Episode 2 Unsafe Sex in the City


Episode 2

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This programme contains some strong language

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Britain is in the grip of an epidemic

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of sexually transmitted infections.

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-Everyone's shagged everyone.

-Urrrgh!

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Behind every rash, lump and itch...

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Men will come in with pus coming out everywhere.

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-And you said some itching around the back passage?

-Yeah.

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..is a patient terrified they may have caught an STI.

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What is scabies?

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This series follows the staff as they treat patients

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at the Manchester Centre for Sexual Health.

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Some of the things you see,

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especially when you see herpes and warts,

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some of them look really nasty.

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I'm going celibate!

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And we work with the clinic to invite Manchester's young people

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to get checked out...

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Was it protected or unprotected? Unprotected

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-One, two, three.

-Agh, I can feel that.

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That has actually come back positive for gonorrhoea.

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..before learning how the fallout from unprotected sex...

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It's going up in increments, mate.

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Next it'll be syphilis with holes in your cock.

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..affects them...

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WOMAN MOANS

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I feel like it's ruined my life.

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MAN GROANS

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Hey, I just want to get my results.

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..and their relationships.

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I'm calling because I just got a message from the clinic.

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This week Lloyd opens up about his prolific sex life.

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How many partners have you been with in the last three months?

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With a straight face.

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Just as a guess. Is it more than 100?

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-No, 80, 80. Write 80.

-Right.

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Housemates Martin and Marissa learn the hard way

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just how easily some problems can spread.

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No! You infected everyone!

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And Heidi deals with the life-changing consequences of catching an STI.

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I feel like I can't even be in relationships

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cos I feel like I need to tell the truth that I don't think I can have children.

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The Manchester Centre for Sexual Health is gearing up for another manic day.

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Hello, can I help?

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-Have you been here before?

-Yes.

-If you'll just take a seat.

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Number 12, please.

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Seeing nearly 100 people every day,

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the staff are used to dealing with the influx of patients

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potentially riddled with STIs.

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Yeah, it's very busy, very demanding.

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You just get to meet lots of different people.

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Characters.

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Characters. Perfect word - characters.

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Busy day ahead, ladies?

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You don't know what you're going to get,

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so we'll have to see what comes in.

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Why would anybody want to work with people's bits?

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Cos it is a slight conversation stopper.

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You say to someone, "What's your job?" "I'm a nurse."

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"Interesting. What do you do?"

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"I work in sexual health." and they're like, "OK, moving on."

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It's when you get your friends say,

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-"Can you have a look at a spot on my bits, please?"

-Yeah.

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You think, "No, you're stepping over the line now!"

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Exactly.

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However, when the clinic doors open, the staff are more than happy

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to look at your bits, no matter what state they're in.

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Just have a seat.

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-Um, I think I might have a few little warts.

-OK.

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-And then there's some, er, ulcers I'd like you to look at as well.

-OK.

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So you've got some discharge, is that right?

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-Do you have any pain when you go for a pee?

-Yep.

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I didn't really do anything bad till I was about 20

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and now I'm just dealing with regrets.

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There's quite a bit of discharge there, isn't there?

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After that happened, I was pretty much like,

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"I'm done having sex this year."

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We need to do a wee swab from your bum, is that OK?

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OK.

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Oh!

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Oh, be careful. Sorry. Be careful.

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-Are you all right?

-Yeah.

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-Have you had this done before?

-Yeah.

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It only takes a second, just bear with me.

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-Oh, it's not that bad.

-Told you I was gentle.

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It was much more painful last time.

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Oh, actually, while we're here... Yes, go on, while we're here...

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20-year-old housemates Lloyd and Skylar

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are in a gym just off Canal Street in Manchester's glitzy gay village.

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We'll go on the sunbeds, then we'll go for a drink

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and then you can go home and fake-tan.

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Lloyd moved to Manchester 12 months ago

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and met best friend Skylar at work.

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As young, free, single boys about town,

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the last thing they worry about

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is being in a safe, stable relationship.

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I want to commit if I'm in a relationship, not like you.

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-I'm good!

-You're not.

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-I've only been out...

-Once.

-..just over a year though!

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I've only been out since I was 18 and a half.

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I hadn't had sex before.

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-Really?

-I'm not like you and start at, like, 12.

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I did not start at 12. I came out when I was probably about 15.

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Yeah. you probably have slept with more people, though.

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-Make up for lost time.

-That's true.

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Although Lloyd has had a prolific year since coming out,

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it's Skylar that holds the record for most men in one night.

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Oh, yeah, your new year!

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-Oh, I went in a sauna at new year.

-How many did you have that day?

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-It was like about...

-Six?

-About five. No.

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Did you catch anything then?

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I think that's when I probably...

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I think that's when I got gonorrhoea, I think.

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OK, here you go, then.

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That's fine for me, so masturbation, masturbation, masturbation...

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That's lovely, don't pout.

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Away from their private sexploits,

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Lloyd and Skylar earn a respectable living in the porn industry.

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When we get to that part of the scene,

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it has to look like you and Skylar are on the desperate stakes.

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-I hate acting.

-I hate acting.

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So, oh, just shag me! I don't want to act!

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Lloyd first started working in porn to earn a bit of extra cash.

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But seven months later, and he's now appeared in 40 films.

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My first shoot was in Manchester. Um...

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It was just a straightforward duo.

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The DVD was called Well Hung Virgins. Yeah, right.

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It all went from there.

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Right, fellas, so it's the same routine as usual.

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Just chuck 'em and say you may as well join in.

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And down you come. You've given in.

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And then it's feeding time at the zoo.

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As well as their own careers being dependent on their sexual health,

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it also affects other actors and crew.

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Oh, sexual health is absolutely key,

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both for the industry, because it would shut us down,

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it would close us really quickly, so there's a huge cost implication

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to having an outbreak of any STI and also to the boys themselves.

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And they understand that their job depends

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on looking after their sexual health and their physical health,

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and also making sure they're checked regularly.

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Both Lloyd and Skylar have been cast in a new movie

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being made in Manchester

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and need negative test results if they are to perform.

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It'll be Lloyd's first condom-free "bareback" movie,

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so a positive test result would make taking part impossible.

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You will get paid like extra and stuff if it is, like, bareback,

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so if you don't use protection you do get paid more,

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although you are meant to, like, check up like regularly.

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Like once a month.

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Not once every two years.

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If they report the fact they've got an STI,

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that would be it for them.

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Depending on what it was, it might mean they'd be out of action for a few weeks,

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they might be out of action for a very long time

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or it may need a completely new education if it was something like HIV.

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Having not had a test in over a year,

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Lloyd is at high risk of having gonorrhoea, chlamydia, syphilis or HIV.

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Even unprotected oral sex is risky

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with nearly a fifth of gonorrhoea cases being detected in the throat.

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Er, I really need to go for a test.

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You really do need to go. You really do need to go.

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I'm dreading it. I actually am. Cos...

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You might have a whole set.

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With so much at stake, they'll be hoping the unsafe sex they've had

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won't come back to haunt them.

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PHONE RINGS

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Hello, Manchester Centre for Sexual Health, can I help you?

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For the nurses at the clinic, appearing in porn is nothing

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compared to some of the sexploits they hear about.

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Well, I was quite naive before I worked in sexual health,

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I've got to be honest.

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I didn't know half the things, I suppose.

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There was like this guy...

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Have you ever seen

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when the gay men wear the leathers with the bum hole missing?

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You know they wear the leather pants

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but they have the ones that look like they're about to ride a horse or something.

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-The chaps? Chaps.

-Yeah.

-Yeah.

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And they have... And this guy said he was a bouncer in an all-male club

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and, um, he said, "I never got why people wore those," he said,

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"but I watched them once and this guy went up and fisted him."

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Single student Heidi has come to the clinic

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for her regular six-monthly checkup.

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It's something she's always done since catching an STI as a teenager.

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When I was 18, um, I was living down in Cornwall

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and I was with a boyfriend. I'd been with him about a year

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and I started to get really bad pains in...

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It seemed like in my abdominal area

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and I wasn't... didn't know what it was,

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and when I went to the doctors they said I should go to an STI clinic.

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I got tested and they said that I had chlamydia.

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Right, so I just need to run through some questions with you.

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-Do you take any contraception?

-No.

-No.

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-Do you use condoms when you have sex?

-Yes.

-You do.

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Is there any reason that you're not taking any contraception at all?

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-Um, I don't think I can get pregnant.

-You don't? OK.

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What makes you think you can't get pregnant?

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-Cos I had chlamydia.

-OK.

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Chlamydia, if left untreated,

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can cause serious fertility problems for women.

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Around half of those infected with chlamydia

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won't experience any symptoms and may be spreading the infection

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and doing damage to their reproductive organs without even realising.

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And did you get your treatment and everything?

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I did, and then they said I had about a 10% chance of being able to have kids.

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-And who said that to you?

-That was my doc... That was at the GUM clinic.

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-The GUM clinic.

-Yeah.

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I just don't think I can have children.

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I see all my friends and family having babies

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and everyone around me

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and I go onto Facebook and it's all pictures of families

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and their young children and I don't think I'll ever have that.

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Chlamydia is the most common STI in the UK

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with over 160,000 cases last year.

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And 18- to 25-year-olds are the age group

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most likely to be carrying the infection.

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I don't think a lot of people are aware of the risks and stuff.

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I didn't know you could get even chlamydia in your mouth

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and gonorrhoea in your throat or anything like that,

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so I just think a lot of young people are really...

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They're not aware of the risks.

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They think you can come in and take some tablets and it's gone.

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I think there is a little bit more complacency

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with things like chlamydia.

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I mean, if you sort of said to somebody,

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"It could stop you from having children

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"in the future," then you might think of it in a different way.

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But while there CAN be serious consequences,

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Alison knows it's far too soon for Heidi

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to give up hope of having children all together.

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Unless you've been investigated with regards to your fertility, you know,

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there's no way of knowing whether you can have children or not.

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There is a risk that you could have fertility problems

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but I would suggest, once you're in a relationship with someone,

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get investigated further.

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Due to her extreme anxiety over the issue,

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Heidi has asked her GP to refer her to a fertility consultant

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in the hope of allaying some of her worst fears.

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I think it's important that you take it further.

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-I think it'd be good if I knew. If I just knew.

-Yeah, yeah.

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-Even if I knew...

-I'm not saying anyone can tell you.

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If I knew definitely not, then I could try and...

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-Yeah, it's tricky, isn't it?

-..think about other options.

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There we go, just press down there.

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Today's tests will show

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whether Heidi has contracted any new STIs in the last six months.

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Getting tested regularly is now a way of life.

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Even though, yes, I had chlamydia and, yes, I do believe it's made me infertile,

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the actual treatment of the actual infection,

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that was treated straightaway

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and it was only the damage that had already been done that can't be rectified

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and that's because I didn't go to the STI clinic quick enough.

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If I'd gone there within a couple of weeks, this would never have happened.

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For 29-year-old Martin,

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the main problem with his sexual health is rather irritating.

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He's come to the clinic with an itchy groin

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and dragged his friend and housemate Marissa along for moral support.

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It feels a lot easier coming with a friend

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because you feel at ease, they feel... He feels at ease as well

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and, like, it's just like a normal daily outing for us!

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There's four of us that live together

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and we're very open with each other.

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It's best to know than not to know

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because you never know what you could catch.

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-Have we got Martin?

-Hiya, all right?

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-Is it Marissa?

-Hiya.

-Sorry, I'm dropping everything.

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Come through.

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I don't always practise safe sex, no.

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Um, nine times out of ten I do,

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but obviously you always have one too many drinks

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and things lead to different things and you don't, so...

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When was the last time you had sex with anybody?

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-Er... Last weekend.

-Last weekend.

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-And did you have oral sex?

-Yeah.

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-Both ways?

-Yeah.

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Toys on this one.

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Don't know how to word it.

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That's the only way I can think of saying it.

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Toys, that's fine, whatever you want to call it. OK.

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-So was it a dildo?

-Yeah.

-Yeah.

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-Um... No other way to put it really, is there?

-Yeah.

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-And tick everything else cos...

-Tick everything else?

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Except for the last one.

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-No anal.

-No.

-THEY LAUGH

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-Well, whatever floats your boat is what we say.

-I'm not up for that.

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You're not up for that, that's fine.

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I think if you look at the person and think, "They're all right,

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"they've not said anything to..."

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You would think if anybody had a disease,

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they would tell you before you slept with them.

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But I suppose you should be more careful.

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But Martin's judgment hasn't been quite up to scratch.

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I'm a little bit itchy at the moment,

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so I don't know if it's the washing powder or...

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-Generally or just in that area?

-Round here there's little red dots

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but I didn't know if it was cos of the washing powder or something else.

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OK.

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An itchy groin can mean you have anything from herpes to warts to crabs.

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Just lie yourself down. Let me have a proper look, all right?

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See these little spots here?

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Oh, yeah.

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But at night it's more itchy, like last night it was doing my head in.

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Underneath my balls is the most...

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You know that little line you've got?

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-Just under the sac?

-Yeah. That's really itchy at night.

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-OK. And you've had them for a couple of weeks?

-Yeah.

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-You've definitely not shaved or anything like that?

-Nah.

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They just look like little, um, little heat spots if you like.

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-Like irritation spots.

-yeah.

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It doesn't look like a fungal infection that you can get in the groin.

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That's what I thought but it is really itchy.

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-Shall I get somebody to have a look?

-Yeah, will you?

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Unsure of the diagnosis,

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Lisa calls in specialist consultant Dr Ash for a second opinion.

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-Tell me if it hurts, OK.

-It's all right.

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Are these itchy?

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Yeah.

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With 24 years in the business of STIs,

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Ash quickly diagnoses the problem.

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These look like scabies, you see?

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Scabies is a contagious skin infection

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caused by a tiny parasite that burrows under the skin.

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Do you have any itching anywhere else?

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-Just here.

-Just here?

-Yeah.

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-Nothing on the body elsewhere at all?

-No, not really.

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What we usually do is... Again, scabies is a very minor infection,

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infestation I should say,

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-and we just give you a cream to apply below your neck.

-Yeah.

0:16:470:16:52

All over the body.

0:16:520:16:54

-Do you share your accommodation with anyone else?

-Yeah.

0:16:540:16:57

-Uh, they might need treatment as well.

-OK.

0:16:570:16:59

Because it's sort of a... contagious infection in that sense.

0:16:590:17:03

Yeah, sure. We use the same towels and everything as well...

0:17:030:17:05

It's important then... to treat both together.

0:17:050:17:10

Is it just one other?

0:17:100:17:11

-There's four of us altogether.

-Four of you? OK.

0:17:110:17:14

While scabies CAN be passed on during sex,

0:17:140:17:17

it can also be caught from sharing bed sheets or towels

0:17:170:17:20

with an infected person.

0:17:200:17:23

Not coming here again.

0:17:230:17:25

Not coming here again? We treated you properly today.

0:17:260:17:30

I know, thanks. Been a right treat(!)

0:17:300:17:33

Having received his treatment,

0:17:330:17:35

Martin now faces an uncomfortable conversation with his housemates.

0:17:350:17:39

And first up will be Marissa, who is waiting for him outside,

0:17:390:17:44

blissfully unaware.

0:17:440:17:45

'Just a full sexual health check.'

0:17:450:17:47

You've got no current symptoms or concerns at all?

0:17:470:17:50

For receptionists Jo and Claire,

0:17:500:17:52

surprises are an everyday occurrence.

0:17:520:17:55

-You still do get shocked, don't you?

-Yeah, every day you do.

0:17:550:17:58

You hear... Well, you thought you'd heard everything,

0:17:580:18:01

then somebody'll come in and then tell you something

0:18:010:18:05

-or try and confess their sins at the desk...

-I don't think...

0:18:050:18:08

I'm like, "You really don't need to!" But we're here to listen.

0:18:080:18:11

Being on the front line in the fight against STIs,

0:18:120:18:14

it's vital they recognise the ever-changing slang names

0:18:140:18:18

for the various infections.

0:18:180:18:20

The clap, riddled. What is it? Daisy chaining?

0:18:200:18:23

-What else is it?

-Wounding.

0:18:230:18:25

Wounding.

0:18:250:18:27

-Blue cheese. I've heard of that.

-Blue cheese, yeah.

0:18:270:18:29

What else is there?

0:18:290:18:31

But I think each generation think of completely different names.

0:18:310:18:37

-Blue waffle.

-Let me write that down. What is that?

0:18:370:18:40

-I don't know what it is.

-Blue waffle, blue cheese.

0:18:400:18:42

Blue waffle and blue cheese isn't actually an infection.

0:18:420:18:46

It's just a name that people have made up.

0:18:460:18:49

Rimming, yeah.

0:18:490:18:50

I have incidents every day.

0:18:500:18:52

Yeah, it's every day it's different.

0:18:520:18:54

You get different things every day.

0:18:540:18:55

Gay porn stars Lloyd and Skylar

0:19:010:19:04

have come to the clinic to get a full sexual health checkup.

0:19:040:19:07

Hi. Follow me.

0:19:070:19:10

They're both at high risk of infection.

0:19:100:19:13

Just come and take a seat for me, please.

0:19:130:19:16

My name is Chitra Babu. I'm one of the doctors here.

0:19:170:19:20

Just going to take you across.

0:19:200:19:22

In the UK, gay men are at the greatest risk of catching HIV.

0:19:230:19:26

But with a quarter of all people unaware they have the virus,

0:19:270:19:31

failing to use protection could change your life for ever.

0:19:310:19:35

What we do here is give you a full sexual health screen.

0:19:370:19:40

That includes tests for common things like chlamydia and gonorrhoea

0:19:400:19:43

but also a blood test for things like HIV, syphilis, possibly hepatitis B.

0:19:430:19:47

-Are you OK with that?

-That's fine, yeah.

-That's great.

0:19:470:19:50

So I just need to ask you some personal questions.

0:19:500:19:52

Er, have you ever had sex with someone that was non-British?

0:19:530:19:58

-Someone from abroad?

-Yes.

-And where were they from?

-Czech.

0:19:580:20:02

Czech-land or whatever, Prague.

0:20:020:20:04

Have you ever had sex with a man?

0:20:040:20:06

Yes.

0:20:060:20:07

Have you ever paid for sex?

0:20:070:20:09

Have I paid for it? No.

0:20:090:20:12

Have you ever BEEN paid for sex?

0:20:120:20:14

I've been paid for the filming of it, not for the actual sex.

0:20:140:20:16

OK, and can I ask you how many partners have you been with in the last three months?

0:20:180:20:22

With a straight face.

0:20:240:20:25

Whilst most questions are easy,

0:20:250:20:27

for Lloyd, counting up all his recent sexual partners

0:20:270:20:31

requires some testing mental arithmetic.

0:20:310:20:34

Is it just full-on sex or including other stuff?

0:20:340:20:36

Any type of sex.

0:20:360:20:38

Any type of sex whatsoever, so it's oral sex,

0:20:380:20:41

anal, given, received.

0:20:410:20:43

Shit. Um...

0:20:430:20:45

-Just as a guess. Is it more than 100?

-No. 80, 80. Write 80.

-Right.

0:20:460:20:52

-Sexual Health?

-Yep.

0:20:540:20:55

Can you check here, please,

0:20:550:20:57

and let me know which number option you would choose today?

0:20:570:21:01

We need a water sample first of all

0:21:010:21:03

to test for things like chlamydia and gonorrhoea.

0:21:030:21:06

We need to take a swab from the back of your throat

0:21:060:21:08

looking for the same infections, and a swab from the back passage.

0:21:080:21:12

So what you need to do is take the lid off, pop it up your bottom.

0:21:120:21:15

This is... That's what I needed to do. Not nice.

0:21:150:21:19

For Pam, the number of Lloyd's direct sexual partners

0:21:190:21:23

is only the tip of the iceberg.

0:21:230:21:25

He's got 80 partners in three months -

0:21:260:21:29

that's a lot of partners.

0:21:290:21:30

Now potentially if he comes back positive

0:21:300:21:34

and he last had a test, when was it?

0:21:340:21:39

2011. January 2011.

0:21:390:21:43

So you've got to then, if you come back positive,

0:21:430:21:46

trace all them partners, contacts that he's been with since then

0:21:460:21:51

because he's not had regular checkups.

0:21:510:21:54

The highest I've known was 150 and they were HIV positive.

0:21:540:22:00

I contacted quite a few of them

0:22:000:22:02

but you're not going to contact them all.

0:22:020:22:04

They might change phones, they might've moved.

0:22:040:22:07

You just do the best you can.

0:22:070:22:09

I mean we see lots of people, you know, like that, really.

0:22:090:22:13

He's...

0:22:130:22:15

He's not shy anyway, bless him.

0:22:150:22:18

With the appointments over, Lloyd and Skylar will begin the waiting game.

0:22:180:22:22

They'll find out their results within the next two weeks.

0:22:220:22:26

A serious infection would stop them working but, more importantly,

0:22:260:22:30

could change their lives for ever.

0:22:300:22:32

Hopefully, it'll be fine. Hopefully. But I don't know.

0:22:320:22:37

I haven't got a clue.

0:22:370:22:39

The odds are against me, let's just say that.

0:22:390:22:41

HE LAUGHS

0:22:410:22:43

Like everyone that comes into the clinic,

0:22:450:22:47

Lloyd and Skylar didn't leave empty-handed.

0:22:470:22:50

Just say the word and you get a free gift.

0:22:500:22:53

Condoms!

0:22:530:22:54

So a little bag of condoms. Imagine that in your house.

0:22:540:22:57

That's a good night out.

0:22:570:22:59

Probably in a week you'd get through the whole lot.

0:22:590:23:01

They come in different sizes as well.

0:23:010:23:03

These are your regular size and you get large as well.

0:23:030:23:07

-Oh, and you get trim.

-And you get trim.

0:23:070:23:09

-For the, you know...

-Smaller.

-Smaller.

0:23:090:23:12

Um, but if you'll say to somebody, "What do you need?

0:23:120:23:15

"Is it regular or would you want large?"

0:23:150:23:17

they're like, "I'll have large, please."

0:23:170:23:19

Yes.

0:23:190:23:20

-You go, "OK, then."

-Yes, I think everybody would...

0:23:200:23:23

I think everybody would like to be large, wouldn't they?

0:23:230:23:25

Martin has just been diagnosed with scabies

0:23:280:23:31

but now he has to let Marissa know

0:23:310:23:33

that she and her other housemates, and possibly their friends,

0:23:330:23:37

might also be infected.

0:23:370:23:38

-They tested me for everything.

-Yep.

0:23:390:23:41

Like went through absolutely everything

0:23:410:23:44

and obviously cos I said I had a bit of a rash,

0:23:440:23:46

-so they wanted to check that as well.

-Yeah.

0:23:460:23:48

So they checked it and they got the doctor in and he checked it as well

0:23:480:23:51

-and they said it's scabies.

-What?!

0:23:510:23:53

I know.

0:23:530:23:55

What the fuck is scabies?

0:23:550:23:57

It can be passed on through skin-to-skin contact.

0:23:570:24:00

Right.

0:24:000:24:01

-So you could've had it first and passed it on to me.

-Right.

0:24:010:24:04

That's it.

0:24:040:24:05

Fucking scabies!

0:24:050:24:07

-Sorry, mate.

-Oh, mate.

0:24:070:24:09

-It could've come from anyone.

-Yeah, yeah, fair one.

0:24:090:24:11

I think it was you.

0:24:110:24:12

-Oh!

-THEY LAUGH

0:24:120:24:15

But whoever the source of the infestation, there's no doubt

0:24:150:24:18

they need to warn their other housemates.

0:24:180:24:20

One of us is going to have to ring

0:24:200:24:21

and tell them we're going to the pharmacy to pick them up some stuff.

0:24:210:24:24

-Well, do you want to ring 'em?

-Who's got the phone?

0:24:240:24:26

-I've got the phone. Do you want me to ring 'em?

-Yeah.

-Fucking pussy.

0:24:280:24:32

Oh, God. Shall I say it's me?

0:24:340:24:38

-HE LAUGHS

-Shall I?

0:24:380:24:39

Just say that one of us has had contact with somebody

0:24:390:24:41

and because we all live together...

0:24:410:24:44

Um, me and Martin have been to the sexual health clinic today...

0:24:440:24:49

and, um... And one of us has got, um...

0:24:490:24:53

-Scabies.

-Scabies.

0:24:530:24:54

So, basically, we've got to go to the clinic and go and get...

0:24:540:24:58

No, we've got to go to the pharmacy.

0:24:580:24:59

We've got to go to the pharmacy and get some cream.

0:24:590:25:01

Cos we've got to put it on ourselves.

0:25:010:25:03

We've all got to put it on at the same time.

0:25:030:25:05

I don't know where you've got to put it. Where do you put it?

0:25:050:25:08

From your neck down to your toes. You've got to have a shower.

0:25:080:25:10

-You've got to have a shower.

-You put it all over.

0:25:100:25:13

-You've got to put it all over yourself.

-And leave it on.

0:25:130:25:15

-And leave it on.

-Do it a week later.

-And do it a week later.

0:25:150:25:19

-Martin!

-She's going to kill us.

0:25:190:25:21

You infected everyone, you fucker! No!

0:25:210:25:24

We're going to have to go to the pharmacy

0:25:250:25:27

-and get some cream for you.

-Right.

-And the other two.

0:25:270:25:29

Come on, let's go get some cream on.

0:25:290:25:31

-If we don't do it, we'll never get rid of it.

-Come on, yeah.

0:25:310:25:34

With everyone now aware of the problem,

0:25:340:25:36

Martin and Marissa must get enough cream to treat the entire household.

0:25:360:25:41

-Sorry, it wasn't my fault.

-It's all right.

-Could've been yours.

0:25:410:25:43

-What, I could've had it and then given it to you?

-Yeah.

0:25:430:25:46

After another busy day, the lights go out in the clinic.

0:25:500:25:54

And that's when Manchester's nightlife comes alive.

0:25:540:25:58

Jarmain and Francis spend their evenings

0:26:020:26:04

battle-rapping in Manchester's Northern Quarter.

0:26:040:26:08

You fuck so many slappers, mate, the clap is in ya

0:26:090:26:12

That shrivelled your cock to the size of a maggot

0:26:120:26:14

Now you wank with a finger.

0:26:140:26:16

SHOUTING

0:26:160:26:18

I'll just murk him with banter.

0:26:180:26:20

What's his two favourite things in life? Herpes and Fanta.

0:26:200:26:24

What's his proudest achievement thus far? Cervical cancer.

0:26:240:26:27

WHISTLING AND APPLAUSE

0:26:270:26:29

Guess what he's got on his cock and rear? Gonorrhoea.

0:26:290:26:31

LAUGHTER

0:26:310:26:33

On his nipple tips he's got syphilis.

0:26:330:26:36

Time, time!

0:26:360:26:38

WHISTLING AND APPLAUSE

0:26:380:26:41

MUSIC STARTS UP

0:26:410:26:43

I choked. Well, I didn't choke

0:26:430:26:45

but I just like got my fucking lyrics muddled up.

0:26:450:26:48

-It happens sometimes.

-I told you, I'm a born winner, I'm a champion.

0:26:480:26:51

He is.

0:26:510:26:52

Today they've both been brought into the clinic

0:26:540:26:56

to have a sexual health checkup.

0:26:560:26:58

the only time I really have unprotected sex

0:26:580:27:00

or have had unprotected sex is either,

0:27:000:27:03

A, if I'm in a relationship,

0:27:030:27:05

or if I've just been absolutely slaughtered out of my face

0:27:050:27:07

and...and condoms are too fiddly.

0:27:070:27:10

I'm a little bit nervous because, like,

0:27:100:27:13

I don't know, it's just... I don't know why, I'm... I am, you know.

0:27:130:27:17

I don't really go out having sex

0:27:170:27:19

with any old skanky slapper or anything.

0:27:190:27:23

Just people who seem decent, like me.

0:27:240:27:27

Francis, do you want to come through? Hiya, come in.

0:27:270:27:31

-Hi, you all right?

-Have a seat.

0:27:310:27:33

Ta. Thank you.

0:27:330:27:35

Um, Jarmain. Hello.

0:27:350:27:38

Right, come this way, darling.

0:27:380:27:41

'Do you use condoms when you have sex?'

0:27:410:27:43

-Er, most of the time, try to, yeah, sometimes.

-Sometimes.

0:27:430:27:47

What about contraception?

0:27:470:27:49

Would you say you used condoms sometimes, always, never?

0:27:490:27:52

Sometimes.

0:27:520:27:54

I just need a urine sample from you now.

0:27:540:27:57

As Francis pops to the toilet,

0:27:570:27:59

Celia is discovering Jarmain has a little fear.

0:27:590:28:02

So what is this now that you've got to do?

0:28:020:28:05

I'm doing a blood test, that checks for HIV and syphilis.

0:28:050:28:07

-Are you OK with rubber gloves?

-Yeah.

-You're not allergic?

0:28:070:28:09

What have you got to do now?

0:28:090:28:11

-I'm going to take your blood.

-How do you take it?

0:28:110:28:13

With a needle. Look, it's a lickle baby needle, look.

0:28:130:28:16

Oh, my God.

0:28:160:28:17

We use this for babies. You won't even feel it.

0:28:170:28:20

-You're a man, man, be strong.

-I know but I don't like needles.

0:28:200:28:24

-Right, do you get fainty or anything?

-Pardon?

0:28:240:28:26

Do you get fainty when you're getting your blood done?

0:28:260:28:29

Well, I get a bit dizzy and stuff.

0:28:290:28:30

Right, let's... Yeah, let's get you on the bed, then.

0:28:300:28:33

But, nah, I don't want to lie down,

0:28:330:28:35

-I'll just stay here because I don't want to...

-You know.

0:28:350:28:38

-I'll just do it here.

-Are you sure?

-Yeah.

0:28:380:28:39

All right. OK.

0:28:390:28:41

While Jarmain begins to panic...

0:28:410:28:43

Oh, flipping heck.

0:28:430:28:45

..Francis runs through some of his rap-battle insults with Alison.

0:28:450:28:49

-Got the lyrics here. Do you want to read them?

-I'll have a look,

0:28:490:28:52

I'm not doing it rapping.

0:28:520:28:53

It's a bit crude so you might not like it.

0:28:530:28:55

-Oh, I work here. Honestly, nothing shocks me.

-So...

-What's this?

0:28:550:28:57

Chron. "Chron goes hunting for sluts on pub-crawl bickers."

0:28:570:29:01

SHE LAUGHS

0:29:010:29:03

Oh, that's quite good. "Collects STIs the same way

0:29:030:29:05

we used to collect Pokemon cards and football stickers."

0:29:050:29:08

That's quite good, actually, isn't it?

0:29:080:29:10

-That's what I say.

-I'll bring me crew down.

0:29:100:29:13

Let's have a look at your arm.

0:29:130:29:15

Alison's clinic crew might enjoy

0:29:150:29:17

seeing rap battlers give each other needle,

0:29:170:29:20

but right now needle is the last thing Jarmain wants to see.

0:29:200:29:23

You'll be all right. Just a small scratch. You won't even feel it.

0:29:240:29:28

-Don't think about it.

-Please, God, help me now.

0:29:280:29:30

Goodness. You're going on like I'm going to murder you.

0:29:300:29:34

-I know but it...

-Right, just relax. Honestly.

0:29:340:29:37

Wait a minute, let me just... Oh, my God.

0:29:370:29:40

You won't even feel it when I push it in, believe me.

0:29:410:29:43

Straighten your arm for me. That's it, right, it's a small scratch.

0:29:430:29:47

Whatever you do, don't move.

0:29:470:29:48

Right, I won't.

0:29:480:29:50

Honestly, it won't hurt.

0:29:500:29:51

That's it, that's it.

0:29:530:29:55

Right, relax, hon, just think you're on the beach, having a rum, in Jamaica.

0:29:560:30:01

See, that's it. Are you all right?

0:30:010:30:03

-That weren't so bad.

-Yeah, see, what did I tell you?

0:30:030:30:06

-Right put...

-Ow.

-Put some pressure.

0:30:060:30:09

Did that hurt?

0:30:090:30:11

-No, it didn't.

-There you go.

0:30:110:30:13

-Do you want a drink of water?

-Yeah, please.

-OK.

0:30:130:30:17

Yeah, you do get some patients who do feel scared of getting...

0:30:190:30:23

but once I'm in they think they're all right.

0:30:230:30:25

It's just the thought of it, you know?

0:30:250:30:27

I ain't had no patient yet what's fainted. Yeah.

0:30:270:30:30

I have got the touch.

0:30:300:30:31

-Are you feeling all right?

-Yeah, I'm OK. I'm just a little bit dizzy

0:30:330:30:36

and I don't like needles and stuff,

0:30:360:30:38

so it's just made me a little bit queasy but I'll be all right.

0:30:380:30:42

-Are you all right, sweetheart?

-Yeah, I'm all right.

0:30:420:30:45

If you feel dizzy, just put your head down like that,

0:30:450:30:48

Yeah, between you arms like that.

0:30:480:30:50

-Right, you drink that.

-Thank you.

0:30:500:30:52

You'll be all right.

0:30:520:30:53

Right.

0:30:550:30:56

-You all right?

-STI man. How you doing, man, you OK?

0:31:000:31:02

-Don't worry about it.

-Sorted. Yep.

0:31:020:31:05

I've just been like winding him up

0:31:050:31:06

while I was obviously back there and he was in there, like just saying...

0:31:060:31:10

Oh, you been texting me or...?

0:31:100:31:11

You're a dyslexic epic failure with infected genitalia.

0:31:110:31:15

But, yeah, I hope it went well for him obviously.

0:31:150:31:17

I hope he hasn't got anything and...

0:31:170:31:19

I hope he's got AIDS and everything, to be fair, like!

0:31:190:31:22

Celia knows that relating to patients

0:31:230:31:25

in a way that they'll understand and appreciate

0:31:250:31:27

is a key skill for any sexual health worker.

0:31:270:31:31

I was going to say this to him. I was going to say

0:31:310:31:33

(RAPPING) "Jarmain, Jarmain, you know how to do it

0:31:330:31:35

"Just take me home and I'll show you how to do it

0:31:350:31:37

"I'll touch you and make it feel right

0:31:370:31:39

"So come on, let me and you do it tonight!"

0:31:390:31:41

We're not doing it tonight but you know what I mean. That's my rapping.

0:31:410:31:43

Like Jarmain and Francis,

0:31:520:31:54

19-year-old Chantelle has come into the clinic for a regular checkup.

0:31:540:31:58

Despite being in a relationship, she feels it's important to come to the clinic.

0:31:580:32:03

I come quite regularly.

0:32:030:32:05

I find it a bit embarrassing sometimes

0:32:050:32:08

but when you come, you just get used to it.

0:32:080:32:12

But today Chantelle is here for more than just a standard sexual-health check.

0:32:120:32:16

-Have a seat, Chantelle.

-Thank you.

0:32:160:32:19

OK. What can we do for you today?

0:32:190:32:22

-Um, just a sexual-health screen.

-OK.

0:32:220:32:25

-And a pregnancy test, please.

-OK, that's fine.

0:32:250:32:27

Having had unprotected sex with her boyfriend,

0:32:270:32:29

Chantelle believes she could be pregnant.

0:32:290:32:33

-Are you on any contraception?

-No.

0:32:330:32:35

No. OK.

0:32:350:32:36

So you're not sure... You want a pregnancy test today

0:32:360:32:39

-but you're not sure whether you're pregnant?

-No.

-OK.

0:32:390:32:41

-I'm two weeks late, though.

-OK.

0:32:410:32:43

I feel that I should use some sort of contraception

0:32:430:32:46

but, like I say,

0:32:460:32:49

if I was sleeping with more than one person on a regular basis,

0:32:490:32:52

then yeah, I would,

0:32:520:32:53

but because I trust my partner and he trusts me,

0:32:530:32:55

we have that kind of agreement where we're just having casual sex,

0:32:550:32:59

unprotected casual sex.

0:32:590:33:00

Like everyone that comes to the clinic,

0:33:000:33:03

Chantelle is asked some personal questions.

0:33:030:33:05

Have you ever had sex with anyone that's bisexual

0:33:050:33:09

or known to have HIV?

0:33:090:33:11

-No.

-No.

0:33:110:33:12

-When you have sex with your partners, do you give oral sex?

-Yeah.

0:33:120:33:15

You do. OK. And do your receive any anal sex?

0:33:150:33:18

-Sometimes.

-Sometimes. OK.

0:33:180:33:20

You shouldn't be scared of coming to the clinic to get tested

0:33:200:33:23

cos a few of my friends don't really like it

0:33:230:33:25

cos of the embarrassment

0:33:250:33:27

or they feel like people are going to judge them and stuff,

0:33:270:33:29

but you should just come and get checked out for your own health.

0:33:290:33:32

-Will you just tip your head back for me and say "ah"?

-Ah.

0:33:320:33:35

-Does that not hurt in your mouth, that stud?

-No.

0:33:350:33:38

-Does it not feel weird?

-No.

0:33:380:33:40

-Don't get your dinner round it or anything?

-No.

-No?

0:33:400:33:42

So that's your test done.

0:33:420:33:44

-so we've tested you for gonorrhoea and chlamydia.

-Yep.

0:33:440:33:47

And HIV and syphilis. And I'll go and test your urine now.

0:33:470:33:50

-What I'd ask you to do is go and wait in the female wait.

-OK.

0:33:500:33:53

I'll call you when your results are ready. Is that all right?

0:33:530:33:55

-Yeah, that's fine, yeah. Thank you.

-No problem at all.

0:33:550:33:58

Chantelle will find out within two weeks

0:33:580:34:01

whether she has caught any STIs.

0:34:010:34:03

But it'll only be a short wait to discover if she is pregnant.

0:34:030:34:08

It's been a fortnight

0:34:110:34:13

since Heidi came in for her six-monthly sexual-health checkup.

0:34:130:34:17

Having caught chlamydia as a teenager,

0:34:170:34:18

regular testing has become the norm.

0:34:180:34:21

Today she'll get the results of her latest test.

0:34:210:34:26

PHONE BEEPS

0:34:260:34:27

Negative.

0:34:290:34:31

I feel happy.

0:34:310:34:32

I feel relieved.

0:34:320:34:35

Heidi is meeting up with her friend Sinead

0:34:350:34:37

to celebrate her negative result.

0:34:370:34:40

But she's preoccupied by her fear

0:34:400:34:42

that chlamydia may already have done irreparable damage

0:34:420:34:45

to her reproductive organs.

0:34:450:34:47

I still don't know whether I'm fertile or infertile

0:34:470:34:50

but I think that... Every single time I go,

0:34:500:34:53

it is a relief to know that I haven't got anything

0:34:530:34:55

and it's not going to make me worse than what I already am.

0:34:550:34:57

I feel like there's a part of me

0:34:570:34:59

that will never be able to be 100% happy

0:34:590:35:03

because I can't have children, and I know I don't know

0:35:030:35:06

but, you know, I've not...

0:35:060:35:08

I've been in relationships for many years now

0:35:080:35:11

and in those relationships I've had unprotected sex for the majority of the time

0:35:110:35:16

and I've never got pregnant and it absolutely kills me.

0:35:160:35:20

You've not been told definitely though, have you?

0:35:200:35:22

I still don't know but it doesn't look good.

0:35:220:35:24

Heidi has been referred by her GP to see a fertility expert

0:35:250:35:28

for a preliminary examination.

0:35:280:35:30

It won't give her any conclusive answers

0:35:300:35:33

but it could help allay her worst fears.

0:35:330:35:36

I would like to find out if I'm infertile or not.

0:35:360:35:39

I already think I am

0:35:390:35:40

but if I knew for definite, then at least I can then try and...

0:35:400:35:44

and deal with it better, um, and look at other options,

0:35:440:35:47

whereas at the moment I'm sort of... I don't know

0:35:470:35:50

and secretly, deep down inside, I'm praying that I'm not,

0:35:500:35:53

so I would... I would really like to find out.

0:35:530:35:56

Chantelle came into the clinic for her regular sexual-health check,

0:36:050:36:09

and also to find if she's pregnant.

0:36:090:36:11

Its one of the many services the clinic provide to their patients.

0:36:130:36:16

With the test complete, Alison can now give Chantelle the result.

0:36:160:36:20

-So we've got your pregnancy test results back.

-OK.

0:36:220:36:24

-And it's come back positive.

-OK.

0:36:240:36:27

-So that means you're pregnant.

-OK.

-OK?

-Yeah.

0:36:270:36:29

-Are you all right about that?

-Yeah.

0:36:290:36:31

-Are you quite happy?

-Yeah.

-Well, congratulations!

-Thank you.

0:36:310:36:34

With regards to your tests,

0:36:340:36:35

it takes two to three weeks for everything to come back.

0:36:350:36:38

When we get your results, we'll be in touch. We'll text you...

0:36:380:36:40

-OK?

-Yeah. That's fine.

-But that's everything sorted.

-Thank you.

0:36:400:36:44

-You're welcome. I'm pleased to deliver some good news for you.

-Thank you.

0:36:440:36:47

At the clinic it's not often a positive test result

0:36:470:36:50

gets such a positive reaction.

0:36:500:36:52

I'm happy, I'm really happy.

0:36:540:36:57

I'm just a bit shocked...but happy!

0:36:570:37:01

Chantelle will get the results of her sexual-health screening

0:37:010:37:04

within two weeks.

0:37:040:37:06

Getting the all-clear is now even more important -

0:37:060:37:09

as any STI could harm her unborn child.

0:37:090:37:12

Young women like Chantelle are a high-risk group

0:37:140:37:17

with two thirds of new STIs being reported by them.

0:37:170:37:20

And you wanted a full screen today including HIV testing, yeah?

0:37:200:37:23

-Let's have the whole lot.

-Excellent.

0:37:230:37:26

Condoms - would you say you use never, always, sometimes?

0:37:260:37:29

Never. Slap my wrist.

0:37:290:37:31

Oh, no!

0:37:310:37:33

So you've said you've noticed an abnormal smell, is that right?

0:37:330:37:36

-Have you ever had a sexually transmitted infection?

-No.

0:37:360:37:40

That you're aware of? No.

0:37:400:37:41

That's my worst nightmare.

0:37:410:37:43

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

0:37:430:37:47

-Was that protected or unprotected?

-Unprotected.

0:37:480:37:50

It's bad when you have to think.

0:37:500:37:52

-Have you ever been paid for sex?

-No.

0:37:520:37:54

Interesting questions.

0:37:540:37:57

Do you receive anal?

0:37:570:37:58

-Oh, no!

-No.

0:37:580:38:00

If you'll just open your mouth and go "ah".

0:38:000:38:01

Ah.

0:38:010:38:02

-Ah.

-Let's get right at the back of those tonsils.

0:38:020:38:05

-Ah.

-Like you do at the doctor's.

0:38:050:38:07

SHE COUGHS

0:38:070:38:09

-That's it. Done. Worst bit.

-That is ming.

0:38:090:38:12

It's horrible. Horrible thing to have shoved down your throat.

0:38:120:38:15

Yeah. It is. Urgh.

0:38:150:38:18

Working in sexual health means Alison sees first hand

0:38:180:38:21

the way sexual habits of young people have changed over time.

0:38:210:38:26

When I was a teenager, which was quite some time ago now,

0:38:260:38:29

we didn't tend to have sex until we were quite a bit older

0:38:290:38:33

and nowadays I think young people are having sex

0:38:330:38:35

at an earlier age outside relationships.

0:38:350:38:39

I think it's just something that they do now.

0:38:390:38:41

They just tend to have sex quite early.

0:38:410:38:44

I think now it's almost become like a recreational thing

0:38:440:38:48

It's just think it's the lifestyle young people have today.

0:38:480:38:50

It's just something they do. They have sex. They have lots of different partners.

0:38:500:38:54

Two weeks ago Jarmain and Francis came into the clinic for a checkup.

0:39:000:39:04

Having had unsafe sex in the past, both are eager to find out their results.

0:39:060:39:11

I know my test is going to come back good so...

0:39:110:39:13

-Negative.

-I'm not really worried about anything.

0:39:130:39:17

Syphilis? AIDS?

0:39:170:39:19

Says you! If anyone's got anything, it'll be you, mate.

0:39:190:39:23

Maybe.

0:39:230:39:24

Both Jarmain and Francis have requested a text

0:39:240:39:26

if their results are negative,

0:39:260:39:28

so a phone call would indicate a positive result.

0:39:280:39:32

PHONE BEEPS

0:39:320:39:34

You've got AIDS! Get to the clinic.

0:39:340:39:36

I've got a text.

0:39:360:39:38

"Your most recent test results from MCSH," whatever that means,

0:39:380:39:42

"are negative."

0:39:420:39:43

Yes. And also a girl texts me.

0:39:430:39:46

"Afternoon, Francis, nice to meet you."

0:39:460:39:49

-Sweet.

-Sorted. They should text you now, I reckon.

0:39:490:39:53

Francis gets the all-clear

0:39:530:39:55

but then Jarmain gets a nasty surprise.

0:39:550:39:58

-PHONE RINGS

-Hello.

0:39:580:40:01

-INDISTINCT VOICE ON PHONE

-Yes, it is.

0:40:010:40:02

Uh-oh.

0:40:020:40:04

I'm not interested, mate, thank you.

0:40:050:40:07

INDISTINCT VOICE ON PHONE

0:40:070:40:09

Carphone Warehouse!

0:40:110:40:13

I want my fucking results. I don't want to buy a new phone!

0:40:130:40:16

FRANCIS LAUGHS

0:40:160:40:17

PHONE BEEPS

0:40:170:40:19

Text.

0:40:190:40:20

-Wheey!

-There you go.

0:40:200:40:23

"Your most recent test results

0:40:230:40:26

from MCSH are negative."

0:40:260:40:29

-Sorted, then.

-I panicked a little bit

0:40:290:40:31

because I knew I was going to get a text.

0:40:310:40:33

I'd panic if I got a fucking phone call just like that.

0:40:330:40:35

The guy goes, "Hello, is that Jarmain?"

0:40:350:40:37

I've gone, "Yeah." He's gone...

0:40:370:40:39

That must've shit... I would've shit me up right now.

0:40:390:40:41

He's gone, "I'm from the Carphone Warehouse.

0:40:410:40:43

"Do you want to buy a phone?"

0:40:430:40:45

My fucking heart went zzzz down! Oh, mate!

0:40:450:40:47

Having got the all-clear, Jarmain and Francis know that

0:40:470:40:51

neither have gonorrhoea of the rear or syphilis of the nipple tips.

0:40:510:40:55

-So it's back to...

-What?

0:40:550:40:57

Back to you choking in battles and banging hos bareback, is it?

0:40:570:41:01

And back to you being a twat.

0:41:010:41:04

Yeah!

0:41:040:41:05

Gay porn star, Lloyd, has received a call from the clinic

0:41:140:41:17

and has been asked to come in to get the results of

0:41:170:41:20

his first sexual health check in over a year.

0:41:200:41:23

When they did your rectal swabs,

0:41:230:41:25

it did come back positive on the culture.

0:41:250:41:28

-It's grown to say you have gonorrhoea.

-OK.

-OK?

0:41:280:41:32

Again, on the throat swab, on the one they sent away,

0:41:320:41:34

that one came back positive for chlamydia and gonorrhoea as well.

0:41:340:41:38

All right? The treatment we'll give you is a tablet and an injection.

0:41:380:41:42

Gay men like Lloyd represent one third of all gonorrhoea cases

0:41:420:41:46

and it's the fastest-growing STI.

0:41:460:41:49

Despite getting gonorrhoea and chlamydia,

0:41:500:41:53

Lloyd is lucky not to have caught anything worse.

0:41:530:41:55

But while these infections are treatable,

0:41:560:41:58

he faces the more immediate problem of not being able to work.

0:41:580:42:03

Because it is a sexually-transmitted infection,

0:42:030:42:06

that means no sex for two weeks.

0:42:060:42:07

-At all?

-At all. All right?

0:42:070:42:09

Because what you could be doing is transmitting that infection

0:42:090:42:12

to other people then.

0:42:120:42:13

With the prospect of not being able to make films for up to two weeks,

0:42:130:42:16

Lloyd is desperate to find a way to get treated,

0:42:160:42:19

but also continue working.

0:42:190:42:22

I would strongly suggest that you would have your treatment today.

0:42:220:42:25

But you have to, sort of, weigh up what you want to do, really.

0:42:270:42:31

Do I have to take them here?

0:42:310:42:33

Could I not go to the shoot, take them after the shoot?

0:42:330:42:35

Unfortunately not, I have to give it to you here, cos it's an injection.

0:42:350:42:39

My housemate's a nurse, he can inject me!

0:42:410:42:44

Well, unfortunately we're not licensed to allow you to do that.

0:42:440:42:48

How many clients have you got lined up? Any...

0:42:520:42:54

In the next two weeks?

0:42:540:42:56

Um... About four?

0:42:580:43:00

Right, OK.

0:43:000:43:02

And does that represent quite a lot of money to you, then?

0:43:020:43:06

Yeah, probably about... over a thousand.

0:43:060:43:10

Right, so it's significant.

0:43:100:43:12

Mmm.

0:43:130:43:15

Having two STIs, Lloyd knows that tomorrow's bareback porn shoot

0:43:160:43:19

is off, and the sooner he gets treatment, the better.

0:43:190:43:24

-I can understand your quandary.

-Yeah.

0:43:240:43:27

But, again, if you kind of think a wee bit more about you.

0:43:270:43:32

I'll have the thingy today, the treatment today.

0:43:320:43:36

-And then you come back in two weeks.

-What's that treatment?

0:43:360:43:39

-So, the treatment is an injection.

-Where?

0:43:390:43:42

-The injection's given into your bottom.

-What part?

0:43:420:43:45

Basically, when I say into your bottom, it's not in your rectum.

0:43:450:43:48

-Yeah.

-It goes into your bum cheek.

-Oh, OK.

0:43:480:43:50

The injection's given, sort of, up here, so...

0:43:500:43:52

-Does it leave a mark?

-It will leave a tiny wee pin prick.

0:43:520:43:56

With Lloyd agreeing to be tested, Fiona has one last challenge.

0:43:560:44:01

Basically I need to get a list of all your partners

0:44:010:44:03

in the last three months.

0:44:030:44:05

-I don't know.

-Right, OK.

0:44:050:44:08

Any that you do know, or any that you know that you can contact,

0:44:080:44:11

-because they also will need to be treated.

-OK.

-Yeah?

0:44:110:44:14

I actually haven't got a clue of the majority of them.

0:44:170:44:20

With 80 partners in the last three months alone,

0:44:200:44:22

it's not surprising that Lloyd is having trouble remembering.

0:44:220:44:25

If you can give me details of who you do know.

0:44:250:44:29

-I haven't got them on me.

-Oh, right, OK.

0:44:290:44:32

I'd have to, like, go home,

0:44:320:44:34

-look at diaries and laptops and everything.

-Fine, fine.

0:44:340:44:37

So, when you come back in, in a couple of weeks, if you can bring

0:44:370:44:40

a list of people that you can contact, that would be perfect.

0:44:400:44:44

Just from the last three months, or the last year?

0:44:440:44:48

-Well I think...

-I haven't been for a year!

0:44:480:44:51

Well, I've noted you've got 80 partners in the last three months.

0:44:540:44:57

That was optimistic!

0:44:570:44:58

We don't know how long he's had gonorrhoea and chlamydia.

0:45:000:45:03

He could've had it for a while, so, within that three months,

0:45:030:45:07

he's potentially infected 80 people.

0:45:070:45:09

OK, so just lie on there for a second, while I just put my pinny on.

0:45:100:45:14

Our side of things now have to look at it in view of trying

0:45:140:45:16

to get as many people as we can treated,

0:45:160:45:19

or in to be tested, at least.

0:45:190:45:21

So, it's trying to find out whether he can get that information,

0:45:210:45:24

so that we can try and get in touch with people, on his behalf.

0:45:240:45:28

Put your arm over there and just keep this nice and relaxed.

0:45:280:45:32

'He has to be responsible now because he has an infection'

0:45:320:45:35

and he knows about it, so this is why it was

0:45:350:45:37

quite strongly suggested he will not have sex for the next two weeks.

0:45:370:45:42

'Let's say I've been with, I don't know, 100 people'

0:45:420:45:45

in the past year, if each one of them

0:45:450:45:47

have only been with one person,

0:45:470:45:49

that's like 200, and then each of them...

0:45:490:45:51

You can see how it spreads so easily, so yeah. It's bad.

0:45:510:45:56

I don't think in a lifetime I could possibly have 80 partners, so...

0:45:560:46:02

Never mind in three months, so, that's why, working in that industry,

0:46:020:46:06

it's incredibly important that they are checked,

0:46:060:46:08

they are monitored and they are treated immediately.

0:46:080:46:11

I actually haven't got a clue about half of them.

0:46:110:46:14

Not because I was like... just because, like...

0:46:140:46:17

I don't need to know the name

0:46:170:46:19

for the time period I'm with them, so...

0:46:190:46:23

It's unfortunate.

0:46:230:46:24

But Lloyd won't be left on his own to contact all his ex partners.

0:46:260:46:30

If he can provide details to the clinic,

0:46:300:46:32

they'll contact them directly

0:46:320:46:33

to suggest they come in and get checked out.

0:46:330:46:36

For Pam and the other clinic staff, tracing the sexual contacts

0:46:360:46:40

of infected patients, like Lloyd,

0:46:400:46:42

is a tricky but necessary part of the job.

0:46:420:46:46

So we have a folder, we have a folder

0:46:460:46:48

and it gives, obviously, people's contact details.

0:46:480:46:52

So, I can phone up somebody saying, "Hi, I'm one of the health advisers.

0:46:520:46:55

"I'm just phoning you just to inform you that you may have been

0:46:550:46:59

"in contact with a sexually-transmitted infection."

0:46:590:47:01

So then they're aware that they've got it,

0:47:010:47:04

Now, then it's up to that person to come in and get a check up.

0:47:040:47:07

But we can't walk them in.

0:47:070:47:09

They have to make that decision and, you know, walk in themselves.

0:47:090:47:13

Having found out he has caught both chlamydia

0:47:200:47:24

and gonorrhoea, Lloyd meets his best friend, Skylar, to see

0:47:240:47:27

if he's caught anything worse.

0:47:270:47:29

When do you think you'll get your results, then,

0:47:290:47:31

cos it's been, like, two weeks today.

0:47:310:47:33

Yeah, you've got everything.

0:47:330:47:35

-Nooo.

-Syphilis...

0:47:350:47:37

If it takes longer - this is what the nurses said to me,

0:47:370:47:40

in this one place -

0:47:400:47:41

if it takes longer, then you're less likely to have it.

0:47:410:47:44

Why? That doesn't make sense.

0:47:440:47:45

They make it an emergency thing if you've got something.

0:47:450:47:48

Despite knowing a serious infection could change their lives

0:47:480:47:51

and end their porn careers, both are still taking risks.

0:47:510:47:55

-I've had unprotected, since.

-I haven't.

0:47:550:47:58

I've had no unprotected, for months.

0:47:580:48:01

-I haven't. I've been really good.

-I think I have.

0:48:010:48:05

-I remember...

-What?

0:48:050:48:06

Excluding one person, I haven't had unprotected for about

0:48:060:48:10

-three months, four months.

-Really?

0:48:100:48:14

Yeah, like even if it comes back negative,

0:48:140:48:16

I'm going to have to go again, anyway, soon.

0:48:160:48:19

As the two weeks since his test have passed,

0:48:190:48:22

Skylar calls up the clinic direct.

0:48:220:48:24

PHONE RINGS

0:48:240:48:25

Hello, Manchester Centre for Sexual Health.

0:48:250:48:28

Hey, I just want to get my results.

0:48:280:48:29

OK, can I check your name, please, and your date of birth?

0:48:290:48:33

'Right I'll just go through your results for you.'

0:48:350:48:37

So, your HIV and syphilis test came back negative. OK?

0:48:370:48:43

Yeah, that's brilliant. Is that all of it?

0:48:430:48:45

'No, everything else came back negative as well.

0:48:450:48:48

-'Gonorrhoea and chlamydia was also negative.'

-Ah, bitch!

0:48:480:48:50

What we did find, though,

0:48:500:48:52

was that you don't have enough immunity to hepatitis B.

0:48:520:48:55

Now, you had your third vaccine when you came into clinic, didn't you?

0:48:550:48:58

Yes, yeah.

0:48:580:48:59

'So, just to remind you that you need to have a blood test done

0:48:590:49:02

'in six weeks time to make sure

0:49:020:49:03

'you've got enough immunity against hepatitis B.'

0:49:030:49:06

-Oh that's cool, OK. Thank you.

-'All right then.'

0:49:060:49:08

Cheers.

0:49:080:49:09

'No problem. OK, see you, bye-bye.'

0:49:090:49:11

Bye.

0:49:110:49:13

Oh, oh!

0:49:130:49:15

-Shut up, shut up.

-Who's the slag now?

-Shut up.

0:49:150:49:18

Heidi's come to the Hewitt Centre in Liverpool,

0:49:260:49:29

one of the leading fertility clinics in the country.

0:49:290:49:32

For last 13 years she's been consumed by the worry that a bout

0:49:320:49:36

of chlamydia has done irreparable damage to her reproductive organs.

0:49:360:49:40

Today, she may begin to get some answers.

0:49:400:49:43

I've been feeling very nervous.

0:49:450:49:47

Nervous and excited, cos it's something that I really want

0:49:470:49:50

to know, and I think, once I know,

0:49:500:49:51

I'll maybe be able to move on with my life and start...

0:49:510:49:54

Rather than dwelling on it, I can hopefully

0:49:540:49:56

make positive changes to my life, maybe if I know how to...

0:49:560:50:01

that I might need IVF, maybe start saving up for it

0:50:010:50:03

and things like that.

0:50:030:50:05

The thing that we're worried about with you is

0:50:090:50:12

-your chlamydia and what's it done.

-Yeah.

0:50:120:50:15

Now, the thing about chlamydia is that what chlamydia

0:50:150:50:18

does to girls, it causes

0:50:180:50:21

an intense endosalpingitis,

0:50:210:50:25

that means it causes inflammation

0:50:250:50:28

in those fallopian tubes.

0:50:280:50:31

Female's enemy number one, because what it does,

0:50:310:50:34

it affects the cilia,

0:50:340:50:36

the little hairs.

0:50:360:50:39

Chlamydia is one of our biggest enemies, because if

0:50:390:50:43

there wasn't chlamydia, our workload would drop tremendously.

0:50:430:50:49

Heidi will undergo only a preliminary ultrasound examination.

0:50:490:50:53

It can't give conclusive answers

0:50:530:50:55

about her fertility, but the professor

0:50:550:50:58

will be able to see any major damage to the reproductive organs.

0:50:580:51:02

-OK?

-Yep.

-So what we do is we just put the tip of the probe in.

0:51:020:51:05

-Not the whole thing.

-OK.

-All right? So just try and...

0:51:050:51:08

Obviously, easiest thing in the world for me to say, just relax.

0:51:080:51:11

Now if you want to look at this, Heidi, we can see all your bits.

0:51:110:51:17

-You can actually see this thing here, can you see that there?

-Yeah.

0:51:170:51:21

-That's your uterus.

-Right.

0:51:210:51:23

And if you look at the size and dimensions,

0:51:230:51:26

that's a perfectly normal uterus.

0:51:260:51:28

-Right.

-OK? So, that's good.

0:51:280:51:31

What we do, now, is to just move around a bit and see

0:51:310:51:35

whether we can see your ovaries.

0:51:350:51:38

Now there's one of your ovaries, just there, OK?

0:51:380:51:40

It's a bit big, but it's fairly normal.

0:51:400:51:43

There's a bit of breakfast moving around, can you see it?

0:51:430:51:48

Then we swing round here.

0:51:480:51:51

We're looking for something that might be...

0:51:510:51:54

look like a big black sausage,

0:51:540:51:55

that's your fallopian tube sticking out of your uterus.

0:51:550:52:01

-There's one there. OK, it's just there.

-Yeah.

0:52:010:52:05

And if you scan around the length of it, looks normal.

0:52:050:52:09

-It looks normal?

-Yeah, that looks normal.

0:52:090:52:11

It certainly doesn't look dilated.

0:52:110:52:13

I can't tell you for sure whether it's normal,

0:52:130:52:16

but what I can tell you that it doesn't look really abnormal.

0:52:160:52:21

It sounds good, but, yeah, I really don't know.

0:52:210:52:24

I don't know what... Yeah. I'll see what he says

0:52:240:52:27

and what he can tell me.

0:52:270:52:29

To find out conclusively whether she is infertile or not,

0:52:290:52:33

Heidi would need to undergo further tests.

0:52:330:52:36

What we'd need to do for you to assess your fertility,

0:52:360:52:40

is we'd need to check

0:52:400:52:41

-your egg quality.

-Right.

0:52:410:52:43

But, also, we'd need to check

0:52:430:52:46

your fallopian tubes.

0:52:460:52:49

I've done that scan and it looks OK

0:52:490:52:51

but the only way to check

0:52:510:52:54

or to prove that they work

0:52:540:52:55

is for you to have a baby.

0:52:550:52:57

I know that sounds a bit daft,

0:52:570:52:58

but that's the only way to

0:52:580:53:00

unequivocally prove it.

0:53:000:53:01

The next thing we'd need to do is an X-ray.

0:53:010:53:03

So what we'd do is we inject some dye through the fallopian tube,

0:53:030:53:08

up through the uterus and into there.

0:53:080:53:10

We X-ray it, as it goes up.

0:53:100:53:12

Until Heidi has a partner with whom she's trying to conceive,

0:53:120:53:15

none of these invasive procedures are appropriate.

0:53:150:53:18

Obviously, OK, just say I meet someone

0:53:180:53:20

and then we're trying for a baby and then they find out

0:53:200:53:22

that my fallopian tubes are damaged, is there any way to rectify that?

0:53:220:53:27

Can they be un-damaged,

0:53:270:53:28

can they unblock the hairs, or is it just IVF, or will IVF not work?

0:53:280:53:33

This is one of the things that is a bit of a myth,

0:53:330:53:36

that if you've got a block to your fallopian tube - you've just hit the

0:53:360:53:40

nail on the head - you can make it unblocked, you can chisel it out,

0:53:400:53:44

but you can't re-generate those cilia, those little hairs.

0:53:440:53:48

-They've gone for ever, OK?

-Right, OK.

0:53:480:53:50

So what we would normally recommend, if your tubes are blocked,

0:53:500:53:54

or you've been trying for a baby for a long time - IVF.

0:53:540:53:57

After 13 years of worry, Heidi finally has some hope.

0:53:570:54:01

And your chance of getting pregnant, is actually very good.

0:54:010:54:05

It's higher than your chance of not getting pregnant.

0:54:050:54:10

-Provided your eggs are OK.

-OK.

0:54:100:54:12

And the sperm's OK.

0:54:120:54:14

She now knows that if all the necessary tests showed

0:54:140:54:17

she did have a fertility problem, IVF would be an option.

0:54:170:54:22

See if you said to me,

0:54:220:54:23

"Right, you know, gut feeling are you going to have a baby?"

0:54:230:54:26

-I'd say, "Yeah."

-Really?

0:54:260:54:28

Yeah. And this idea of saying, "You've only got a 10%..."

0:54:280:54:32

-Where did they get that from?

-I don't know.

0:54:320:54:34

It's, like, it's upset me so much throughout my life,

0:54:340:54:38

because I just...I feel like I can't

0:54:380:54:39

even be in relationships because I feel like I need to tell them,

0:54:390:54:42

straightaway, that I don't think I can have children and I don't know.

0:54:420:54:45

Well, I wouldn't tell them that. Have some of those.

0:54:450:54:49

-Sorry.

-It's all right.

0:54:490:54:50

It's the reassurance Heidi was hoping for.

0:54:500:54:53

It's not what I expected at all.

0:54:530:54:55

I was preparing myself for the worst.

0:54:550:54:57

I thought I was going to find out that I was infertile.

0:54:570:54:59

Even though I might not be able to get pregnant naturally,

0:54:590:55:02

the option of IVF is a possibility, so I am... I'm really, really happy.

0:55:020:55:08

Eager to share the news, she calls her friend, Sinead.

0:55:080:55:12

The doctor's basically said that he can't see any problems,

0:55:130:55:16

and he thinks that I would definitely be able to have children.

0:55:160:55:19

'Oh!'

0:55:190:55:21

I know.

0:55:210:55:23

'Oh, Heidi, that's such good news!'

0:55:250:55:28

I know. So I've just got to meet the right man, now.

0:55:280:55:31

I just wish that I'd been given the right information

0:55:310:55:35

from people in the past.

0:55:350:55:37

The doctor told me I had a 10% chance of being able to have children,

0:55:370:55:40

and that's what I've sort of like based my whole life on, really,

0:55:400:55:44

and to find out that that isn't the case, it's just...

0:55:440:55:47

I just feel really happy.

0:55:470:55:49

'Oh, I'm so happy for you. It must be such a relief.'

0:55:490:55:53

It is. It is lovely.

0:55:530:55:56

Next time on Unsafe Sex In The City...

0:55:560:55:58

And have you ever had a sexually transmitted infection in the past?

0:55:580:56:01

-I've had chlamydia three times.

-What?

0:56:030:56:05

It was a decision I was making and it ultimately was the wrong one.

0:56:050:56:11

I can't actually see any of this discharge.

0:56:110:56:15

I'm calling cos I just got a message from the clinic.

0:56:150:56:18

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0:56:220:56:28

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