
-Cos I had chlamydia. -OK. | 0:10:23 | 0:10:26 | |
Chlamydia, if left untreated, | 0:10:26 | 0:10:28 | |
can cause serious fertility problems for women. | 0:10:28 | 0:10:31 | |
Around half of those infected with chlamydia | 0:10:31 | 0:10:34 | |
won't experience any symptoms and may be spreading the infection | 0:10:34 | 0:10:38 | |
and doing damage to their reproductive organs without even realising. | 0:10:38 | 0:10:43 | |
And did you get your treatment and everything? | 0:10:43 | 0:10:45 | |
I did, and then they said I had about a 10% chance of being able to have kids. | 0:10:45 | 0:10:48 | |
-And who said that to you? -That was my doc... That was at the GUM clinic. | 0:10:48 | 0:10:52 | |
-The GUM clinic. -Yeah. | 0:10:52 | 0:10:53 | |
I just don't think I can have children. | 0:10:53 | 0:10:56 | |
I see all my friends and family having babies | 0:10:56 | 0:10:58 | |
and everyone around me | 0:10:58 | 0:11:00 | |
and I go onto Facebook and it's all pictures of families | 0:11:00 | 0:11:03 | |
and their young children and I don't think I'll ever have that. | 0:11:03 | 0:11:06 | |
Chlamydia is the most common STI in the UK | 0:11:07 | 0:11:11 | |
with over 160,000 cases last year. | 0:11:11 | 0:11:14 | |
And 18- to 25-year-olds are the age group | 0:11:14 | 0:11:17 | |
most likely to be carrying the infection. | 0:11:17 | 0:11:20 | |
I don't think a lot of people are aware of the risks and stuff. | 0:11:21 | 0:11:25 | |
I didn't know you could get even chlamydia in your mouth | 0:11:25 | 0:11:28 | |
and gonorrhoea in your throat or anything like that, | 0:11:28 | 0:11:31 | |
so I just think a lot of young people are really... | 0:11:31 | 0:11:33 | |
They're not aware of the risks. | 0:11:33 | 0:11:35 | |
They think you can come in and take some tablets and it's gone. | 0:11:35 | 0:11:38 | |
I think there is a little bit more complacency | 0:11:38 | 0:11:40 | |
with things like chlamydia. | 0:11:40 | 0:11:42 | |
I mean, if you sort of said to somebody, | 0:11:42 | 0:11:44 | |
"It could stop you from having children | 0:11:44 | 0:11:46 | |
"in the future," then you might think of it in a different way. | 0:11:46 | 0:11:50 | |
But while there CAN be serious consequences, | 0:11:50 | 0:11:53 | |
Alison knows it's far too soon for Heidi | 0:11:53 | 0:11:56 | |
to give up hope of having children all together. | 0:11:56 | 0:11:59 | |
Unless you've been investigated with regards to your fertility, you know, | 0:11:59 | 0:12:03 | |
there's no way of knowing whether you can have children or not. | 0:12:03 | 0:12:07 | |
There is a risk that you could have fertility problems | 0:12:07 | 0:12:09 | |
but I would suggest, once you're in a relationship with someone, | 0:12:09 | 0:12:12 | |
get investigated further. | 0:12:12 | 0:12:14 | |
Due to her extreme anxiety over the issue, | 0:12:14 | 0:12:17 | |
Heidi has asked her GP to refer her to a fertility consultant | 0:12:17 | 0:12:20 | |
in the hope of allaying some of her worst fears. | 0:12:20 | 0:12:24 | |
I think it's important that you take it further. | 0:12:24 | 0:12:26 | |
-I think it'd be good if I knew. If I just knew. -Yeah, yeah. | 0:12:26 | 0:12:30 | |
-Even if I knew... -I'm not saying anyone can tell you. | 0:12:30 | 0:12:32 | |
If I knew definitely not, then I could try and... | 0:12:32 | 0:12:35 | |
-Yeah, it's tricky, isn't it? -..think about other options. | 0:12:35 | 0:12:38 | |
There we go, just press down there. | 0:12:38 | 0:12:40 | |
Today's tests will show | 0:12:40 | 0:12:42 | |
whether Heidi has contracted any new STIs in the last six months. | 0:12:42 | 0:12:46 | |
Getting tested regularly is now a way of life. | 0:12:46 | 0:12:49 | |
Even though, yes, I had chlamydia and, yes, I do believe it's made me infertile, | 0:12:51 | 0:12:54 | |
the actual treatment of the actual infection, | 0:12:54 | 0:12:58 | |
that was treated straightaway | 0:12:58 | 0:13:00 | |
and it was only the damage that had already been done that can't be rectified | 0:13:00 | 0:13:04 | |
and that's because I didn't go to the STI clinic quick enough. | 0:13:04 | 0:13:08 | |
If I'd gone there within a couple of weeks, this would never have happened. | 0:13:08 | 0:13:12 | |
For 29-year-old Martin, | 0:13:18 | 0:13:20 | |
the main problem with his sexual health is rather irritating. | 0:13:20 | 0:13:25 | |
He's come to the clinic with an itchy groin | 0:13:25 | 0:13:27 | |
and dragged his friend and housemate Marissa along for moral support. | 0:13:27 | 0:13:31 | |
It feels a lot easier coming with a friend | 0:13:32 | 0:13:34 | |
because you feel at ease, they feel... He feels at ease as well | 0:13:34 | 0:13:39 | |
and, like, it's just like a normal daily outing for us! | 0:13:39 | 0:13:43 | |
There's four of us that live together | 0:13:45 | 0:13:46 | |
and we're very open with each other. | 0:13:46 | 0:13:48 | |
It's best to know than not to know | 0:13:48 | 0:13:50 | |
because you never know what you could catch. | 0:13:50 | 0:13:52 | |
-Have we got Martin? -Hiya, all right? | 0:13:52 | 0:13:55 | |
-Is it Marissa? -Hiya. -Sorry, I'm dropping everything. | 0:13:55 | 0:13:58 | |
Come through. | 0:13:58 | 0:14:00 | |
I don't always practise safe sex, no. | 0:14:00 | 0:14:01 | |
Um, nine times out of ten I do, | 0:14:01 | 0:14:03 | |
but obviously you always have one too many drinks | 0:14:03 | 0:14:06 | |
and things lead to different things and you don't, so... | 0:14:06 | 0:14:09 | |
When was the last time you had sex with anybody? | 0:14:09 | 0:14:13 | |
-Er... Last weekend. -Last weekend. | 0:14:13 | 0:14:16 | |
-And did you have oral sex? -Yeah. | 0:14:16 | 0:14:19 | |
-Both ways? -Yeah. | 0:14:19 | 0:14:20 | |
Toys on this one. | 0:14:20 | 0:14:23 | |
Don't know how to word it. | 0:14:23 | 0:14:24 | |
That's the only way I can think of saying it. | 0:14:24 | 0:14:27 | |
Toys, that's fine, whatever you want to call it. OK. | 0:14:27 | 0:14:30 | |
-So was it a dildo? -Yeah. -Yeah. | 0:14:30 | 0:14:32 | |
-Um... No other way to put it really, is there? -Yeah. | 0:14:32 | 0:14:36 | |
-And tick everything else cos... -Tick everything else? | 0:14:37 | 0:14:40 | |
Except for the last one. | 0:14:40 | 0:14:41 | |
-No anal. -No. -THEY LAUGH | 0:14:41 | 0:14:45 | |
-Well, whatever floats your boat is what we say. -I'm not up for that. | 0:14:45 | 0:14:48 | |
You're not up for that, that's fine. | 0:14:48 | 0:14:50 | |
I think if you look at the person and think, "They're all right, | 0:14:50 | 0:14:53 | |
"they've not said anything to..." | 0:14:53 | 0:14:55 | |
You would think if anybody had a disease, | 0:14:55 | 0:14:57 | |
they would tell you before you slept with them. | 0:14:57 | 0:14:59 | |
But I suppose you should be more careful. | 0:14:59 | 0:15:00 | |
But Martin's judgment hasn't been quite up to scratch. | 0:15:00 | 0:15:04 | |
I'm a little bit itchy at the moment, | 0:15:04 | 0:15:06 | |
so I don't know if it's the washing powder or... | 0:15:06 | 0:15:08 | |
-Generally or just in that area? -Round here there's little red dots | 0:15:08 | 0:15:11 | |
but I didn't know if it was cos of the washing powder or something else. | 0:15:11 | 0:15:15 | |
OK. | 0:15:15 | 0:15:16 | |
An itchy groin can mean you have anything from herpes to warts to crabs. | 0:15:16 | 0:15:21 | |
Just lie yourself down. Let me have a proper look, all right? | 0:15:21 | 0:15:24 | |
See these little spots here? | 0:15:25 | 0:15:27 | |
Oh, yeah. | 0:15:27 | 0:15:29 | |
But at night it's more itchy, like last night it was doing my head in. | 0:15:29 | 0:15:34 | |
Underneath my balls is the most... | 0:15:34 | 0:15:36 | |
You know that little line you've got? | 0:15:36 | 0:15:38 | |
-Just under the sac? -Yeah. That's really itchy at night. | 0:15:38 | 0:15:41 | |
-OK. And you've had them for a couple of weeks? -Yeah. | 0:15:41 | 0:15:45 | |
-You've definitely not shaved or anything like that? -Nah. | 0:15:45 | 0:15:48 | |
They just look like little, um, little heat spots if you like. | 0:15:48 | 0:15:53 | |
-Like irritation spots. -yeah. | 0:15:53 | 0:15:55 | |
It doesn't look like a fungal infection that you can get in the groin. | 0:15:55 | 0:15:59 | |
That's what I thought but it is really itchy. | 0:15:59 | 0:16:01 | |
-Shall I get somebody to have a look? -Yeah, will you? | 0:16:01 | 0:16:03 | |
Unsure of the diagnosis, | 0:16:03 | 0:16:05 | |
Lisa calls in specialist consultant Dr Ash for a second opinion. | 0:16:05 | 0:16:11 | |
-Tell me if it hurts, OK. -It's all right. | 0:16:11 | 0:16:13 | |
Are these itchy? | 0:16:14 | 0:16:16 | |
Yeah. | 0:16:16 | 0:16:17 | |
With 24 years in the business of STIs, | 0:16:17 | 0:16:19 | |
Ash quickly diagnoses the problem. | 0:16:19 | 0:16:22 | |
These look like scabies, you see? | 0:16:22 | 0:16:24 | |
Scabies is a contagious skin infection | 0:16:25 | 0:16:28 | |
caused by a tiny parasite that burrows under the skin. | 0:16:28 | 0:16:32 | |
Do you have any itching anywhere else? | 0:16:32 | 0:16:35 | |
-Just here. -Just here? -Yeah. | 0:16:35 | 0:16:37 | |
-Nothing on the body elsewhere at all? -No, not really. | 0:16:37 | 0:16:40 | |
What we usually do is... Again, scabies is a very minor infection, | 0:16:40 | 0:16:45 | |
infestation I should say, | 0:16:45 | 0:16:47 | |
-and we just give you a cream to apply below your neck. -Yeah. | 0:16:47 | 0:16:52 | |
All over the body. | 0:16:52 | 0:16:54 | |
-Do you share your accommodation with anyone else? -Yeah. | 0:16:54 | 0:16:57 | |
-Uh, they might need treatment as well. -OK. | 0:16:57 | 0:16:59 | |
Because it's sort of a... contagious infection in that sense. | 0:16:59 | 0:17:03 | |
Yeah, sure. We use the same towels and everything as well... | 0:17:03 | 0:17:05 | |
It's important then... to treat both together. | 0:17:05 | 0:17:10 | |
Is it just one other? | 0:17:10 | 0:17:11 | |
-There's four of us altogether. -Four of you? OK. | 0:17:11 | 0:17:14 | |
While scabies CAN be passed on during sex, | 0:17:14 | 0:17:17 | |
it can also be caught from sharing bed sheets or towels | 0:17:17 | 0:17:20 | |
with an infected person. | 0:17:20 | 0:17:23 | |
Not coming here again. | 0:17:23 | 0:17:25 | |
Not coming here again? We treated you properly today. | 0:17:26 | 0:17:30 | |
I know, thanks. Been a right treat(!) | 0:17:30 | 0:17:33 | |
Having received his treatment, | 0:17:33 | 0:17:35 | |
Martin now faces an uncomfortable conversation with his housemates. | 0:17:35 | 0:17:39 | |
And first up will be Marissa, who is waiting for him outside, | 0:17:39 | 0:17:44 | |
blissfully unaware. | 0:17:44 | 0:17:45 | |
'Just a full sexual health check.' | 0:17:45 | 0:17:47 | |
You've got no current symptoms or concerns at all? | 0:17:47 | 0:17:50 | |
For receptionists Jo and Claire, | 0:17:50 | 0:17:52 | |
surprises are an everyday occurrence. | 0:17:52 | 0:17:55 | |
-You still do get shocked, don't you? -Yeah, every day you do. | 0:17:55 | 0:17:58 | |
You hear... Well, you thought you'd heard everything, | 0:17:58 | 0:18:01 | |
then somebody'll come in and then tell you something | 0:18:01 | 0:18:05 | |
-or try and confess their sins at the desk... -I don't think... | 0:18:05 | 0:18:08 | |
I'm like, "You really don't need to!" But we're here to listen. | 0:18:08 | 0:18:11 | |
Being on the front line in the fight against STIs, | 0:18:12 | 0:18:14 | |
it's vital they recognise the ever-changing slang names | 0:18:14 | 0:18:18 | |
for the various infections. | 0:18:18 | 0:18:20 | |
The clap, riddled. What is it? Daisy chaining? | 0:18:20 | 0:18:23 | |
-What else is it? -Wounding. | 0:18:23 | 0:18:25 | |
Wounding. | 0:18:25 | 0:18:27 | |
-Blue cheese. I've heard of that. -Blue cheese, yeah. | 0:18:27 | 0:18:29 | |
What else is there? | 0:18:29 | 0:18:31 | |
But I think each generation think of completely different names. | 0:18:31 | 0:18:37 | |
-Blue waffle. -Let me write that down. What is that? | 0:18:37 | 0:18:40 | |
-I don't know what it is. -Blue waffle, blue cheese. | 0:18:40 | 0:18:42 | |
Blue waffle and blue cheese isn't actually an infection. | 0:18:42 | 0:18:46 | |
It's just a name that people have made up. | 0:18:46 | 0:18:49 | |
Rimming, yeah. | 0:18:49 | 0:18:50 | |
I have incidents every day. | 0:18:50 | 0:18:52 | |
Yeah, it's every day it's different. | 0:18:52 | 0:18:54 | |
You get different things every day. | 0:18:54 | 0:18:55 | |
Gay porn stars Lloyd and Skylar | 0:19:01 | 0:19:04 | |
have come to the clinic to get a full sexual health checkup. | 0:19:04 | 0:19:07 | |
Hi. Follow me. | 0:19:07 | 0:19:10 | |
They're both at high risk of infection. | 0:19:10 | 0:19:13 | |
Just come and take a seat for me, please. | 0:19:13 | 0:19:16 | |
My name is Chitra Babu. I'm one of the doctors here. | 0:19:17 | 0:19:20 | |
Just going to take you across. | 0:19:20 | 0:19:22 | |
In the UK, gay men are at the greatest risk of catching HIV. | 0:19:23 | 0:19:26 | |
But with a quarter of all people unaware they have the virus, | 0:19:27 | 0:19:31 | |
failing to use protection could change your life for ever. | 0:19:31 | 0:19:35 | |
What we do here is give you a full sexual health screen. | 0:19:37 | 0:19:40 | |
That includes tests for common things like chlamydia and gonorrhoea | 0:19:40 | 0:19:43 | |
but also a blood test for things like HIV, syphilis, possibly hepatitis B. | 0:19:43 | 0:19:47 | |
-Are you OK with that? -That's fine, yeah. -That's great. | 0:19:47 | 0:19:50 | |
So I just need to ask you some personal questions. | 0:19:50 | 0:19:52 | |
Er, have you ever had sex with someone that was non-British? | 0:19:53 | 0:19:58 | |
-Someone from abroad? -Yes. -And where were they from? -Czech. | 0:19:58 | 0:20:02 | |
Czech-land or whatever, Prague. | 0:20:02 | 0:20:04 | |
Have you ever had sex with a man? | 0:20:04 | 0:20:06 | |
Yes. | 0:20:06 | 0:20:07 | |
Have you ever paid for sex? | 0:20:07 | 0:20:09 | |
Have I paid for it? No. | 0:20:09 | 0:20:12 | |
Have you ever BEEN paid for sex? | 0:20:12 | 0:20:14 | |
I've been paid for the filming of it, not for the actual sex. | 0:20:14 | 0:20:16 | |
OK, and can I ask you how many partners have you been with in the last three months? | 0:20:18 | 0:20:22 | |
With a straight face. | 0:20:24 | 0:20:25 | |
Whilst most questions are easy, | 0:20:25 | 0:20:27 | |
for Lloyd, counting up all his recent sexual partners | 0:20:27 | 0:20:31 | |
requires some testing mental arithmetic. | 0:20:31 | 0:20:34 | |
Is it just full-on sex or including other stuff? | 0:20:34 | 0:20:36 | |
Any type of sex. | 0:20:36 | 0:20:38 | |
Any type of sex whatsoever, so it's oral sex, | 0:20:38 | 0:20:41 | |
anal, given, received. | 0:20:41 | 0:20:43 | |
Shit. Um... | 0:20:43 | 0:20:45 | |
-Just as a guess. Is it more than 100? -No. 80, 80. Write 80. -Right. | 0:20:46 | 0:20:52 | |
-Sexual Health? -Yep. | 0:20:54 | 0:20:55 | |
Can you check here, please, | 0:20:55 | 0:20:57 | |
and let me know which number option you would choose today? | 0:20:57 | 0:21:01 | |
We need a water sample first of all | 0:21:01 | 0:21:03 | |
to test for things like chlamydia and gonorrhoea. | 0:21:03 | 0:21:06 | |
We need to take a swab from the back of your throat | 0:21:06 | 0:21:08 | |
looking for the same infections, and a swab from the back passage. | 0:21:08 | 0:21:12 | |
So what you need to do is take the lid off, pop it up your bottom. | 0:21:12 | 0:21:15 | |
This is... That's what I needed to do. Not nice. | 0:21:15 | 0:21:19 | |
For Pam, the number of Lloyd's direct sexual partners | 0:21:19 | 0:21:23 | |
is only the tip of the iceberg. | 0:21:23 | 0:21:25 | |
He's got 80 partners in three months - | 0:21:26 | 0:21:29 | |
that's a lot of partners. | 0:21:29 | 0:21:30 | |
Now potentially if he comes back positive | 0:21:30 | 0:21:34 | |
and he last had a test, when was it? | 0:21:34 | 0:21:39 | |
2011. January 2011. | 0:21:39 | 0:21:43 | |
So you've got to then, if you come back positive, | 0:21:43 | 0:21:46 | |
trace all them partners, contacts that he's been with since then | 0:21:46 | 0:21:51 | |
because he's not had regular checkups. | 0:21:51 | 0:21:54 | |
The highest I've known was 150 and they were HIV positive. | 0:21:54 | 0:22:00 | |
I contacted quite a few of them | 0:22:00 | 0:22:02 | |
but you're not going to contact them all. | 0:22:02 | 0:22:04 | |
They might change phones, they might've moved. | 0:22:04 | 0:22:07 | |
You just do the best you can. | 0:22:07 | 0:22:09 | |
I mean we see lots of people, you know, like that, really. | 0:22:09 | 0:22:13 | |
He's... | 0:22:13 | 0:22:15 | |
He's not shy anyway, bless him. | 0:22:15 | 0:22:18 | |
With the appointments over, Lloyd and Skylar will begin the waiting game. | 0:22:18 | 0:22:22 | |
They'll find out their results within the next two weeks. | 0:22:22 | 0:22:26 | |
A serious infection would stop them working but, more importantly, | 0:22:26 | 0:22:30 | |
could change their lives for ever. | 0:22:30 | 0:22:32 | |
Hopefully, it'll be fine. Hopefully. But I don't know. | 0:22:32 | 0:22:37 | |
I haven't got a clue. | 0:22:37 | 0:22:39 | |
The odds are against me, let's just say that. | 0:22:39 | 0:22:41 | |
HE LAUGHS | 0:22:41 | 0:22:43 | |
Like everyone that comes into the clinic, | 0:22:45 | 0:22:47 | |
Lloyd and Skylar didn't leave empty-handed. | 0:22:47 | 0:22:50 | |
Just say the word and you get a free gift. | 0:22:50 | 0:22:53 | |
Condoms! | 0:22:53 | 0:22:54 | |
So a little bag of condoms. Imagine that in your house. | 0:22:54 | 0:22:57 | |
That's a good night out. | 0:22:57 | 0:22:59 | |
Probably in a week you'd get through the whole lot. | 0:22:59 | 0:23:01 | |
They come in different sizes as well. | 0:23:01 | 0:23:03 | |
These are your regular size and you get large as well. | 0:23:03 | 0:23:07 | |
-Oh, and you get trim. -And you get trim. | 0:23:07 | 0:23:09 | |
-For the, you know... -Smaller. -Smaller. | 0:23:09 | 0:23:12 | |
Um, but if you'll say to somebody, "What do you need? | 0:23:12 | 0:23:15 | |
"Is it regular or would you want large?" | 0:23:15 | 0:23:17 | |
they're like, "I'll have large, please." | 0:23:17 | 0:23:19 | |
Yes. | 0:23:19 | 0:23:20 | |
-You go, "OK, then." -Yes, I think everybody would... | 0:23:20 | 0:23:23 | |
I think everybody would like to be large, wouldn't they? | 0:23:23 | 0:23:25 | |
Martin has just been diagnosed with scabies | 0:23:28 | 0:23:31 | |
but now he has to let Marissa know | 0:23:31 | 0:23:33 | |
that she and her other housemates, and possibly their friends, | 0:23:33 | 0:23:37 | |
might also be infected. | 0:23:37 | 0:23:38 | |
-They tested me for everything. -Yep. | 0:23:39 | 0:23:41 | |
Like went through absolutely everything | 0:23:41 | 0:23:44 | |
and obviously cos I said I had a bit of a rash, | 0:23:44 | 0:23:46 | |
-so they wanted to check that as well. -Yeah. | 0:23:46 | 0:23:48 | |
So they checked it and they got the doctor in and he checked it as well | 0:23:48 | 0:23:51 | |
-and they said it's scabies. -What?! | 0:23:51 | 0:23:53 | |
I know. | 0:23:53 | 0:23:55 | |
What the fuck is scabies? | 0:23:55 | 0:23:57 | |
It can be passed on through skin-to-skin contact. | 0:23:57 | 0:24:00 | |
Right. | 0:24:00 | 0:24:01 | |
-So you could've had it first and passed it on to me. -Right. | 0:24:01 | 0:24:04 | |
That's it. | 0:24:04 | 0:24:05 | |
Fucking scabies! | 0:24:05 | 0:24:07 | |
-Sorry, mate. -Oh, mate. | 0:24:07 | 0:24:09 | |
-It could've come from anyone. -Yeah, yeah, fair one. | 0:24:09 | 0:24:11 | |
I think it was you. | 0:24:11 | 0:24:12 | |
-Oh! -THEY LAUGH | 0:24:12 | 0:24:15 | |
But whoever the source of the infestation, there's no doubt | 0:24:15 | 0:24:18 | |
they need to warn their other housemates. | 0:24:18 | 0:24:20 | |
One of us is going to have to ring | 0:24:20 | 0:24:21 | |
and tell them we're going to the pharmacy to pick them up some stuff. | 0:24:21 | 0:24:24 | |
-Well, do you want to ring 'em? -Who's got the phone? | 0:24:24 | 0:24:26 | |
-I've got the phone. Do you want me to ring 'em? -Yeah. -Fucking pussy. | 0:24:28 | 0:24:32 | |
Oh, God. Shall I say it's me? | 0:24:34 | 0:24:38 | |
-HE LAUGHS -Shall I? | 0:24:38 | 0:24:39 | |
Just say that one of us has had contact with somebody | 0:24:39 | 0:24:41 | |
and because we all live together... | 0:24:41 | 0:24:44 | |
Um, me and Martin have been to the sexual health clinic today... | 0:24:44 | 0:24:49 | |
and, um... And one of us has got, um... | 0:24:49 | 0:24:53 | |
-Scabies. -Scabies. | 0:24:53 | 0:24:54 | |
So, basically, we've got to go to the clinic and go and get... | 0:24:54 | 0:24:58 | |
No, we've got to go to the pharmacy. | 0:24:58 | 0:24:59 | |
We've got to go to the pharmacy and get some cream. | 0:24:59 | 0:25:01 | |
Cos we've got to put it on ourselves. | 0:25:01 | 0:25:03 | |
We've all got to put it on at the same time. | 0:25:03 | 0:25:05 | |
I don't know where you've got to put it. Where do you put it? | 0:25:05 | 0:25:08 | |
From your neck down to your toes. You've got to have a shower. | 0:25:08 | 0:25:10 | |
-You've got to have a shower. -You put it all over. | 0:25:10 | 0:25:13 | |
-You've got to put it all over yourself. -And leave it on. | 0:25:13 | 0:25:15 | |
-And leave it on. -Do it a week later. -And do it a week later. | 0:25:15 | 0:25:19 | |
-Martin! -She's going to kill us. | 0:25:19 | 0:25:21 | |
You infected everyone, you fucker! No! | 0:25:21 | 0:25:24 | |
We're going to have to go to the pharmacy | 0:25:25 | 0:25:27 | |
-and get some cream for you. -Right. -And the other two. | 0:25:27 | 0:25:29 | |
Come on, let's go get some cream on. | 0:25:29 | 0:25:31 | |
-If we don't do it, we'll never get rid of it. -Come on, yeah. | 0:25:31 | 0:25:34 | |
With everyone now aware of the problem, | 0:25:34 | 0:25:36 | |
Martin and Marissa must get enough cream to treat the entire household. | 0:25:36 | 0:25:41 | |
-Sorry, it wasn't my fault. -It's all right. -Could've been yours. | 0:25:41 | 0:25:43 | |
-What, I could've had it and then given it to you? -Yeah. | 0:25:43 | 0:25:46 | |
After another busy day, the lights go out in the clinic. | 0:25:50 | 0:25:54 | |
And that's when Manchester's nightlife comes alive. | 0:25:54 | 0:25:58 | |
Jarmain and Francis spend their evenings | 0:26:02 | 0:26:04 | |
battle-rapping in Manchester's Northern Quarter. | 0:26:04 | 0:26:08 | |
You fuck so many slappers, mate, the clap is in ya | 0:26:09 | 0:26:12 | |
That shrivelled your cock to the size of a maggot | 0:26:12 | 0:26:14 | |
Now you wank with a finger. | 0:26:14 | 0:26:16 | |
SHOUTING | 0:26:16 | 0:26:18 | |
I'll just murk him with banter. | 0:26:18 | 0:26:20 | |
What's his two favourite things in life? Herpes and Fanta. | 0:26:20 | 0:26:24 | |
What's his proudest achievement thus far? Cervical cancer. | 0:26:24 | 0:26:27 | |
WHISTLING AND APPLAUSE | 0:26:27 | 0:26:29 | |
Guess what he's got on his cock and rear? Gonorrhoea. | 0:26:29 | 0:26:31 | |
LAUGHTER | 0:26:31 | 0:26:33 | |
On his nipple tips he's got syphilis. | 0:26:33 | 0:26:36 | |
Time, time! | 0:26:36 | 0:26:38 | |
WHISTLING AND APPLAUSE | 0:26:38 | 0:26:41 | |
MUSIC STARTS UP | 0:26:41 | 0:26:43 | |
I choked. Well, I didn't choke | 0:26:43 | 0:26:45 | |
but I just like got my fucking lyrics muddled up. | 0:26:45 | 0:26:48 | |
-It happens sometimes. -I told you, I'm a born winner, I'm a champion. | 0:26:48 | 0:26:51 | |
He is. | 0:26:51 | 0:26:52 | |
Today they've both been brought into the clinic | 0:26:54 | 0:26:56 | |
to have a sexual health checkup. | 0:26:56 | 0:26:58 | |
the only time I really have unprotected sex | 0:26:58 | 0:27:00 | |
or have had unprotected sex is either, | 0:27:00 | 0:27:03 | |
A, if I'm in a relationship, | 0:27:03 | 0:27:05 | |
or if I've just been absolutely slaughtered out of my face | 0:27:05 | 0:27:07 | |
and...and condoms are too fiddly. | 0:27:07 | 0:27:10 | |
I'm a little bit nervous because, like, | 0:27:10 | 0:27:13 | |
I don't know, it's just... I don't know why, I'm... I am, you know. | 0:27:13 | 0:27:17 | |
I don't really go out having sex | 0:27:17 | 0:27:19 | |
with any old skanky slapper or anything. | 0:27:19 | 0:27:23 | |
Just people who seem decent, like me. | 0:27:24 | 0:27:27 | |
Francis, do you want to come through? Hiya, come in. | 0:27:27 | 0:27:31 | |
-Hi, you all right? -Have a seat. | 0:27:31 | 0:27:33 | |
Ta. Thank you. | 0:27:33 | 0:27:35 | |
Um, Jarmain. Hello. | 0:27:35 | 0:27:38 | |
Right, come this way, darling. | 0:27:38 | 0:27:41 | |
'Do you use condoms when you have sex?' | 0:27:41 | 0:27:43 | |
-Er, most of the time, try to, yeah, sometimes. -Sometimes. | 0:27:43 | 0:27:47 | |
What about contraception? | 0:27:47 | 0:27:49 | |
Would you say you used condoms sometimes, always, never? | 0:27:49 | 0:27:52 | |
Sometimes. | 0:27:52 | 0:27:54 | |
I just need a urine sample from you now. | 0:27:54 | 0:27:57 | |
As Francis pops to the toilet, | 0:27:57 | 0:27:59 | |
Celia is discovering Jarmain has a little fear. | 0:27:59 | 0:28:02 | |
So what is this now that you've got to do? | 0:28:02 | 0:28:05 | |
I'm doing a blood test, that checks for HIV and syphilis. | 0:28:05 | 0:28:07 | |
-Are you OK with rubber gloves? -Yeah. -You're not allergic? | 0:28:07 | 0:28:09 | |
What have you got to do now? | 0:28:09 | 0:28:11 | |
-I'm going to take your blood. -How do you take it? | 0:28:11 | 0:28:13 | |
With a needle. Look, it's a lickle baby needle, look. | 0:28:13 | 0:28:16 | |
Oh, my God. | 0:28:16 | 0:28:17 | |
We use this for babies. You won't even feel it. | 0:28:17 | 0:28:20 | |
-You're a man, man, be strong. -I know but I don't like needles. | 0:28:20 | 0:28:24 | |
-Right, do you get fainty or anything? -Pardon? | 0:28:24 | 0:28:26 | |
Do you get fainty when you're getting your blood done? | 0:28:26 | 0:28:29 | |
Well, I get a bit dizzy and stuff. | 0:28:29 | 0:28:30 | |
Right, let's... Yeah, let's get you on the bed, then. | 0:28:30 | 0:28:33 | |
But, nah, I don't want to lie down, | 0:28:33 | 0:28:35 | |
-I'll just stay here because I don't want to... -You know. | 0:28:35 | 0:28:38 | |
-I'll just do it here. -Are you sure? -Yeah. | 0:28:38 | 0:28:39 | |
All right. OK. | 0:28:39 | 0:28:41 | |
While Jarmain begins to panic... | 0:28:41 | 0:28:43 | |
Oh, flipping heck. | 0:28:43 | 0:28:45 | |
..Francis runs through some of his rap-battle insults with Alison. | 0:28:45 | 0:28:49 | |
-Got the lyrics here. Do you want to read them? -I'll have a look, | 0:28:49 | 0:28:52 | |
I'm not doing it rapping. | 0:28:52 | 0:28:53 | |
It's a bit crude so you might not like it. | 0:28:53 | 0:28:55 | |
-Oh, I work here. Honestly, nothing shocks me. -So... -What's this? | 0:28:55 | 0:28:57 | |
Chron. "Chron goes hunting for sluts on pub-crawl bickers." | 0:28:57 | 0:29:01 | |
SHE LAUGHS | 0:29:01 | 0:29:03 | |
Oh, that's quite good. "Collects STIs the same way | 0:29:03 | 0:29:05 | |
we used to collect Pokemon cards and football stickers." | 0:29:05 | 0:29:08 | |
That's quite good, actually, isn't it? | 0:29:08 | 0:29:10 | |
-That's what I say. -I'll bring me crew down. | 0:29:10 | 0:29:13 | |
Let's have a look at your arm. | 0:29:13 | 0:29:15 | |
Alison's clinic crew might enjoy | 0:29:15 | 0:29:17 | |
seeing rap battlers give each other needle, | 0:29:17 | 0:29:20 | |
but right now needle is the last thing Jarmain wants to see. | 0:29:20 | 0:29:23 | |
You'll be all right. Just a small scratch. You won't even feel it. | 0:29:24 | 0:29:28 | |
-Don't think about it. -Please, God, help me now. | 0:29:28 | 0:29:30 | |
Goodness. You're going on like I'm going to murder you. | 0:29:30 | 0:29:34 | |
-I know but it... -Right, just relax. Honestly. | 0:29:34 | 0:29:37 | |
Wait a minute, let me just... Oh, my God. | 0:29:37 | 0:29:40 | |
You won't even feel it when I push it in, believe me. | 0:29:41 | 0:29:43 | |
Straighten your arm for me. That's it, right, it's a small scratch. | 0:29:43 | 0:29:47 | |
Whatever you do, don't move. | 0:29:47 | 0:29:48 | |
Right, I won't. | 0:29:48 | 0:29:50 | |
Honestly, it won't hurt. | 0:29:50 | 0:29:51 | |
That's it, that's it. | 0:29:53 | 0:29:55 | |
Right, relax, hon, just think you're on the beach, having a rum, in Jamaica. | 0:29:56 | 0:30:01 | |
See, that's it. Are you all right? | 0:30:01 | 0:30:03 | |
-That weren't so bad. -Yeah, see, what did I tell you? | 0:30:03 | 0:30:06 | |
-Right put... -Ow. -Put some pressure. | 0:30:06 | 0:30:09 | |
Did that hurt? | 0:30:09 | 0:30:11 | |
-No, it didn't. -There you go. | 0:30:11 | 0:30:13 | |
-Do you want a drink of water? -Yeah, please. -OK. | 0:30:13 | 0:30:17 | |
Yeah, you do get some patients who do feel scared of getting... | 0:30:19 | 0:30:23 | |
but once I'm in they think they're all right. | 0:30:23 | 0:30:25 | |
It's just the thought of it, you know? | 0:30:25 | 0:30:27 | |
I ain't had no patient yet what's fainted. Yeah. | 0:30:27 | 0:30:30 | |
I have got the touch. | 0:30:30 | 0:30:31 | |
-Are you feeling all right? -Yeah, I'm OK. I'm just a little bit dizzy | 0:30:33 | 0:30:36 | |
and I don't like needles and stuff, | 0:30:36 | 0:30:38 | |
so it's just made me a little bit queasy but I'll be all right. | 0:30:38 | 0:30:42 | |
-Are you all right, sweetheart? -Yeah, I'm all right. | 0:30:42 | 0:30:45 | |
If you feel dizzy, just put your head down like that, | 0:30:45 | 0:30:48 | |
Yeah, between you arms like that. | 0:30:48 | 0:30:50 | |
-Right, you drink that. -Thank you. | 0:30:50 | 0:30:52 | |
You'll be all right. | 0:30:52 | 0:30:53 | |
Right. | 0:30:55 | 0:30:56 | |
-You all right? -STI man. How you doing, man, you OK? | 0:31:00 | 0:31:02 | |
-Don't worry about it. -Sorted. Yep. | 0:31:02 | 0:31:05 | |
I've just been like winding him up | 0:31:05 | 0:31:06 | |
while I was obviously back there and he was in there, like just saying... | 0:31:06 | 0:31:10 | |
Oh, you been texting me or...? | 0:31:10 | 0:31:11 | |
You're a dyslexic epic failure with infected genitalia. | 0:31:11 | 0:31:15 | |
But, yeah, I hope it went well for him obviously. | 0:31:15 | 0:31:17 | |
I hope he hasn't got anything and... | 0:31:17 | 0:31:19 | |
I hope he's got AIDS and everything, to be fair, like! | 0:31:19 | 0:31:22 | |
Celia knows that relating to patients | 0:31:23 | 0:31:25 | |
in a way that they'll understand and appreciate | 0:31:25 | 0:31:27 | |
is a key skill for any sexual health worker. | 0:31:27 | 0:31:31 | |
I was going to say this to him. I was going to say | 0:31:31 | 0:31:33 | |
(RAPPING) "Jarmain, Jarmain, you know how to do it | 0:31:33 | 0:31:35 | |
"Just take me home and I'll show you how to do it | 0:31:35 | 0:31:37 | |
"I'll touch you and make it feel right | 0:31:37 | 0:31:39 | |
"So come on, let me and you do it tonight!" | 0:31:39 | 0:31:41 | |
We're not doing it tonight but you know what I mean. That's my rapping. | 0:31:41 | 0:31:43 | |
Like Jarmain and Francis, | 0:31:52 | 0:31:54 | |
19-year-old Chantelle has come into the clinic for a regular checkup. | 0:31:54 | 0:31:58 | |
Despite being in a relationship, she feels it's important to come to the clinic. | 0:31:58 | 0:32:03 | |
I come quite regularly. | 0:32:03 | 0:32:05 | |
I find it a bit embarrassing sometimes | 0:32:05 | 0:32:08 | |
but when you come, you just get used to it. | 0:32:08 | 0:32:12 | |
But today Chantelle is here for more than just a standard sexual-health check. | 0:32:12 | 0:32:16 | |
-Have a seat, Chantelle. -Thank you. | 0:32:16 | 0:32:19 | |
OK. What can we do for you today? | 0:32:19 | 0:32:22 | |
-Um, just a sexual-health screen. -OK. | 0:32:22 | 0:32:25 | |
-And a pregnancy test, please. -OK, that's fine. | 0:32:25 | 0:32:27 | |
Having had unprotected sex with her boyfriend, | 0:32:27 | 0:32:29 | |
Chantelle believes she could be pregnant. | 0:32:29 | 0:32:33 | |
-Are you on any contraception? -No. | 0:32:33 | 0:32:35 | |
No. OK. | 0:32:35 | 0:32:36 | |
So you're not sure... You want a pregnancy test today | 0:32:36 | 0:32:39 | |
-but you're not sure whether you're pregnant? -No. -OK. | 0:32:39 | 0:32:41 | |
-I'm two weeks late, though. -OK. | 0:32:41 | 0:32:43 | |
I feel that I should use some sort of contraception | 0:32:43 | 0:32:46 | |
but, like I say, | 0:32:46 | 0:32:49 | |
if I was sleeping with more than one person on a regular basis, | 0:32:49 | 0:32:52 | |
then yeah, I would, | 0:32:52 | 0:32:53 | |
but because I trust my partner and he trusts me, | 0:32:53 | 0:32:55 | |
we have that kind of agreement where we're just having casual sex, | 0:32:55 | 0:32:59 | |
unprotected casual sex. | 0:32:59 | 0:33:00 | |
Like everyone that comes to the clinic, | 0:33:00 | 0:33:03 | |
Chantelle is asked some personal questions. | 0:33:03 | 0:33:05 | |
Have you ever had sex with anyone that's bisexual | 0:33:05 | 0:33:09 | |
or known to have HIV? | 0:33:09 | 0:33:11 | |
-No. -No. | 0:33:11 | 0:33:12 | |
-When you have sex with your partners, do you give oral sex? -Yeah. | 0:33:12 | 0:33:15 | |
You do. OK. And do your receive any anal sex? | 0:33:15 | 0:33:18 | |
-Sometimes. -Sometimes. OK. | 0:33:18 | 0:33:20 | |
You shouldn't be scared of coming to the clinic to get tested | 0:33:20 | 0:33:23 | |
cos a few of my friends don't really like it | 0:33:23 | 0:33:25 | |
cos of the embarrassment | 0:33:25 | 0:33:27 | |
or they feel like people are going to judge them and stuff, | 0:33:27 | 0:33:29 | |
but you should just come and get checked out for your own health. | 0:33:29 | 0:33:32 | |
-Will you just tip your head back for me and say "ah"? -Ah. | 0:33:32 | 0:33:35 | |
-Does that not hurt in your mouth, that stud? -No. | 0:33:35 | 0:33:38 | |
-Does it not feel weird? -No. | 0:33:38 | 0:33:40 | |
-Don't get your dinner round it or anything? -No. -No? | 0:33:40 | 0:33:42 | |
So that's your test done. | 0:33:42 | 0:33:44 | |
-so we've tested you for gonorrhoea and chlamydia. -Yep. | 0:33:44 | 0:33:47 | |
And HIV and syphilis. And I'll go and test your urine now. | 0:33:47 | 0:33:50 | |
-What I'd ask you to do is go and wait in the female wait. -OK. | 0:33:50 | 0:33:53 | |
I'll call you when your results are ready. Is that all right? | 0:33:53 | 0:33:55 | |
-Yeah, that's fine, yeah. Thank you. -No problem at all. | 0:33:55 | 0:33:58 | |
Chantelle will find out within two weeks | 0:33:58 | 0:34:01 | |
whether she has caught any STIs. | 0:34:01 | 0:34:03 | |
But it'll only be a short wait to discover if she is pregnant. | 0:34:03 | 0:34:08 | |
It's been a fortnight | 0:34:11 | 0:34:13 | |
since Heidi came in for her six-monthly sexual-health checkup. | 0:34:13 | 0:34:17 | |
Having caught chlamydia as a teenager, | 0:34:17 | 0:34:18 | |
regular testing has become the norm. | 0:34:18 | 0:34:21 | |
Today she'll get the results of her latest test. | 0:34:21 | 0:34:26 | |
PHONE BEEPS | 0:34:26 | 0:34:27 | |
Negative. | 0:34:29 | 0:34:31 | |
I feel happy. | 0:34:31 | 0:34:32 | |
I feel relieved. | 0:34:32 | 0:34:35 | |
Heidi is meeting up with her friend Sinead | 0:34:35 | 0:34:37 | |
to celebrate her negative result. | 0:34:37 | 0:34:40 | |
But she's preoccupied by her fear | 0:34:40 | 0:34:42 | |
that chlamydia may already have done irreparable damage | 0:34:42 | 0:34:45 | |
to her reproductive organs. | 0:34:45 | 0:34:47 | |
I still don't know whether I'm fertile or infertile | 0:34:47 | 0:34:50 | |
but I think that... Every single time I go, | 0:34:50 | 0:34:53 | |
it is a relief to know that I haven't got anything | 0:34:53 | 0:34:55 | |
and it's not going to make me worse than what I already am. | 0:34:55 | 0:34:57 | |
I feel like there's a part of me | 0:34:57 | 0:34:59 | |
that will never be able to be 100% happy | 0:34:59 | 0:35:03 | |
because I can't have children, and I know I don't know | 0:35:03 | 0:35:06 | |
but, you know, I've not... | 0:35:06 | 0:35:08 | |
I've been in relationships for many years now | 0:35:08 | 0:35:11 | |
and in those relationships I've had unprotected sex for the majority of the time | 0:35:11 | 0:35:16 | |
and I've never got pregnant and it absolutely kills me. | 0:35:16 | 0:35:20 | |
You've not been told definitely though, have you? | 0:35:20 | 0:35:22 | |
I still don't know but it doesn't look good. | 0:35:22 | 0:35:24 | |
Heidi has been referred by her GP to see a fertility expert | 0:35:25 | 0:35:28 | |
for a preliminary examination. | 0:35:28 | 0:35:30 | |
It won't give her any conclusive answers | 0:35:30 | 0:35:33 | |
but it could help allay her worst fears. | 0:35:33 | 0:35:36 | |
I would like to find out if I'm infertile or not. | 0:35:36 | 0:35:39 | |
I already think I am | 0:35:39 | 0:35:40 | |
but if I knew for definite, then at least I can then try and... | 0:35:40 | 0:35:44 | |
and deal with it better, um, and look at other options, | 0:35:44 | 0:35:47 | |
whereas at the moment I'm sort of... I don't know | 0:35:47 | 0:35:50 | |
and secretly, deep down inside, I'm praying that I'm not, | 0:35:50 | 0:35:53 | |
so I would... I would really like to find out. | 0:35:53 | 0:35:56 | |
Chantelle came into the clinic for her regular sexual-health check, | 0:36:05 | 0:36:09 | |
and also to find if she's pregnant. | 0:36:09 | 0:36:11 | |
Its one of the many services the clinic provide to their patients. | 0:36:13 | 0:36:16 | |
With the test complete, Alison can now give Chantelle the result. | 0:36:16 | 0:36:20 | |
-So we've got your pregnancy test results back. -OK. | 0:36:22 | 0:36:24 | |
-And it's come back positive. -OK. | 0:36:24 | 0:36:27 | |
-So that means you're pregnant. -OK. -OK? -Yeah. | 0:36:27 | 0:36:29 | |
-Are you all right about that? -Yeah. | 0:36:29 | 0:36:31 | |
-Are you quite happy? -Yeah. -Well, congratulations! -Thank you. | 0:36:31 | 0:36:34 | |
With regards to your tests, | 0:36:34 | 0:36:35 | |
it takes two to three weeks for everything to come back. | 0:36:35 | 0:36:38 | |
When we get your results, we'll be in touch. We'll text you... | 0:36:38 | 0:36:40 | |
-OK? -Yeah. That's fine. -But that's everything sorted. -Thank you. | 0:36:40 | 0:36:44 | |
-You're welcome. I'm pleased to deliver some good news for you. -Thank you. | 0:36:44 | 0:36:47 | |
At the clinic it's not often a positive test result | 0:36:47 | 0:36:50 | |
gets such a positive reaction. | 0:36:50 | 0:36:52 | |
I'm happy, I'm really happy. | 0:36:54 | 0:36:57 | |
I'm just a bit shocked...but happy! | 0:36:57 | 0:37:01 | |
Chantelle will get the results of her sexual-health screening | 0:37:01 | 0:37:04 | |
within two weeks. | 0:37:04 | 0:37:06 | |
Getting the all-clear is now even more important - | 0:37:06 | 0:37:09 | |
as any STI could harm her unborn child. | 0:37:09 | 0:37:12 | |
Young women like Chantelle are a high-risk group | 0:37:14 | 0:37:17 | |
with two thirds of new STIs being reported by them. | 0:37:17 | 0:37:20 | |
And you wanted a full screen today including HIV testing, yeah? | 0:37:20 | 0:37:23 | |
-Let's have the whole lot. -Excellent. | 0:37:23 | 0:37:26 | |
Condoms - would you say you use never, always, sometimes? | 0:37:26 | 0:37:29 | |
Never. Slap my wrist. | 0:37:29 | 0:37:31 | |
Oh, no! | 0:37:31 | 0:37:33 | |
So you've said you've noticed an abnormal smell, is that right? | 0:37:33 | 0:37:36 | |
-Have you ever had a sexually transmitted infection? -No. | 0:37:36 | 0:37:40 | |
That you're aware of? No. | 0:37:40 | 0:37:41 | |
That's my worst nightmare. | 0:37:41 | 0:37:43 | |
When was the last time that you had any sexual contact? | 0:37:43 | 0:37:47 | |
-Was that protected or unprotected? -Unprotected. | 0:37:48 | 0:37:50 | |
It's bad when you have to think. | 0:37:50 | 0:37:52 | |
-Have you ever been paid for sex? -No. | 0:37:52 | 0:37:54 | |
Interesting questions. | 0:37:54 | 0:37:57 | |
Do you receive anal? | 0:37:57 | 0:37:58 | |
-Oh, no! -No. | 0:37:58 | 0:38:00 | |
If you'll just open your mouth and go "ah". | 0:38:00 | 0:38:01 | |
Ah. | 0:38:01 | 0:38:02 | |
-Ah. -Let's get right at the back of those tonsils. | 0:38:02 | 0:38:05 | |
-Ah. -Like you do at the doctor's. | 0:38:05 | 0:38:07 | |
SHE COUGHS | 0:38:07 | 0:38:09 | |
-That's it. Done. Worst bit. -That is ming. | 0:38:09 | 0:38:12 | |
It's horrible. Horrible thing to have shoved down your throat. | 0:38:12 | 0:38:15 | |
Yeah. It is. Urgh. | 0:38:15 | 0:38:18 | |
Working in sexual health means Alison sees first hand | 0:38:18 | 0:38:21 | |
the way sexual habits of young people have changed over time. | 0:38:21 | 0:38:26 | |
When I was a teenager, which was quite some time ago now, | 0:38:26 | 0:38:29 | |
we didn't tend to have sex until we were quite a bit older | 0:38:29 | 0:38:33 | |
and nowadays I think young people are having sex | 0:38:33 | 0:38:35 | |
at an earlier age outside relationships. | 0:38:35 | 0:38:39 | |
I think it's just something that they do now. | 0:38:39 | 0:38:41 | |
They just tend to have sex quite early. | 0:38:41 | 0:38:44 | |
I think now it's almost become like a recreational thing | 0:38:44 | 0:38:48 | |
It's just think it's the lifestyle young people have today. | 0:38:48 | 0:38:50 | |
It's just something they do. They have sex. They have lots of different partners. | 0:38:50 | 0:38:54 | |
Two weeks ago Jarmain and Francis came into the clinic for a checkup. | 0:39:00 | 0:39:04 | |
Having had unsafe sex in the past, both are eager to find out their results. | 0:39:06 | 0:39:11 | |
I know my test is going to come back good so... | 0:39:11 | 0:39:13 | |
-Negative. -I'm not really worried about anything. | 0:39:13 | 0:39:17 | |
Syphilis? AIDS? | 0:39:17 | 0:39:19 | |
Says you! If anyone's got anything, it'll be you, mate. | 0:39:19 | 0:39:23 | |
Maybe. | 0:39:23 | 0:39:24 | |
Both Jarmain and Francis have requested a text | 0:39:24 | 0:39:26 | |
if their results are negative, | 0:39:26 | 0:39:28 | |
so a phone call would indicate a positive result. | 0:39:28 | 0:39:32 | |
PHONE BEEPS | 0:39:32 | 0:39:34 | |
You've got AIDS! Get to the clinic. | 0:39:34 | 0:39:36 | |
I've got a text. | 0:39:36 | 0:39:38 | |
"Your most recent test results from MCSH," whatever that means, | 0:39:38 | 0:39:42 | |
"are negative." | 0:39:42 | 0:39:43 | |
Yes. And also a girl texts me. | 0:39:43 | 0:39:46 | |
"Afternoon, Francis, nice to meet you." | 0:39:46 | 0:39:49 | |
-Sweet. -Sorted. They should text you now, I reckon. | 0:39:49 | 0:39:53 | |
Francis gets the all-clear | 0:39:53 | 0:39:55 | |
but then Jarmain gets a nasty surprise. | 0:39:55 | 0:39:58 | |
-PHONE RINGS -Hello. | 0:39:58 | 0:40:01 | |
-INDISTINCT VOICE ON PHONE -Yes, it is. | 0:40:01 | 0:40:02 | |
Uh-oh. | 0:40:02 | 0:40:04 | |
I'm not interested, mate, thank you. | 0:40:05 | 0:40:07 | |
INDISTINCT VOICE ON PHONE | 0:40:07 | 0:40:09 | |
Carphone Warehouse! | 0:40:11 | 0:40:13 | |
I want my fucking results. I don't want to buy a new phone! | 0:40:13 | 0:40:16 | |
FRANCIS LAUGHS | 0:40:16 | 0:40:17 | |
PHONE BEEPS | 0:40:17 | 0:40:19 | |
Text. | 0:40:19 | 0:40:20 | |
-Wheey! -There you go. | 0:40:20 | 0:40:23 | |
"Your most recent test results | 0:40:23 | 0:40:26 | |
from MCSH are negative." | 0:40:26 | 0:40:29 | |
-Sorted, then. -I panicked a little bit | 0:40:29 | 0:40:31 | |
because I knew I was going to get a text. | 0:40:31 | 0:40:33 | |
I'd panic if I got a fucking phone call just like that. | 0:40:33 | 0:40:35 | |
The guy goes, "Hello, is that Jarmain?" | 0:40:35 | 0:40:37 | |
I've gone, "Yeah." He's gone... | 0:40:37 | 0:40:39 | |
That must've shit... I would've shit me up right now. | 0:40:39 | 0:40:41 | |
He's gone, "I'm from the Carphone Warehouse. | 0:40:41 | 0:40:43 | |
"Do you want to buy a phone?" | 0:40:43 | 0:40:45 | |
My fucking heart went zzzz down! Oh, mate! | 0:40:45 | 0:40:47 | |
Having got the all-clear, Jarmain and Francis know that | 0:40:47 | 0:40:51 | |
neither have gonorrhoea of the rear or syphilis of the nipple tips. | 0:40:51 | 0:40:55 | |
-So it's back to... -What? | 0:40:55 | 0:40:57 | |
Back to you choking in battles and banging hos bareback, is it? | 0:40:57 | 0:41:01 | |
And back to you being a twat. | 0:41:01 | 0:41:04 | |
Yeah! | 0:41:04 | 0:41:05 | |
Gay porn star, Lloyd, has received a call from the clinic | 0:41:14 | 0:41:17 | |
and has been asked to come in to get the results of | 0:41:17 | 0:41:20 | |
his first sexual health check in over a year. | 0:41:20 | 0:41:23 | |
When they did your rectal swabs, | 0:41:23 | 0:41:25 | |
it did come back positive on the culture. | 0:41:25 | 0:41:28 | |
-It's grown to say you have gonorrhoea. -OK. -OK? | 0:41:28 | 0:41:32 | |
Again, on the throat swab, on the one they sent away, | 0:41:32 | 0:41:34 | |
that one came back positive for chlamydia and gonorrhoea as well. | 0:41:34 | 0:41:38 | |
All right? The treatment we'll give you is a tablet and an injection. | 0:41:38 | 0:41:42 | |
Gay men like Lloyd represent one third of all gonorrhoea cases | 0:41:42 | 0:41:46 | |
and it's the fastest-growing STI. | 0:41:46 | 0:41:49 | |
Despite getting gonorrhoea and chlamydia, | 0:41:50 | 0:41:53 | |
Lloyd is lucky not to have caught anything worse. | 0:41:53 | 0:41:55 | |
But while these infections are treatable, | 0:41:56 | 0:41:58 | |
he faces the more immediate problem of not being able to work. | 0:41:58 | 0:42:03 | |
Because it is a sexually-transmitted infection, | 0:42:03 | 0:42:06 | |
that means no sex for two weeks. | 0:42:06 | 0:42:07 | |
-At all? -At all. All right? | 0:42:07 | 0:42:09 | |
Because what you could be doing is transmitting that infection | 0:42:09 | 0:42:12 | |
to other people then. | 0:42:12 | 0:42:13 | |
With the prospect of not being able to make films for up to two weeks, | 0:42:13 | 0:42:16 | |
Lloyd is desperate to find a way to get treated, | 0:42:16 | 0:42:19 | |
but also continue working. | 0:42:19 | 0:42:22 | |
I would strongly suggest that you would have your treatment today. | 0:42:22 | 0:42:25 | |
But you have to, sort of, weigh up what you want to do, really. | 0:42:27 | 0:42:31 | |
Do I have to take them here? | 0:42:31 | 0:42:33 | |
Could I not go to the shoot, take them after the shoot? | 0:42:33 | 0:42:35 | |
Unfortunately not, I have to give it to you here, cos it's an injection. | 0:42:35 | 0:42:39 | |
My housemate's a nurse, he can inject me! | 0:42:41 | 0:42:44 | |
Well, unfortunately we're not licensed to allow you to do that. | 0:42:44 | 0:42:48 | |
How many clients have you got lined up? Any... | 0:42:52 | 0:42:54 | |
In the next two weeks? | 0:42:54 | 0:42:56 | |
Um... About four? | 0:42:58 | 0:43:00 | |
Right, OK. | 0:43:00 | 0:43:02 | |
And does that represent quite a lot of money to you, then? | 0:43:02 | 0:43:06 | |
Yeah, probably about... over a thousand. | 0:43:06 | 0:43:10 | |
Right, so it's significant. | 0:43:10 | 0:43:12 | |
Mmm. | 0:43:13 | 0:43:15 | |
Having two STIs, Lloyd knows that tomorrow's bareback porn shoot | 0:43:16 | 0:43:19 | |
is off, and the sooner he gets treatment, the better. | 0:43:19 | 0:43:24 | |
-I can understand your quandary. -Yeah. | 0:43:24 | 0:43:27 | |
But, again, if you kind of think a wee bit more about you. | 0:43:27 | 0:43:32 | |
I'll have the thingy today, the treatment today. | 0:43:32 | 0:43:36 | |
-And then you come back in two weeks. -What's that treatment? | 0:43:36 | 0:43:39 | |
-So, the treatment is an injection. -Where? | 0:43:39 | 0:43:42 | |
-The injection's given into your bottom. -What part? | 0:43:42 | 0:43:45 | |
Basically, when I say into your bottom, it's not in your rectum. | 0:43:45 | 0:43:48 | |
-Yeah. -It goes into your bum cheek. -Oh, OK. | 0:43:48 | 0:43:50 | |
The injection's given, sort of, up here, so... | 0:43:50 | 0:43:52 | |
-Does it leave a mark? -It will leave a tiny wee pin prick. | 0:43:52 | 0:43:56 | |
With Lloyd agreeing to be tested, Fiona has one last challenge. | 0:43:56 | 0:44:01 | |
Basically I need to get a list of all your partners | 0:44:01 | 0:44:03 | |
in the last three months. | 0:44:03 | 0:44:05 | |
-I don't know. -Right, OK. | 0:44:05 | 0:44:08 | |
Any that you do know, or any that you know that you can contact, | 0:44:08 | 0:44:11 | |
-because they also will need to be treated. -OK. -Yeah? | 0:44:11 | 0:44:14 | |
I actually haven't got a clue of the majority of them. | 0:44:17 | 0:44:20 | |
With 80 partners in the last three months alone, | 0:44:20 | 0:44:22 | |
it's not surprising that Lloyd is having trouble remembering. | 0:44:22 | 0:44:25 | |
If you can give me details of who you do know. | 0:44:25 | 0:44:29 | |
-I haven't got them on me. -Oh, right, OK. | 0:44:29 | 0:44:32 | |
I'd have to, like, go home, | 0:44:32 | 0:44:34 | |
-look at diaries and laptops and everything. -Fine, fine. | 0:44:34 | 0:44:37 | |
So, when you come back in, in a couple of weeks, if you can bring | 0:44:37 | 0:44:40 | |
a list of people that you can contact, that would be perfect. | 0:44:40 | 0:44:44 | |
Just from the last three months, or the last year? | 0:44:44 | 0:44:48 | |
-Well I think... -I haven't been for a year! | 0:44:48 | 0:44:51 | |
Well, I've noted you've got 80 partners in the last three months. | 0:44:54 | 0:44:57 | |
That was optimistic! | 0:44:57 | 0:44:58 | |
We don't know how long he's had gonorrhoea and chlamydia. | 0:45:00 | 0:45:03 | |
He could've had it for a while, so, within that three months, | 0:45:03 | 0:45:07 | |
he's potentially infected 80 people. | 0:45:07 | 0:45:09 | |
OK, so just lie on there for a second, while I just put my pinny on. | 0:45:10 | 0:45:14 | |
Our side of things now have to look at it in view of trying | 0:45:14 | 0:45:16 | |
to get as many people as we can treated, | 0:45:16 | 0:45:19 | |
or in to be tested, at least. | 0:45:19 | 0:45:21 | |
So, it's trying to find out whether he can get that information, | 0:45:21 | 0:45:24 | |
so that we can try and get in touch with people, on his behalf. | 0:45:24 | 0:45:28 | |
Put your arm over there and just keep this nice and relaxed. | 0:45:28 | 0:45:32 | |
'He has to be responsible now because he has an infection' | 0:45:32 | 0:45:35 | |
and he knows about it, so this is why it was | 0:45:35 | 0:45:37 | |
quite strongly suggested he will not have sex for the next two weeks. | 0:45:37 | 0:45:42 | |
'Let's say I've been with, I don't know, 100 people' | 0:45:42 | 0:45:45 | |
in the past year, if each one of them | 0:45:45 | 0:45:47 | |
have only been with one person, | 0:45:47 | 0:45:49 | |
that's like 200, and then each of them... | 0:45:49 | 0:45:51 | |
You can see how it spreads so easily, so yeah. It's bad. | 0:45:51 | 0:45:56 | |
I don't think in a lifetime I could possibly have 80 partners, so... | 0:45:56 | 0:46:02 | |
Never mind in three months, so, that's why, working in that industry, | 0:46:02 | 0:46:06 | |
it's incredibly important that they are checked, | 0:46:06 | 0:46:08 | |
they are monitored and they are treated immediately. | 0:46:08 | 0:46:11 | |
I actually haven't got a clue about half of them. | 0:46:11 | 0:46:14 | |
Not because I was like... just because, like... | 0:46:14 | 0:46:17 | |
I don't need to know the name | 0:46:17 | 0:46:19 | |
for the time period I'm with them, so... | 0:46:19 | 0:46:23 | |
It's unfortunate. | 0:46:23 | 0:46:24 | |
But Lloyd won't be left on his own to contact all his ex partners. | 0:46:26 | 0:46:30 | |
If he can provide details to the clinic, | 0:46:30 | 0:46:32 | |
they'll contact them directly | 0:46:32 | 0:46:33 | |
to suggest they come in and get checked out. | 0:46:33 | 0:46:36 | |
For Pam and the other clinic staff, tracing the sexual contacts | 0:46:36 | 0:46:40 | |
of infected patients, like Lloyd, | 0:46:40 | 0:46:42 | |
is a tricky but necessary part of the job. | 0:46:42 | 0:46:46 | |
So we have a folder, we have a folder | 0:46:46 | 0:46:48 | |
and it gives, obviously, people's contact details. | 0:46:48 | 0:46:52 | |
So, I can phone up somebody saying, "Hi, I'm one of the health advisers. | 0:46:52 | 0:46:55 | |
"I'm just phoning you just to inform you that you may have been | 0:46:55 | 0:46:59 | |
"in contact with a sexually-transmitted infection." | 0:46:59 | 0:47:01 | |
So then they're aware that they've got it, | 0:47:01 | 0:47:04 | |
Now, then it's up to that person to come in and get a check up. | 0:47:04 | 0:47:07 | |
But we can't walk them in. | 0:47:07 | 0:47:09 | |
They have to make that decision and, you know, walk in themselves. | 0:47:09 | 0:47:13 | |
Having found out he has caught both chlamydia | 0:47:20 | 0:47:24 | |
and gonorrhoea, Lloyd meets his best friend, Skylar, to see | 0:47:24 | 0:47:27 | |
if he's caught anything worse. | 0:47:27 | 0:47:29 | |
When do you think you'll get your results, then, | 0:47:29 | 0:47:31 | |
cos it's been, like, two weeks today. | 0:47:31 | 0:47:33 | |
Yeah, you've got everything. | 0:47:33 | 0:47:35 | |
-Nooo. -Syphilis... | 0:47:35 | 0:47:37 | |
If it takes longer - this is what the nurses said to me, | 0:47:37 | 0:47:40 | |
in this one place - | 0:47:40 | 0:47:41 | |
if it takes longer, then you're less likely to have it. | 0:47:41 | 0:47:44 | |
Why? That doesn't make sense. | 0:47:44 | 0:47:45 | |
They make it an emergency thing if you've got something. | 0:47:45 | 0:47:48 | |
Despite knowing a serious infection could change their lives | 0:47:48 | 0:47:51 | |
and end their porn careers, both are still taking risks. | 0:47:51 | 0:47:55 | |
-I've had unprotected, since. -I haven't. | 0:47:55 | 0:47:58 | |
I've had no unprotected, for months. | 0:47:58 | 0:48:01 | |
-I haven't. I've been really good. -I think I have. | 0:48:01 | 0:48:05 | |
-I remember... -What? | 0:48:05 | 0:48:06 | |
Excluding one person, I haven't had unprotected for about | 0:48:06 | 0:48:10 | |
-three months, four months. -Really? | 0:48:10 | 0:48:14 | |
Yeah, like even if it comes back negative, | 0:48:14 | 0:48:16 | |
I'm going to have to go again, anyway, soon. | 0:48:16 | 0:48:19 | |
As the two weeks since his test have passed, | 0:48:19 | 0:48:22 | |
Skylar calls up the clinic direct. | 0:48:22 | 0:48:24 | |
PHONE RINGS | 0:48:24 | 0:48:25 | |
Hello, Manchester Centre for Sexual Health. | 0:48:25 | 0:48:28 | |
Hey, I just want to get my results. | 0:48:28 | 0:48:29 | |
OK, can I check your name, please, and your date of birth? | 0:48:29 | 0:48:33 | |
'Right I'll just go through your results for you.' | 0:48:35 | 0:48:37 | |
So, your HIV and syphilis test came back negative. OK? | 0:48:37 | 0:48:43 | |
Yeah, that's brilliant. Is that all of it? | 0:48:43 | 0:48:45 | |
'No, everything else came back negative as well. | 0:48:45 | 0:48:48 | |
-'Gonorrhoea and chlamydia was also negative.' -Ah, bitch! | 0:48:48 | 0:48:50 | |
What we did find, though, | 0:48:50 | 0:48:52 | |
was that you don't have enough immunity to hepatitis B. | 0:48:52 | 0:48:55 | |
Now, you had your third vaccine when you came into clinic, didn't you? | 0:48:55 | 0:48:58 | |
Yes, yeah. | 0:48:58 | 0:48:59 | |
'So, just to remind you that you need to have a blood test done | 0:48:59 | 0:49:02 | |
'in six weeks time to make sure | 0:49:02 | 0:49:03 | |
'you've got enough immunity against hepatitis B.' | 0:49:03 | 0:49:06 | |
-Oh that's cool, OK. Thank you. -'All right then.' | 0:49:06 | 0:49:08 | |
Cheers. | 0:49:08 | 0:49:09 | |
'No problem. OK, see you, bye-bye.' | 0:49:09 | 0:49:11 | |
Bye. | 0:49:11 | 0:49:13 | |
Oh, oh! | 0:49:13 | 0:49:15 | |
-Shut up, shut up. -Who's the slag now? -Shut up. | 0:49:15 | 0:49:18 | |
Heidi's come to the Hewitt Centre in Liverpool, | 0:49:26 | 0:49:29 | |
one of the leading fertility clinics in the country. | 0:49:29 | 0:49:32 | |
For last 13 years she's been consumed by the worry that a bout | 0:49:32 | 0:49:36 | |
of chlamydia has done irreparable damage to her reproductive organs. | 0:49:36 | 0:49:40 | |
Today, she may begin to get some answers. | 0:49:40 | 0:49:43 | |
I've been feeling very nervous. | 0:49:45 | 0:49:47 | |
Nervous and excited, cos it's something that I really want | 0:49:47 | 0:49:50 | |
to know, and I think, once I know, | 0:49:50 | 0:49:51 | |
I'll maybe be able to move on with my life and start... | 0:49:51 | 0:49:54 | |
Rather than dwelling on it, I can hopefully | 0:49:54 | 0:49:56 | |
make positive changes to my life, maybe if I know how to... | 0:49:56 | 0:50:01 | |
that I might need IVF, maybe start saving up for it | 0:50:01 | 0:50:03 | |
and things like that. | 0:50:03 | 0:50:05 | |
The thing that we're worried about with you is | 0:50:09 | 0:50:12 | |
-your chlamydia and what's it done. -Yeah. | 0:50:12 | 0:50:15 | |
Now, the thing about chlamydia is that what chlamydia | 0:50:15 | 0:50:18 | |
does to girls, it causes | 0:50:18 | 0:50:21 | |
an intense endosalpingitis, | 0:50:21 | 0:50:25 | |
that means it causes inflammation | 0:50:25 | 0:50:28 | |
in those fallopian tubes. | 0:50:28 | 0:50:31 | |
Female's enemy number one, because what it does, | 0:50:31 | 0:50:34 | |
it affects the cilia, | 0:50:34 | 0:50:36 | |
the little hairs. | 0:50:36 | 0:50:39 | |
Chlamydia is one of our biggest enemies, because if | 0:50:39 | 0:50:43 | |
there wasn't chlamydia, our workload would drop tremendously. | 0:50:43 | 0:50:49 | |
Heidi will undergo only a preliminary ultrasound examination. | 0:50:49 | 0:50:53 | |
It can't give conclusive answers | 0:50:53 | 0:50:55 | |
about her fertility, but the professor | 0:50:55 | 0:50:58 | |
will be able to see any major damage to the reproductive organs. | 0:50:58 | 0:51:02 | |
-OK? -Yep. -So what we do is we just put the tip of the probe in. | 0:51:02 | 0:51:05 | |
-Not the whole thing. -OK. -All right? So just try and... | 0:51:05 | 0:51:08 | |
Obviously, easiest thing in the world for me to say, just relax. | 0:51:08 | 0:51:11 | |
Now if you want to look at this, Heidi, we can see all your bits. | 0:51:11 | 0:51:17 | |
-You can actually see this thing here, can you see that there? -Yeah. | 0:51:17 | 0:51:21 | |
-That's your uterus. -Right. | 0:51:21 | 0:51:23 | |
And if you look at the size and dimensions, | 0:51:23 | 0:51:26 | |
that's a perfectly normal uterus. | 0:51:26 | 0:51:28 | |
-Right. -OK? So, that's good. | 0:51:28 | 0:51:31 | |
What we do, now, is to just move around a bit and see | 0:51:31 | 0:51:35 | |
whether we can see your ovaries. | 0:51:35 | 0:51:38 | |
Now there's one of your ovaries, just there, OK? | 0:51:38 | 0:51:40 | |
It's a bit big, but it's fairly normal. | 0:51:40 | 0:51:43 | |
There's a bit of breakfast moving around, can you see it? | 0:51:43 | 0:51:48 | |
Then we swing round here. | 0:51:48 | 0:51:51 | |
We're looking for something that might be... | 0:51:51 | 0:51:54 | |
look like a big black sausage, | 0:51:54 | 0:51:55 | |
that's your fallopian tube sticking out of your uterus. | 0:51:55 | 0:52:01 | |
-There's one there. OK, it's just there. -Yeah. | 0:52:01 | 0:52:05 | |
And if you scan around the length of it, looks normal. | 0:52:05 | 0:52:09 | |
-It looks normal? -Yeah, that looks normal. | 0:52:09 | 0:52:11 | |
It certainly doesn't look dilated. | 0:52:11 | 0:52:13 | |
I can't tell you for sure whether it's normal, | 0:52:13 | 0:52:16 | |
but what I can tell you that it doesn't look really abnormal. | 0:52:16 | 0:52:21 | |
It sounds good, but, yeah, I really don't know. | 0:52:21 | 0:52:24 | |
I don't know what... Yeah. I'll see what he says | 0:52:24 | 0:52:27 | |
and what he can tell me. | 0:52:27 | 0:52:29 | |
To find out conclusively whether she is infertile or not, | 0:52:29 | 0:52:33 | |
Heidi would need to undergo further tests. | 0:52:33 | 0:52:36 | |
What we'd need to do for you to assess your fertility, | 0:52:36 | 0:52:40 | |
is we'd need to check | 0:52:40 | 0:52:41 | |
-your egg quality. -Right. | 0:52:41 | 0:52:43 | |
But, also, we'd need to check | 0:52:43 | 0:52:46 | |
your fallopian tubes. | 0:52:46 | 0:52:49 | |
I've done that scan and it looks OK | 0:52:49 | 0:52:51 | |
but the only way to check | 0:52:51 | 0:52:54 | |
or to prove that they work | 0:52:54 | 0:52:55 | |
is for you to have a baby. | 0:52:55 | 0:52:57 | |
I know that sounds a bit daft, | 0:52:57 | 0:52:58 | |
but that's the only way to | 0:52:58 | 0:53:00 | |
unequivocally prove it. | 0:53:00 | 0:53:01 | |
The next thing we'd need to do is an X-ray. | 0:53:01 | 0:53:03 | |
So what we'd do is we inject some dye through the fallopian tube, | 0:53:03 | 0:53:08 | |
up through the uterus and into there. | 0:53:08 | 0:53:10 | |
We X-ray it, as it goes up. | 0:53:10 | 0:53:12 | |
Until Heidi has a partner with whom she's trying to conceive, | 0:53:12 | 0:53:15 | |
none of these invasive procedures are appropriate. | 0:53:15 | 0:53:18 | |
Obviously, OK, just say I meet someone | 0:53:18 | 0:53:20 | |
and then we're trying for a baby and then they find out | 0:53:20 | 0:53:22 | |
that my fallopian tubes are damaged, is there any way to rectify that? | 0:53:22 | 0:53:27 | |
Can they be un-damaged, | 0:53:27 | 0:53:28 | |
can they unblock the hairs, or is it just IVF, or will IVF not work? | 0:53:28 | 0:53:33 | |
This is one of the things that is a bit of a myth, | 0:53:33 | 0:53:36 | |
that if you've got a block to your fallopian tube - you've just hit the | 0:53:36 | 0:53:40 | |
nail on the head - you can make it unblocked, you can chisel it out, | 0:53:40 | 0:53:44 | |
but you can't re-generate those cilia, those little hairs. | 0:53:44 | 0:53:48 | |
-They've gone for ever, OK? -Right, OK. | 0:53:48 | 0:53:50 | |
So what we would normally recommend, if your tubes are blocked, | 0:53:50 | 0:53:54 | |
or you've been trying for a baby for a long time - IVF. | 0:53:54 | 0:53:57 | |
After 13 years of worry, Heidi finally has some hope. | 0:53:57 | 0:54:01 | |
And your chance of getting pregnant, is actually very good. | 0:54:01 | 0:54:05 | |
It's higher than your chance of not getting pregnant. | 0:54:05 | 0:54:10 | |
-Provided your eggs are OK. -OK. | 0:54:10 | 0:54:12 | |
And the sperm's OK. | 0:54:12 | 0:54:14 | |
She now knows that if all the necessary tests showed | 0:54:14 | 0:54:17 | |
she did have a fertility problem, IVF would be an option. | 0:54:17 | 0:54:22 | |
See if you said to me, | 0:54:22 | 0:54:23 | |
"Right, you know, gut feeling are you going to have a baby?" | 0:54:23 | 0:54:26 | |
-I'd say, "Yeah." -Really? | 0:54:26 | 0:54:28 | |
Yeah. And this idea of saying, "You've only got a 10%..." | 0:54:28 | 0:54:32 | |
-Where did they get that from? -I don't know. | 0:54:32 | 0:54:34 | |
It's, like, it's upset me so much throughout my life, | 0:54:34 | 0:54:38 | |
because I just...I feel like I can't | 0:54:38 | 0:54:39 | |
even be in relationships because I feel like I need to tell them, | 0:54:39 | 0:54:42 | |
straightaway, that I don't think I can have children and I don't know. | 0:54:42 | 0:54:45 | |
Well, I wouldn't tell them that. Have some of those. | 0:54:45 | 0:54:49 | |
-Sorry. -It's all right. | 0:54:49 | 0:54:50 | |
It's the reassurance Heidi was hoping for. | 0:54:50 | 0:54:53 | |
It's not what I expected at all. | 0:54:53 | 0:54:55 | |
I was preparing myself for the worst. | 0:54:55 | 0:54:57 | |
I thought I was going to find out that I was infertile. | 0:54:57 | 0:54:59 | |
Even though I might not be able to get pregnant naturally, | 0:54:59 | 0:55:02 | |
the option of IVF is a possibility, so I am... I'm really, really happy. | 0:55:02 | 0:55:08 | |
Eager to share the news, she calls her friend, Sinead. | 0:55:08 | 0:55:12 | |
The doctor's basically said that he can't see any problems, | 0:55:13 | 0:55:16 | |
and he thinks that I would definitely be able to have children. | 0:55:16 | 0:55:19 | |
'Oh!' | 0:55:19 | 0:55:21 | |
I know. | 0:55:21 | 0:55:23 | |
'Oh, Heidi, that's such good news!' | 0:55:25 | 0:55:28 | |
I know. So I've just got to meet the right man, now. | 0:55:28 | 0:55:31 | |
I just wish that I'd been given the right information | 0:55:31 | 0:55:35 | |
from people in the past. | 0:55:35 | 0:55:37 | |
The doctor told me I had a 10% chance of being able to have children, | 0:55:37 | 0:55:40 | |
and that's what I've sort of like based my whole life on, really, | 0:55:40 | 0:55:44 | |
and to find out that that isn't the case, it's just... | 0:55:44 | 0:55:47 | |
I just feel really happy. | 0:55:47 | 0:55:49 | |
'Oh, I'm so happy for you. It must be such a relief.' | 0:55:49 | 0:55:53 | |
It is. It is lovely. | 0:55:53 | 0:55:56 | |
Next time on Unsafe Sex In The City... | 0:55:56 | 0:55:58 | |
And have you ever had a sexually transmitted infection in the past? | 0:55:58 | 0:56:01 | |
-I've had chlamydia three times. -What? | 0:56:03 | 0:56:05 | |
It was a decision I was making and it ultimately was the wrong one. | 0:56:05 | 0:56:11 | |
I can't actually see any of this discharge. | 0:56:11 | 0:56:15 | |
I'm calling cos I just got a message from the clinic. | 0:56:15 | 0:56:18 | |
Subtitles by Red Bee Media Ltd | 0:56:22 | 0:56:28 |