0:00:02 > 0:00:07This programme contains some strong language.
0:00:07 > 0:00:09Britain is in the grip of an epidemic
0:00:09 > 0:00:11of sexually transmitted infections.
0:00:12 > 0:00:14- Everyone's shagged everyone. - Urrrgh!
0:00:14 > 0:00:17Behind every rash, lump and itch...
0:00:17 > 0:00:20Men will come in with pus coming out everywhere.
0:00:20 > 0:00:24- You said there's some itching around the back passage as well?- Yeah.
0:00:24 > 0:00:27..is a patient terrified they may have caught an STI.
0:00:27 > 0:00:29What is scabies?
0:00:30 > 0:00:32This series follows the staff as they treat
0:00:32 > 0:00:35patients at the Manchester Centre for Sexual Health.
0:00:35 > 0:00:37Some of the things you see, especially
0:00:37 > 0:00:39when you see like herpes and warts, some look really nasty.
0:00:39 > 0:00:41I'm going celibate!
0:00:41 > 0:00:45And we work with the clinic to invite Manchester's young people
0:00:45 > 0:00:47to get checked out.
0:00:47 > 0:00:50- Was it protected or unprotected? - Unprotected.
0:00:50 > 0:00:51One, two, three.
0:00:52 > 0:00:55That has actually come back positive for gonorrhoea.
0:00:56 > 0:01:00Before learning how the fall out from unprotected sex...
0:01:00 > 0:01:03It's going up in increments, next you'll have syphilis with holes in your cock.
0:01:03 > 0:01:04..affects them...
0:01:06 > 0:01:08I feel like it's ruined my life.
0:01:08 > 0:01:10Hey, I just wanted to get my results.
0:01:10 > 0:01:13..and their relationships.
0:01:13 > 0:01:15I got someone pregnant not long ago.
0:01:15 > 0:01:17I'm absolutely gobsmacked you just told me that.
0:01:21 > 0:01:25This week, ladies man John makes a shocking confession.
0:01:25 > 0:01:27- I've had chlamydia three times. - What?!
0:01:27 > 0:01:31An open relationship leaves Adele wide open to infection.
0:01:31 > 0:01:35Calling because I just got a message from the clinic.
0:01:35 > 0:01:38And Dan reflects on the choices that led him to contract HIV.
0:01:40 > 0:01:43It was a decision I was making
0:01:43 > 0:01:47and it ultimately was the wrong one.
0:01:57 > 0:01:59It's 8am at the Manchester Centre for Sexual Health,
0:01:59 > 0:02:02and the floodgates are about to open.
0:02:02 > 0:02:05It's the beginning of the day - yay!
0:02:05 > 0:02:07Hi, this is Alison, one of the nurses. Can I help you?
0:02:07 > 0:02:10Whether they've been left with a nasty surprise by an ex,
0:02:10 > 0:02:13or have a horrible holiday memento,
0:02:13 > 0:02:16nearly 100 patients a day come here seeking help.
0:02:16 > 0:02:20Hiya. Have you got an appointment? Have you been here before?
0:02:20 > 0:02:23Receptionist Claire is the friendly face in charge
0:02:23 > 0:02:25of the clinic's STI guest list.
0:02:26 > 0:02:28The next slot I've got is at 3.10.
0:02:28 > 0:02:31Once you've opened the doors, they form a queue,
0:02:31 > 0:02:35and it goes straight round and out the doors back onto the main road.
0:02:35 > 0:02:40Demand for the service from Manchester's lust-filled young people is booming.
0:02:40 > 0:02:43Some mornings, by 10 o'clock all the slots have gone.
0:02:43 > 0:02:48So, every day is different. It's always busy, though.
0:02:53 > 0:02:56Through the clinic doors today are three mates from Manchester,
0:02:56 > 0:02:58John, Roo and Ben.
0:03:00 > 0:03:03It's been six months and a lot of unprotected sex since
0:03:03 > 0:03:08any of them got tested and even they can't decide who's most at risk.
0:03:08 > 0:03:10- Him.- Why me?
0:03:10 > 0:03:12Cos you've not been tested since America,
0:03:12 > 0:03:13and that's about a year ago.
0:03:13 > 0:03:14Yeah.
0:03:14 > 0:03:17But I know if I have got something, who's give it me, though.
0:03:17 > 0:03:20I don't even know. I'd have a list about as long as me arm to tell.
0:03:20 > 0:03:24Just be sat there like, "Oh." Never had any symptoms, nothing.
0:03:24 > 0:03:26Have you? No, nothing.
0:03:26 > 0:03:28Loads of symptoms.
0:03:28 > 0:03:29I've had burning sometimes.
0:03:29 > 0:03:33I remember when you said to me that you had green discharge coming out the end of yours.
0:03:33 > 0:03:35LAUGHTER
0:03:35 > 0:03:37Got to clean yourself more often!
0:03:42 > 0:03:45If you're young, free and single, Manchester has a lot to offer,
0:03:45 > 0:03:49and John and his mates try to take full advantage.
0:03:49 > 0:03:52I don't necessarily say that I'm going out on the pull,
0:03:52 > 0:03:54but...it just happens.
0:04:00 > 0:04:02I get proper shy apart from when I'm by myself doing
0:04:02 > 0:04:04some cheeky little sexy dancing.
0:04:10 > 0:04:13He can watch and learn, but I'm not going to sit down and teach you!
0:04:16 > 0:04:19John's casual attitude to casual sex means
0:04:19 > 0:04:21he could easily have caught an STI.
0:04:21 > 0:04:24But with many of them treatable,
0:04:24 > 0:04:28it's only certain infections that seem to worry him.
0:04:28 > 0:04:30Just the ones you can't get rid of.
0:04:30 > 0:04:34Obviously, hepatitis and AIDS and stuff like that.
0:04:34 > 0:04:36That'd be obviously pretty grim.
0:04:36 > 0:04:39I don't... I'm hoping I've not got anything like that,
0:04:39 > 0:04:40I don't think I have.
0:04:40 > 0:04:43I'd be devastated, to be honest. It's horrible, isn't it?
0:04:43 > 0:04:46OK, when you have sex with your partners, do you give them oral sex?
0:04:46 > 0:04:47LAUGHTER
0:04:47 > 0:04:51- Yeah.- Please, I know it's really embarrassing, I know we've only just met.
0:04:51 > 0:04:54Are you allergic to anything at all that you know of?
0:04:54 > 0:04:55- Cats.- Cats. But no medication.
0:04:55 > 0:04:58- But I don't have sex with cats, though.- No, you don't. That's fine.
0:04:58 > 0:05:02I wasn't going to ask you that! But thanks for letting me know. That's fine.
0:05:02 > 0:05:04It isn't just the questions that are making Roo squirm.
0:05:04 > 0:05:08For a man covered in tattoos, he has a surprising phobia.
0:05:08 > 0:05:10Needles, man.
0:05:10 > 0:05:12Scared man, like, I hate injections,
0:05:12 > 0:05:15so I don't really want to get my blood took.
0:05:15 > 0:05:18You need to keep really, really still. OK?
0:05:18 > 0:05:20So big.
0:05:20 > 0:05:22It's not. Only the tip goes in.
0:05:22 > 0:05:23Have a look at a leaflet.
0:05:23 > 0:05:24Urgh.
0:05:24 > 0:05:27Right, keep still for me, yeah? Just keep calm, it's fine.
0:05:27 > 0:05:30Sharp scratch.
0:05:31 > 0:05:34It's been over a year since Ben last got tested.
0:05:34 > 0:05:37I don't really like doing things like this,
0:05:37 > 0:05:39but got to do it, really, ain't ya?
0:05:39 > 0:05:42And it's not the only thing he's been putting off.
0:05:42 > 0:05:45When did you last pass urine?
0:05:45 > 0:05:48Um, this morning, about 8, 9 o clock.
0:05:48 > 0:05:50- You've not had a wee since then?- No. - Oh, my gosh!
0:05:50 > 0:05:54- I know.- Right, OK, that's fine. Good grief, you're like camels!
0:05:54 > 0:05:56Yeah.
0:05:56 > 0:05:59Ben should have no problem filling the sample pot.
0:05:59 > 0:06:02He's been holding it in for nearly 10 hours.
0:06:02 > 0:06:04There's a shelf in there, leave it on the shelf,
0:06:04 > 0:06:06and I'll grab it from there when you're done, OK?
0:06:06 > 0:06:10- Cool, how much do you want me to fill it?- Well, you're probably going to be overflowing, aren't you!
0:06:13 > 0:06:16You'll get them in at 11 o'clock in the morning,
0:06:16 > 0:06:19and they'll say they haven't peed since they went to bed the night before,
0:06:19 > 0:06:22and you're thinking, "How can that be possible?
0:06:22 > 0:06:24"Your bladder must be out here!"
0:06:24 > 0:06:27And then they're sitting there going like this...ooh!
0:06:27 > 0:06:30You're trying to get through your thing cos you know they're desperate to wee.
0:06:30 > 0:06:32Have you ever had sex with another man?
0:06:32 > 0:06:33No.
0:06:33 > 0:06:35Have you ever shared needles?
0:06:35 > 0:06:37Er, tattoo needles, I have done, yeah.
0:06:37 > 0:06:41When you have sex with your partners, do you give them oral sex?
0:06:41 > 0:06:42Um, sometimes.
0:06:42 > 0:06:45Sometimes. Right. And do you receive any anal sex?
0:06:45 > 0:06:49- Do I receive?- Yeah. We ask everybody this question.- No.
0:06:49 > 0:06:52How many partners have you had in the last three months?
0:06:52 > 0:06:55- Um.- Come on.
0:06:55 > 0:06:56Er, four or five.
0:06:56 > 0:06:58- Four to five in the last three months.- Yeah.
0:06:58 > 0:07:00Do you use condoms when you have sex?
0:07:00 > 0:07:02No.
0:07:02 > 0:07:03No, never?
0:07:03 > 0:07:05- Occasionally.- Occasionally.- Yeah.
0:07:05 > 0:07:09John's admissions are a familiar story at the clinic.
0:07:09 > 0:07:12It's one of the reasons over 6,000 STIs
0:07:12 > 0:07:14are diagnosed every week in the UK.
0:07:14 > 0:07:18And obviously the more partners you have, the more at risk
0:07:18 > 0:07:20- you are of having an infection. - Yeah.
0:07:20 > 0:07:23And that could be gonorrhoea, could be syphilis, could be
0:07:23 > 0:07:25HIV or chlamydia, you know, so...
0:07:27 > 0:07:28So stop. Use protection.
0:07:28 > 0:07:32No, don't stop having sex, but just, you know, think about your future, think about your health.
0:07:32 > 0:07:34Just look after yourself.
0:07:40 > 0:07:44Loved-up Adele has got just got back from a two week love in with
0:07:44 > 0:07:46her toy-boy Eddy in Australia.
0:07:48 > 0:07:49Had a fantastic time.
0:07:49 > 0:07:52I was very teary when I had to leave and come home.
0:07:52 > 0:07:54We met in Thailand at Christmas.
0:07:54 > 0:07:57We'd sort of had discussions about the fact that
0:07:57 > 0:07:59we lived on the other side of the world, um,
0:07:59 > 0:08:02there's quite a bit of an age difference between us, and we're at different stages
0:08:02 > 0:08:06in our lives, so we decided just to keep an open relationship.
0:08:06 > 0:08:08But at the same time, I didn't really want him
0:08:08 > 0:08:12to be with anyone else, and I did, um, kind of worry about him
0:08:12 > 0:08:16being with other people, and you can't help but get a bit jealous.
0:08:18 > 0:08:21But right now, jealousy is the least of her worries.
0:08:23 > 0:08:26While I was away, I got pain on urination and I started
0:08:26 > 0:08:32getting a really itchy feeling down below and I started to get
0:08:32 > 0:08:35a bloody discharge, which hasn't cleared up,
0:08:35 > 0:08:36so I wanted to get it checked out.
0:08:36 > 0:08:38Adele?
0:08:39 > 0:08:42Adele and her boyfriend have now decided to become exclusive,
0:08:42 > 0:08:45but if Eddy has already passed on an STI,
0:08:45 > 0:08:48it could put a prick in their love bubble.
0:08:48 > 0:08:50OK, Adele.
0:08:50 > 0:08:52How long have you had the symptoms of the bloody discharge?
0:08:52 > 0:08:54For about four days.
0:08:54 > 0:08:58The itchiness, that's been going on for more than a week.
0:08:58 > 0:09:00When was the last time you had sex?
0:09:00 > 0:09:02About 48 hours ago.
0:09:02 > 0:09:03OK.
0:09:06 > 0:09:08Her symptoms could be a sign of herpes,
0:09:08 > 0:09:12gonorrhoea or chlamydia, so Dr Chitra wants to take a closer look.
0:09:14 > 0:09:18I've got the speculum here. You know, only this bit goes in.
0:09:18 > 0:09:21So now is when I need you to take deep breaths in and out.
0:09:22 > 0:09:26Now, with my two fingers, which are much smaller than that
0:09:26 > 0:09:29plastic instrument, feel the neck of your womb.
0:09:32 > 0:09:36That's great, well done, Adele. Just going to lower the bed.
0:09:37 > 0:09:40Chitra has some concerns with what she's seen.
0:09:41 > 0:09:43When I examined you there was a bit of redness
0:09:43 > 0:09:46round the vulva down below,
0:09:46 > 0:09:50and also around the region, OK?
0:09:50 > 0:09:53With like a couple of cracks in skin,
0:09:53 > 0:09:56which is very suggestive of thrush, yeah?
0:09:56 > 0:09:59On the other hand, the discharge, which there was a bit of,
0:09:59 > 0:10:02there was no blood at all, it didn't look typically like thrush,
0:10:02 > 0:10:05so we're going to have a look under the microscope
0:10:05 > 0:10:07to see if we can see anything, but, regardless of that,
0:10:07 > 0:10:10I'm going to give you some treatment for thrush, anyway.
0:10:10 > 0:10:11Great, have a good day, Adele.
0:10:11 > 0:10:13Thank you very much.
0:10:17 > 0:10:20Adele's test results won't be back for up to a fortnight.
0:10:20 > 0:10:23She and her boyfriend face an anxious wait to find out
0:10:23 > 0:10:25if he's infected her with an STI.
0:10:38 > 0:10:40After months of unprotected sex, John and his mates
0:10:40 > 0:10:43are finally getting tested.
0:10:43 > 0:10:47And how many sexual partners have you had in the last three months?
0:10:48 > 0:10:53Um, about 10, 15, I'd say.
0:10:53 > 0:10:5410, OK.
0:10:54 > 0:10:56With the partners, these 10 partners,
0:10:56 > 0:10:59are you using condoms with these?
0:10:59 > 0:11:01Some. Some sometimes.
0:11:01 > 0:11:05- So when you say some, how many? - About three, four maybe.
0:11:05 > 0:11:11So, three of them protected and seven unprotected, OK.
0:11:13 > 0:11:15Roo survived the needle,
0:11:15 > 0:11:18but now he's worrying in case he needs a penile swab.
0:11:20 > 0:11:23- Have you got any questions? - How come you don't do the umbrella thing any more?
0:11:23 > 0:11:27We don't ever use an umbrella, that's a myth.
0:11:27 > 0:11:30- I've had one, it was like zook, straight down. - A loop, we use a little loop.
0:11:30 > 0:11:33- It looked like one of them things that you blow bubbles with? - Yes, that's right.
0:11:33 > 0:11:37We use a tiny little loop, not quite as big as something that you blow bubbles with,
0:11:37 > 0:11:40but we only use those if you've got symptoms.
0:11:40 > 0:11:43Fortunately for Roo, he has no symptoms,
0:11:43 > 0:11:46so he won't need a swab, umbrella-sized or not.
0:11:52 > 0:11:53The myth of the umbrella.
0:11:53 > 0:11:56I mean, what we swab with is, it is like a thing
0:11:56 > 0:11:59that you use for blowing bubbles, obviously not quite as big,
0:11:59 > 0:12:02all it is, is a little loop.
0:12:03 > 0:12:06So, when we're testing men that have
0:12:06 > 0:12:09got symptoms, we just pop it in the urethra, take a swab and that's it.
0:12:09 > 0:12:12It's not an umbrella, it's not a great big massive thing that
0:12:12 > 0:12:15scrapes up the urethra - that's it, basically.
0:12:18 > 0:12:21Swabs and needles should be the least of the lads' worries.
0:12:21 > 0:12:24While most STIs can be easily treated,
0:12:24 > 0:12:29they could still have a lasting impact on their lives.
0:12:29 > 0:12:32- Have you had an infection before? - Yeah. Chlamydia, three times.
0:12:32 > 0:12:34The more times you have a sexual infection,
0:12:34 > 0:12:35the more at risk you are of problems.
0:12:35 > 0:12:37It's something you need to think about.
0:12:37 > 0:12:40- Right.- Um, for your long-term health, really.- Yeah.
0:12:43 > 0:12:46Where do you want it?
0:12:46 > 0:12:48Just pop it in me tray.
0:12:48 > 0:12:49- That's your test done.- Yep.
0:12:49 > 0:12:52So we've tested you for gonorrhoea, chlamydia, HIV, syphilis,
0:12:52 > 0:12:56hepatitis C and hepatitis B, OK?
0:12:56 > 0:12:59- Right, yeah.- Takes two to three weeks for everything to come back.
0:12:59 > 0:13:02As soon as we get your test results, we text you, OK?
0:13:02 > 0:13:04- Right.- Do you need any condoms?
0:13:04 > 0:13:07Yeah, go on, then. Please.
0:13:07 > 0:13:09- I'll go and get you some.- Cheers.
0:13:09 > 0:13:11When I do anything like this,
0:13:11 > 0:13:15I feel like an old bag trying to ruin their fun,
0:13:15 > 0:13:18which I'm not, but sometimes they don't think about the implications
0:13:18 > 0:13:20of what they do, and it's just,
0:13:20 > 0:13:22"Oh, chlamydia, I can get it treated, it's not a problem."
0:13:22 > 0:13:24But when they have a lot to drink,
0:13:24 > 0:13:28when they're out on the town, you know...and it's easy done.
0:13:28 > 0:13:31They're just enjoying themselves, they throw their cares to the wind
0:13:31 > 0:13:32and just have sex, basically,
0:13:32 > 0:13:34and don't think about the repercussions.
0:13:37 > 0:13:39- There you go.- Thank you.
0:13:39 > 0:13:41Got your little bag of goodies there.
0:13:41 > 0:13:43- Cheers. - And they're no use staying in there.
0:13:43 > 0:13:45- No, I know.- You need to use them.
0:13:45 > 0:13:47Think about the girls that you see, their health,
0:13:47 > 0:13:49and think about your own as well.
0:13:49 > 0:13:51- Yeah?- Yeah.- OK and we'll be in touch with your results.
0:13:51 > 0:13:54- All right, cheers.- That all right? - That's great.- No problem.
0:13:54 > 0:13:57- Is that it then, yeah? - Yeah. Look after yourself.
0:13:57 > 0:14:00- You too, cheers. - OK, see you now. Bye-bye.- Bye.
0:14:02 > 0:14:04'I'm not too worried, to be honest with you.
0:14:04 > 0:14:07'There's no point worrying until you know, is there?'
0:14:07 > 0:14:09So...use these.
0:14:12 > 0:14:16John and his mates will get their results back in a fortnight.
0:14:16 > 0:14:17How come you got condoms?
0:14:17 > 0:14:20Cos we asked for them, cos we've got a sex drive and you don't.
0:14:20 > 0:14:24They face the prospect of being diagnosed with HIV, syphilis,
0:14:24 > 0:14:26gonorrhoea or chlamydia...again.
0:14:26 > 0:14:28Why was you so long, though?
0:14:28 > 0:14:29- Why?- Giving a list of girls?
0:14:29 > 0:14:31I had to answer loads of questions, didn't I?
0:14:31 > 0:14:35A bag of condoms could be too little, too late.
0:14:40 > 0:14:43The boys have left, but Fiona
0:14:43 > 0:14:46is having a wee problem with Ben's sample.
0:14:46 > 0:14:50- The urine is not in the toilet where he left it.- Do you know where it is?
0:14:50 > 0:14:53The cleaners have taken the piss... literally.
0:14:55 > 0:14:57So he's not weed since 8 o'clock this morning,
0:14:57 > 0:15:00then we get the wee that he's been hanging on to all day...
0:15:00 > 0:15:02bloody in the bin!
0:15:08 > 0:15:11Loved-up Adele doesn't yet know
0:15:11 > 0:15:15if her boyfriend from down under has infected her down below.
0:15:15 > 0:15:18I kind of did have the thought in the back of my mind,
0:15:18 > 0:15:20perhaps it's an STI, um...
0:15:20 > 0:15:24because I think the symptoms of chlamydia and gonorrhoea
0:15:24 > 0:15:27can have, you know, burning sensation when you're peeing as well.
0:15:29 > 0:15:30Hi.
0:15:30 > 0:15:33Hi, how's your day going?
0:15:33 > 0:15:37Um, OK. I went to the GUM clinic
0:15:37 > 0:15:39and got myself checked out.
0:15:39 > 0:15:41Was it kind of a bit embarrassing, or a bit weird?
0:15:41 > 0:15:43It's just like, you know,
0:15:43 > 0:15:46I've gotta get undressed behind a little screen
0:15:46 > 0:15:47and sit with my legs up in the air
0:15:47 > 0:15:52and my bits revealed to them, which isn't the nicest thing in the world.
0:15:52 > 0:15:54The only thing that is slightly concerning me
0:15:54 > 0:15:58is she said the discharge that I have wasn't, sort of, normal for thrush.
0:15:58 > 0:16:02So I guess there could be something else but hopefully that's...it's not.
0:16:02 > 0:16:04Oh, good.
0:16:04 > 0:16:05You're OK, aren't you?
0:16:05 > 0:16:07Yeah, yeah, I'm fine. That's good.
0:16:07 > 0:16:12- Good.- Yeah, I suppose if something happened to you
0:16:12 > 0:16:15and something negative came back, then I'd get myself looked at.
0:16:15 > 0:16:16Yeah, we'll wait and see.
0:16:16 > 0:16:19Er, I've gotta go now, honey.
0:16:19 > 0:16:21- Love you lots.- Bye.- Bye-bye.
0:16:21 > 0:16:23It would be nice if he was here
0:16:23 > 0:16:27and he could've come to the clinic with me. That would've been nicer,
0:16:27 > 0:16:29but I guess it's just something I've got to do on my own.
0:16:29 > 0:16:32It's a situation I've got myself in.
0:16:39 > 0:16:42Student Ben recently had a drunken one-night-stand
0:16:42 > 0:16:45whilst on a break from his girlfriend.
0:16:45 > 0:16:47Good start to the day that, lad. How are ya?
0:16:47 > 0:16:50Now they're back together, she's slapped him with a sex ban
0:16:50 > 0:16:53until he can prove he doesn't have an STI.
0:16:53 > 0:16:56Not that his mate, Kalvin, has much sympathy.
0:16:56 > 0:16:59She said I had to get tested.
0:16:59 > 0:17:00You should always use a condom.
0:17:00 > 0:17:03I'm pretty sure I did but I was quite drunk, so I'm not 100% sure.
0:17:03 > 0:17:06Well, it's better to be safe than sorry, isn't it? Are you nervous?
0:17:06 > 0:17:10Not really, like I say, I'm pretty sure everything should be OK.
0:17:11 > 0:17:14But what you going to do if it ain't?
0:17:15 > 0:17:17Take some medication.
0:17:17 > 0:17:19Yeah, I mean, not that you can tell by looking,
0:17:19 > 0:17:22but did she seem like she kept herself...
0:17:22 > 0:17:25I dunno, I was drunk that's what I'm saying.
0:17:25 > 0:17:29But, yeah, she didn't seem like she was currently dying.
0:17:29 > 0:17:32So she wasn't, like, arrrgh? Like all over the place?
0:17:32 > 0:17:33- No.- And you weren't thinking,
0:17:33 > 0:17:36"Oh, god, she probably hasn't had a bath in ten years."
0:17:36 > 0:17:38- I wasn't that drunk.- Mmm.
0:17:38 > 0:17:41The last thing I remember is doing shots at the bar with my friend
0:17:41 > 0:17:44and I vaguely remember leaving the club and she must've been there.
0:17:44 > 0:17:46Are you sure you didn't, like, grab some random woman
0:17:46 > 0:17:49and just have your way with her?
0:17:49 > 0:17:51Not saying you're that sort of person!
0:17:51 > 0:17:54I'm not some sort of barbarian invader.
0:17:54 > 0:17:57Just... I'm not some sort of Viking warrior
0:17:57 > 0:18:00rampaging through the country stealing women.
0:18:00 > 0:18:01Well, you are from Leeds...
0:18:01 > 0:18:04Oh, well, yeah. It's the same thing.
0:18:04 > 0:18:08All right, if you had to pick one out of all of them, which would it be?
0:18:08 > 0:18:11- If you had to have one.- Chlamydia. I'm sure one of my friends had it
0:18:11 > 0:18:13and he just took some antibiotics.
0:18:13 > 0:18:17Cos I think you look like more of syphilis man.
0:18:17 > 0:18:18Oh, thanks(!)
0:18:18 > 0:18:21Yeah, but what if she had AIDS?
0:18:21 > 0:18:22Um...
0:18:25 > 0:18:27You could have AIDS!
0:18:27 > 0:18:30If he does have HIV, or any other STI,
0:18:30 > 0:18:33he'll need a very understanding girlfriend,
0:18:33 > 0:18:36or he could find himself on a permanent break.
0:18:44 > 0:18:48For some people, coming to the clinic can be awkward or embarrassing.
0:18:48 > 0:18:50For others, it's simply impossible.
0:18:50 > 0:18:53Christelle?
0:18:53 > 0:18:55The clinic runs a weekly outreach programme
0:18:55 > 0:18:58to provide sexual healthcare for patients
0:18:58 > 0:19:00currently detained at Her Majesty's pleasure.
0:19:00 > 0:19:04Is there any leaflets in here on syphilis?
0:19:04 > 0:19:08Specialist nurse Lisa has been visiting inmates of HMP Manchester
0:19:08 > 0:19:10for over two years
0:19:10 > 0:19:15and knows penile problems in the penal system are a real issue.
0:19:15 > 0:19:18All the prisoners that we screened last week,
0:19:18 > 0:19:21we need to get their results ready for this week.
0:19:21 > 0:19:24And one's come back as, um...as a syphilis.
0:19:24 > 0:19:27Another one's come back as a chronic hepatitis B.
0:19:27 > 0:19:30So I need to sort them out when I get there.
0:19:30 > 0:19:34Joining her for the first time today is clinic support worker Celia.
0:19:35 > 0:19:38- Are you going to the prison today, Celia?- Yes, have you been before?
0:19:38 > 0:19:40- I have.- Oh, OK.
0:19:40 > 0:19:44- What's it like? - Bit scary...but I'm a wimp.
0:19:44 > 0:19:47Do we have a guard with us? A nice hunky one or what?
0:19:47 > 0:19:50You have someone that escorts you to the health centre,
0:19:50 > 0:19:53but you don't have a guard with you in the room.
0:19:53 > 0:19:55So you're alone with them prisoners?
0:19:55 > 0:19:59Yeah. You'll be with somebody else. There's two of you.
0:19:59 > 0:20:00That's it?
0:20:00 > 0:20:01Yeah.
0:20:01 > 0:20:03You've got terrorists in there,
0:20:03 > 0:20:07rapists, murderers, paedophiles... it's a proper, big, hard prison.
0:20:07 > 0:20:09- Depressing, isn't it?- It is.
0:20:09 > 0:20:10You weren't scared, was you?
0:20:10 > 0:20:12No! Not when I was in the clinic, no.
0:20:12 > 0:20:15- OK.- It's just walking through the prison.- Right.- Freaks me out.
0:20:15 > 0:20:18So when you're walking through, do you see them, "Eeehhh!"?
0:20:18 > 0:20:21No, Celia. It's not like Escape From Alcatraz!
0:20:21 > 0:20:24Oh, right. It's exciting!
0:20:26 > 0:20:28I'll have a quick slurp of tea before I go,
0:20:28 > 0:20:32won't get a chance to have one while I'm there.
0:20:36 > 0:20:38- Celia!- Come on!
0:20:38 > 0:20:42- Right, um... - We can take this?- Is that sealed?
0:20:42 > 0:20:44- Sealed, everything's sealed. - Right, OK.
0:20:48 > 0:20:54Inside HMP Manchester are some of the country's most dangerous criminals.
0:20:54 > 0:20:57Doors are now shut, that's it, Celia, we're in.
0:20:57 > 0:21:01And inside them are some of the most dangerous STIs.
0:21:02 > 0:21:05This is your main holding cell area, here,
0:21:05 > 0:21:07that's for your mainstream prisoners.
0:21:07 > 0:21:09We've also got another holding cell, here,
0:21:09 > 0:21:13which is for vulnerable kind of prisoners.
0:21:13 > 0:21:17Before the patients are called up from the cells,
0:21:17 > 0:21:19Lisa shows Celia the ropes.
0:21:19 > 0:21:22- We're all doing the urine samples now.- Right.
0:21:22 > 0:21:25Do the urine over there, that's absolutely fine.
0:21:25 > 0:21:27If you dispose of it in them orange bags,
0:21:27 > 0:21:30that's absolutely fine, cos there's no sluice, you see.
0:21:30 > 0:21:32Oh, so just throw the wee-wee in the sink?
0:21:32 > 0:21:34No, no. Put them... seal them back in the bag,
0:21:34 > 0:21:37and they go in the...in the bin.
0:21:37 > 0:21:38Oh.
0:21:38 > 0:21:42With infection rates for prisoners significantly higher
0:21:42 > 0:21:46than the UK average, Lisa knows the value of this outreach work.
0:21:46 > 0:21:49It's just as important to offer these guys a screening in here
0:21:49 > 0:21:52as it is out on...on civvy street, if you like.
0:21:52 > 0:21:55They know that they're coming into prison, some of them,
0:21:55 > 0:21:59so what they do is they make sure they have a lot of sex
0:21:59 > 0:22:01before they go into prison.
0:22:01 > 0:22:03I mean, a few of them have had no symptoms
0:22:03 > 0:22:06and they've got chlamydia, you know, that kind of thing.
0:22:08 > 0:22:11Their first patient is a prisoner serving time for a drugs offence.
0:22:11 > 0:22:15It's good to know that you've had a check-up
0:22:15 > 0:22:17and that everything's OK and, like I said,
0:22:17 > 0:22:21- I can get your results to you next week. Sound like a plan?- Yep.
0:22:21 > 0:22:24Right, I'll just go through some questions with you if that's OK.
0:22:26 > 0:22:28The last time this man faced questioning,
0:22:28 > 0:22:30it led to a prison sentence.
0:22:30 > 0:22:32He'll be hoping to get off lighter today.
0:22:32 > 0:22:36And do you use protection with your partner or...?
0:22:36 > 0:22:38How long you been together for?
0:22:38 > 0:22:40No other sexual partners?
0:22:40 > 0:22:44- Have you ever injected drugs?- No.- Sex with anyone who's injected drugs?- No.
0:22:44 > 0:22:47OK, and the last time you had sex with anybody was when?
0:22:49 > 0:22:51Six weeks.
0:22:51 > 0:22:54So we'll check your urine for chlamydia and gonorrhoea
0:22:54 > 0:22:57and we can check your blood for HIV and syphilis, all right?
0:22:57 > 0:23:00Any questions?
0:23:00 > 0:23:01Just don't like needles?
0:23:01 > 0:23:04I can see it all on your face!
0:23:04 > 0:23:07Do guys here talk about the fact that this clinic is available?
0:23:13 > 0:23:16With one patient down, Lisa and Celia have many more left to see.
0:23:19 > 0:23:21I've got, um...one that I've got to follow up
0:23:21 > 0:23:23who has got chronic hepatitis.
0:23:23 > 0:23:24There's another one who's...
0:23:24 > 0:23:27I need to check whether he's been treated for syphilis
0:23:27 > 0:23:30and the others is warts, two of them have got warts.
0:23:39 > 0:23:42So I just need you to fill this paperwork in for me.
0:23:42 > 0:23:46Back at the clinic and student Ben is hoping to persuade his girlfriend
0:23:46 > 0:23:51to lift his sex ban by proving he hasn't got an STI.
0:23:51 > 0:23:53Broke up with my girlfriend a while ago
0:23:53 > 0:23:55and then we recently got back together,
0:23:55 > 0:23:58but whilst we were apart, I got together with someone,
0:23:58 > 0:24:02and she said, "Yeah, you need to get tested." So I said, "OK, fine."
0:24:04 > 0:24:08I should be fine. Well, at least, I hope I am, so, um...
0:24:08 > 0:24:11- Hi, is it Benjamin?- Yeah. - Hiya, come in.
0:24:14 > 0:24:15Come and have a seat.
0:24:18 > 0:24:20- Have you ever had sex with a man?- No.
0:24:20 > 0:24:21No, OK.
0:24:21 > 0:24:24When you have sex with your partners, do you give them oral sex?
0:24:24 > 0:24:26- Um, yeah.- You do, OK.
0:24:26 > 0:24:29And do you receive any anal sex? We ask everybody this question.
0:24:29 > 0:24:30- No.- No, OK.
0:24:30 > 0:24:34Have you ever had sex with anyone from a different country?
0:24:34 > 0:24:37Um...yes.
0:24:37 > 0:24:39Whereabouts were they from?
0:24:39 > 0:24:42Er...Spain once
0:24:42 > 0:24:45and a Mexican-American once.
0:24:45 > 0:24:49And as far as you know, you're not HIV positive, but you've never tested?
0:24:49 > 0:24:52No, I've never tested but I've never had any symptoms.
0:24:52 > 0:24:56Right, OK. And have you ever had a blood transfusion?
0:24:56 > 0:24:59- Um, I was in a car accident.- Right. - And I had to have, um, yeah...
0:24:59 > 0:25:01I had a lot of internal bleeding and stuff,
0:25:01 > 0:25:05and then again when I was seven, I had to have another surgery,
0:25:05 > 0:25:08which I'm not sure if I needed a blood transfusion for or not.
0:25:08 > 0:25:11- OK.- That would've been '93.
0:25:11 > 0:25:13'93.
0:25:15 > 0:25:17So I just need a urine sample now.
0:25:17 > 0:25:19You all right there?
0:25:19 > 0:25:21- Tricky, cuffs, aren't they?- Yeah.
0:25:26 > 0:25:29- OK, that's fab. You got any questions?- No, no, that's it.
0:25:29 > 0:25:32- OK.- All right, thank you. - You're very welcome, no problem.
0:25:32 > 0:25:35- All right.- All right, see you now, bye-bye.
0:25:35 > 0:25:36Bye.
0:25:38 > 0:25:40Uh, I'm pretty sure that I'm OK.
0:25:40 > 0:25:42They say to you, if we haven't contacted you in two weeks
0:25:42 > 0:25:46then you're fine, which does leave you spending two weeks thinking,
0:25:46 > 0:25:48"Oh, God, what if they text me and I've got something?"
0:25:48 > 0:25:52Ben will cross his fingers his results come back negative.
0:25:52 > 0:25:54If he has an STI,
0:25:54 > 0:25:57his girlfriend's sex ban will be the least of his worries.
0:26:04 > 0:26:07The clinic deal with thousands of patients like Ben every month.
0:26:07 > 0:26:10Getting their results to them, and fast,
0:26:10 > 0:26:13is a vital part of the clinic's day-to-day work.
0:26:14 > 0:26:18Oh, my god, it's my results.
0:26:18 > 0:26:21Oh, that reminds me, I got a message from the clinic.
0:26:21 > 0:26:23I'm glad that I'll find out soon.
0:26:26 > 0:26:28I've got a text.
0:26:28 > 0:26:32We just need to be positive and hope that our result's the right result.
0:26:33 > 0:26:35- Who's that?- I've no idea.
0:26:38 > 0:26:39Text message.
0:26:41 > 0:26:43Adele's results have come through.
0:26:43 > 0:26:46It's from the clinic.
0:26:47 > 0:26:52She gets straight on Skype to break the news to Eddy face to face.
0:26:57 > 0:26:58Hi.
0:26:59 > 0:27:04I'm calling because I just got a message from the clinic, um...
0:27:04 > 0:27:07- Oh, yeah?- Saying that everything's negative, so...
0:27:07 > 0:27:10- Oh!- Big relief!- Yeah.
0:27:10 > 0:27:14Oh, good, I'm happy for you and us.
0:27:14 > 0:27:18Yeah, it's nice. It's there in writing.
0:27:18 > 0:27:22It's all OK, so that's good. Yeah.
0:27:22 > 0:27:25Oh! So relieved!
0:27:25 > 0:27:28No little skeletons hiding in the cupboard, so that's really nice.
0:27:44 > 0:27:46At the prison, Lisa and Celia
0:27:46 > 0:27:49are banged up with the inmates from HMP Manchester.
0:27:50 > 0:27:52You sit yourself over here for me, please.
0:27:52 > 0:27:56Their next patient is serving a life sentence.
0:27:56 > 0:27:59So the last time you had sex with anybody was when?
0:28:01 > 0:28:03Er, 2010.
0:28:03 > 0:28:05- Have you been in prison since 2010? - Yeah.- OK.
0:28:06 > 0:28:08The reason behind his incarceration is confidential
0:28:08 > 0:28:12but the reason he's come to see the clinic staff are all too familiar.
0:28:36 > 0:28:39If he did catch something whilst on a break from his girlfriend,
0:28:39 > 0:28:43then any STI will have been causing damage for nearly two years.
0:28:43 > 0:28:45Was there a problem with the testicles?
0:28:49 > 0:28:52OK. How long have you had the lump for?
0:28:54 > 0:28:55Two months.
0:28:55 > 0:28:57On the surface of the testicle, is it painful?
0:29:03 > 0:29:06Any unusual fluid? Any discharge or anything like that?
0:29:06 > 0:29:08Just pain passing urine?
0:29:08 > 0:29:13Well, what we can do is... I can do a sexual health screen on you.
0:29:13 > 0:29:15OK, and we can test for things like chlamydia
0:29:15 > 0:29:18and gonorrhoea that can cause - if they're left untreated -
0:29:18 > 0:29:23they can cause more problems, symptoms like you're saying about.
0:29:23 > 0:29:26And just because of your testicular symptoms
0:29:26 > 0:29:29and now you've also got other symptoms,
0:29:29 > 0:29:31I'll get you in to see a doctor. Is that all right?
0:29:34 > 0:29:36And your results will be available to you in a week's time.
0:29:36 > 0:29:41When we come back next week, we do a results slip, put it in an envelope,
0:29:41 > 0:29:44and it's then taken up to your wing and it's popped under your door.
0:29:44 > 0:29:46All right, then, chuck?
0:29:47 > 0:29:49The prisoner's problem may soon get treated,
0:29:49 > 0:29:52but when his girlfriend finds out what's happened,
0:29:52 > 0:29:54he may be glad he's locked up.
0:30:06 > 0:30:08There's just one patient left to deal with.
0:30:08 > 0:30:10The prison visit is nearly over.
0:30:10 > 0:30:15Any tests we do today, the results will be available next week.
0:30:15 > 0:30:18I'll try and not send you bad news.
0:30:18 > 0:30:20SHE LAUGHS
0:30:20 > 0:30:21When are you due to be released?
0:30:24 > 0:30:26Do you know how long you think you might get?
0:30:29 > 0:30:30Only? Gosh.
0:30:31 > 0:30:34Just got to do your time. Get out and don't come back again.
0:30:37 > 0:30:38Did you?
0:30:38 > 0:30:40You didn't learn that lesson, then?
0:30:40 > 0:30:42Yeah, you're all done.
0:30:43 > 0:30:46For Lisa, the four hours in nick have flown by.
0:30:46 > 0:30:50'The prisoners, they're really nice lads. You chat with them, you know?
0:30:50 > 0:30:54'You're getting a range of different conversations, really.'
0:30:54 > 0:30:56Sometimes when they say,
0:30:56 > 0:30:59"I've been in prison," and, "I've been in before,"
0:30:59 > 0:31:03and you think, "Why have you come back?"
0:31:03 > 0:31:04Bit of bribery there.
0:31:04 > 0:31:08Even Celia, despite her initial fears, has enjoyed herself.
0:31:09 > 0:31:12I liked it, can't wait to come back again.
0:31:12 > 0:31:16It was interesting, and the prisoners were nice.
0:31:16 > 0:31:19They're just human beings like us, they're just locked up, that's it.
0:31:19 > 0:31:24She was brilliant. She's like a duck to water, she's absolutely great.
0:31:24 > 0:31:25She just cracks on and gets on with it.
0:31:25 > 0:31:27She was absolutely fine, she was brilliant.
0:31:27 > 0:31:31She makes me laugh, Celia. Always got a light-hearted thing to say.
0:31:36 > 0:31:37HE HUMS A TUNE
0:31:38 > 0:31:42Across town, and John and his mates are very much
0:31:42 > 0:31:44young, free and single.
0:31:44 > 0:31:47- Have you shaved your legs today? - Have I?- Yes, you have!
0:31:47 > 0:31:49They're gearing up for a big night out with their friends,
0:31:49 > 0:31:51Abi and Danni.
0:31:51 > 0:31:53Manchester's incestuous.
0:31:53 > 0:31:55Everyone's fucking shagged each other. Disgusting.
0:31:55 > 0:31:56It's horrible.
0:31:56 > 0:31:59Manchester is horrible. Everyone's shagged everyone.
0:31:59 > 0:32:02How many girls have you been with that I would've
0:32:02 > 0:32:04and the other way round as well?
0:32:04 > 0:32:06Mate, quite a lot. AT LEAST six or seven.
0:32:06 > 0:32:08How many girls have you slept with?
0:32:08 > 0:32:10Do you know what? I don't even know.
0:32:10 > 0:32:13I can't even estimate the amount of girls I've boned.
0:32:13 > 0:32:15Really?
0:32:15 > 0:32:17When I was 16, 17 it was about 20,
0:32:17 > 0:32:19and I'm 25 now.
0:32:19 > 0:32:21Do you use protection?
0:32:21 > 0:32:25I'm not being funny and I know it's crude, but I like to feel... it on me.
0:32:25 > 0:32:27I don't think about if they're going to get pregnant.
0:32:27 > 0:32:29I don't think about STIs.
0:32:30 > 0:32:32DANNI: Do you ask her if she's on the pill?
0:32:32 > 0:32:35I-I-I... No. To be fair, no.
0:32:35 > 0:32:38If we start doing anything and she doesn't say anything,
0:32:38 > 0:32:41then that's it, then it doesn't really matter to me.
0:32:41 > 0:32:42I don't really care.
0:32:42 > 0:32:45And to be fair, as living proof, I've got a child in America.
0:32:45 > 0:32:47- JOHN:- Fucking... - DANNI: Have you?
0:32:47 > 0:32:50At the time you think, "I'm going to get laid and that is it."
0:32:50 > 0:32:52DANNI: Have any of you had STIs?
0:32:52 > 0:32:56I've had chlamydia. I've had chlamydia three times.
0:32:56 > 0:32:57DANNI GASPS What?!
0:32:57 > 0:32:59Really?
0:32:59 > 0:33:01The girls may be shocked by what they're hearing,
0:33:01 > 0:33:05but for the boys, it's almost a badge of honour.
0:33:05 > 0:33:07John's just going for the shiny now, innit?
0:33:07 > 0:33:10Just HIV to complete the set. That's all you need now.
0:33:10 > 0:33:11Oh!
0:33:11 > 0:33:14The thing is with chlamydia, though, it's literally...
0:33:14 > 0:33:16- Four tablets, see you later. - Take four pills, gone.
0:33:16 > 0:33:20DANNI: It's not though! You think because you can cure it that easily,
0:33:20 > 0:33:22- that it's not a serious fucking disease?- Well, yeah, but...
0:33:22 > 0:33:24Use a condom! What is wrong with ya?
0:33:24 > 0:33:27Tonight they might get their chance.
0:33:27 > 0:33:30They're off out into Manchester on the pull.
0:33:43 > 0:33:44See ya later!
0:33:44 > 0:33:48For staff at the clinic, every day brings new delights.
0:33:48 > 0:33:51You never know what you'll get behind that curtain, do you really?
0:33:51 > 0:33:54I think there's only ever one thing that shocked me
0:33:54 > 0:33:58was a young lad and he come in and he was worried.
0:33:58 > 0:34:00He didn't know how to use a condom,
0:34:00 > 0:34:03because he'd been having dry sex with his girlfriend.
0:34:03 > 0:34:06So I asked him, I said, "So what is dry sex?"
0:34:06 > 0:34:10He says, "I leave me undies on when I'm having sex with me girlfriend."
0:34:10 > 0:34:15I said - me head was thinking - "But there's pores in undies,
0:34:15 > 0:34:19"the semen's going to get through!"
0:34:19 > 0:34:21I think that was just amazing. How they get it in...
0:34:21 > 0:34:25- How do you have sex with your undies on?- It's called dry humping now.
0:34:25 > 0:34:27Oh, that. Dry humping! Oh, that!
0:34:27 > 0:34:29THEY LAUGH
0:34:34 > 0:34:36All good. It's all good.
0:34:36 > 0:34:40Dan has HIV and is a regular face at the clinic.
0:34:40 > 0:34:45Because I am HIV positive, having STDs in general,
0:34:45 > 0:34:48well, having any diseases in general does concern me
0:34:48 > 0:34:51because of my weakened immune system.
0:34:51 > 0:34:54Unprotected sex with other HIV-positive men
0:34:54 > 0:34:57has infected Dan with a string of STIs.
0:34:57 > 0:35:01I've had gonorrhoea and chlamydia in the past.
0:35:01 > 0:35:03I had a syphilis scare - luckily that was all negative.
0:35:03 > 0:35:06But Dan's high-risk behaviour has led him to the clinic
0:35:06 > 0:35:09for the second time in just a few weeks.
0:35:09 > 0:35:15I think there's a bit of a discharge from the backside.
0:35:16 > 0:35:20I was in about two months ago with similar symptoms.
0:35:20 > 0:35:23They said it was gonorrhoea, and I was treated,
0:35:23 > 0:35:25so I'm not sure if they've come back.
0:35:25 > 0:35:29Getting to the bottom of things for Dan is Chitra -
0:35:29 > 0:35:31consultant and HIV specialist.
0:35:31 > 0:35:33- Daniel?- Yes.- Hi.
0:35:33 > 0:35:37Daniel, my name is Chitra Babu, I think we have met before.
0:35:37 > 0:35:39I think so, uh...
0:35:39 > 0:35:42- Daniel, whereabouts in America are you from?- Chicago.
0:35:42 > 0:35:44How long have you been in the UK for?
0:35:44 > 0:35:47Er...about six years now.
0:35:47 > 0:35:49Do you like it here?
0:35:49 > 0:35:50Enough that I stay.
0:35:50 > 0:35:53It's... I'm having fun and Europe's my playground.
0:35:55 > 0:35:57Tell me more about the discharge.
0:35:57 > 0:36:00I suppose coming out of the back passage, it's...
0:36:00 > 0:36:02kind of coloured in such a way...
0:36:02 > 0:36:06It's kind of, I don't want to say yellowish,
0:36:06 > 0:36:09but sometimes it's yellowy brown.
0:36:09 > 0:36:11- And do you use condoms?- No.
0:36:11 > 0:36:14- For anal as well?- Correct.
0:36:15 > 0:36:18- I'm going to take a swab from the front.- OK.
0:36:21 > 0:36:23- Just going to pull the skin back, OK.- Yep.
0:36:23 > 0:36:27Just have a quick look and take a little swab.
0:36:27 > 0:36:30As he has symptoms, Dan needs a penile swab.
0:36:31 > 0:36:33This is just a little bit unpleasant.
0:36:33 > 0:36:35Just take a deep breath in for me.
0:36:39 > 0:36:41OK.
0:36:43 > 0:36:45- What I'm going to do is just rub some gel on it.- Mm-hm.
0:36:45 > 0:36:47It's going to feel a little bit cold.
0:36:47 > 0:36:49OK, Daniel, just breaths in and out.
0:36:49 > 0:36:52Just going to introduce this, OK?
0:36:52 > 0:36:53Mm-hm.
0:36:53 > 0:36:56STIs thrive in warn, moist places.
0:36:56 > 0:36:58Dan's bottom is both of these things,
0:36:58 > 0:37:01so Chitra will need a swab from there, too.
0:37:04 > 0:37:05In view of your symptoms,
0:37:05 > 0:37:08while we're waiting for more sort of confirmatory results, especially
0:37:08 > 0:37:11for things like chlamydia, I'm going to give you some treatment anyway.
0:37:11 > 0:37:12OK.
0:37:12 > 0:37:14Now, while you're taking these antibiotics,
0:37:14 > 0:37:17the main advice would be no sex at all,
0:37:17 > 0:37:20not even with condoms, not even oral sex.
0:37:21 > 0:37:23Dan's treatment is a precaution.
0:37:23 > 0:37:26It'll be at least a week before he discovers
0:37:26 > 0:37:30if he does in fact have yet another dose of gonorrhoea.
0:37:30 > 0:37:32'With Daniel, he's a very intelligent person,
0:37:32 > 0:37:35'and, you know, I do remember having seen him before.'
0:37:35 > 0:37:37He's got all the information there,
0:37:37 > 0:37:40but on the other hand, we have treated him recently.
0:37:40 > 0:37:43We have to make them aware, because there are some things
0:37:43 > 0:37:47which we can easily treat, but there are other things we can't.
0:37:47 > 0:37:52Despite being HIV positive and repeatedly contracting STIs,
0:37:52 > 0:37:54Dan doesn't seem interested in changing his ways.
0:37:54 > 0:37:56For me, it's a fact of life.
0:37:56 > 0:37:58If it does turn out to be gonorrhoea,
0:37:58 > 0:38:00then it feels like a regular check-up for me.
0:38:00 > 0:38:02Will I change my behaviour?
0:38:04 > 0:38:08In time. I'm still young, I'm still enjoying life,
0:38:08 > 0:38:11so sooner or later life will calm down.
0:38:18 > 0:38:21Student Ben is waiting nervously for the results
0:38:21 > 0:38:23which could signal the end of his girlfriend's sex ban
0:38:23 > 0:38:28and clear him of having HIV, syphilis or any other STI.
0:38:29 > 0:38:31MOBILE PINGS
0:38:39 > 0:38:42Oh, that's good. Right, I got the text, it was negative.
0:38:42 > 0:38:45Yeah, that is a relief. At least I haven't got anything.
0:38:45 > 0:38:49I'm just going to text my girlfriend and tell her everything was fine.
0:38:49 > 0:38:53Yeah, so obviously in future I'll try not to get drunk
0:38:53 > 0:38:56and go home with random women where I'm not sure what's happening.
0:38:56 > 0:38:59I'll try and keep my... Well, I'm back with my girlfriend,
0:38:59 > 0:39:03so I won't do that now, but if I did break up with her,
0:39:03 > 0:39:08then yeah, that's what I'll do, I'll be sensible and not get too drunk.
0:39:08 > 0:39:10HE LAUGHS
0:39:10 > 0:39:13She text back, "Oh, no, that means we have to have sex!"
0:39:15 > 0:39:17Oh, that was quite funny.
0:39:18 > 0:39:21After the green light from his girlfriend,
0:39:21 > 0:39:24Ben is back on for an STI-free sex life.
0:39:28 > 0:39:32Smooth-talking John and his mates are off out on the pull.
0:39:32 > 0:39:35- Come on, ladies. Let's disco dance! - HE LAUGHS
0:39:37 > 0:39:40Even his friend Abi can't resist his unique charms.
0:39:40 > 0:39:42- I'm waiting for you. Will you marry me?- Maybe.
0:39:42 > 0:39:45- Marry me right now.- Wait your turn. - Oh, fuck off!
0:39:45 > 0:39:47Or maybe she can.
0:39:49 > 0:39:51Either way, John's not bothered.
0:39:51 > 0:39:55It's not long before he's tongue-deep in Manchester's single girls.
0:39:55 > 0:39:57I don't know, but she started coming up to me
0:39:57 > 0:39:59and started doing the little... giving me the little wiggle.
0:39:59 > 0:40:01I was like, "Right, come on, let's go."
0:40:01 > 0:40:03# Ooh, ooh Come and get you some
0:40:03 > 0:40:04# Come and get you some... #
0:40:04 > 0:40:06HE WHISTLES
0:40:06 > 0:40:07JOHN SHOUTS
0:40:07 > 0:40:10We're only being friendly. I'm just after...
0:40:10 > 0:40:12A quick lay. Don't lie.
0:40:12 > 0:40:14I wasn't going to say it like that, I was going to...
0:40:14 > 0:40:15Yes, you are, though!
0:40:15 > 0:40:18I wasn't going to put it as nice as what you were going to put it. But yeah.
0:40:25 > 0:40:29With a few drinks inside him, no girl is off limits.
0:40:32 > 0:40:34- Fuck me!- Obviously she's not.
0:40:36 > 0:40:39Cos she likes a bit of cock in her every now and again!
0:40:39 > 0:40:40# Hot girl, you're doing it well
0:40:40 > 0:40:42# The way your hips move got me under a spell... #
0:40:42 > 0:40:46But with John and the lads yet to receive their results,
0:40:46 > 0:40:48it's possible these girls could get a nasty surprise
0:40:48 > 0:40:51if they were to go in for more than just a kiss.
0:40:52 > 0:40:54- And are they fit?- Yes, they...
0:40:54 > 0:40:56- And are we going to fuck 'em?- Yes. - I hope so!
0:41:05 > 0:41:09That's that done for today.
0:41:09 > 0:41:11Pee pots. Jolly good.
0:41:11 > 0:41:14Working in sexual health is a real eye-opener,
0:41:14 > 0:41:18even for experienced staff like Fiona and Pam.
0:41:18 > 0:41:20I didn't realise everybody shaved their pubic region.
0:41:20 > 0:41:23That was a complete revelation to me.
0:41:23 > 0:41:26So it made me think, "Oh, no, I'd better go and get the razor out!"
0:41:26 > 0:41:28- A new era of no hair, isn't it? - Yeah, it is!
0:41:28 > 0:41:31- Men, men, as well. Men and women. - Men shave, women shave...
0:41:31 > 0:41:33- Yeah, they shave everything. - We are a hairless society now.
0:41:33 > 0:41:36I always think, "Well, it keeps you a bit warm, doesn't it?"
0:41:36 > 0:41:39They're embarrassed about getting their clothes off,
0:41:39 > 0:41:41because they haven't shaved for a few weeks.
0:41:41 > 0:41:44- And, honestly, there must be a millimetre of hair. - Yeah, that's right!
0:41:44 > 0:41:48And you think, "Looks all right to me! You're fine there!"
0:41:48 > 0:41:51- Bushes are out, love. Not in this day and age.- No.
0:41:51 > 0:41:54Definitely not at all. No bush.
0:41:54 > 0:41:56When it comes to STIs,
0:41:56 > 0:42:00the group at least risk of infection, apart from nuns,
0:42:00 > 0:42:01are lesbians.
0:42:02 > 0:42:05- Hi, have you got an appointment? - Hi. Er, no.
0:42:05 > 0:42:08OK, if you just read this, would you be number one or two?
0:42:08 > 0:42:10Erm, number one.
0:42:10 > 0:42:12- It's just for general testing?- Yeah.
0:42:12 > 0:42:13But low risk isn't no risk,
0:42:13 > 0:42:17and having just got together with a new partner,
0:42:17 > 0:42:2019-year-old Alex can't stop worrying.
0:42:20 > 0:42:21'I needed to get tested.
0:42:21 > 0:42:25'Like, I wanted to just put my mind at ease, really.'
0:42:25 > 0:42:28I worry about warts, because they're disgusting
0:42:28 > 0:42:31and they'd scare me so much if I got them.
0:42:31 > 0:42:33I think warts and crabs, as well.
0:42:33 > 0:42:37They would be... They are the two, like, my most feared STIs.
0:42:37 > 0:42:38Unfortunately for Alex,
0:42:38 > 0:42:42warts is one of the most common STIs for lesbians,
0:42:42 > 0:42:45and if she does have crabs, or pubic lice, as they are also known,
0:42:45 > 0:42:48she'll be hoping they're nothing like
0:42:48 > 0:42:51one of the clinic's most infamous cases.
0:42:51 > 0:42:53"His name is Bob...don't throw."
0:42:55 > 0:42:57You can see its legs.
0:42:57 > 0:43:00There you are, there's its head.
0:43:00 > 0:43:02Oh, my God! It's massive!
0:43:02 > 0:43:03I know.
0:43:03 > 0:43:04If you see it in the microscope,
0:43:04 > 0:43:07you think of all them crabs that could be running around.
0:43:07 > 0:43:09Oh, it's scary!
0:43:09 > 0:43:11Come on through.
0:43:11 > 0:43:14Alex will be praying Bob and his ilk make no appearance
0:43:14 > 0:43:17during her appointment with specialist nurse Fiona.
0:43:18 > 0:43:21- Have you ever had a sexually transmitted infection before?- No.
0:43:21 > 0:43:26OK. Have you ever had sex with an HIV-positive man
0:43:26 > 0:43:28- or a bisexual man that you're aware of?- No.
0:43:28 > 0:43:32- With your partners do you have oral sex?- Yeah.- You do.
0:43:32 > 0:43:35- And any anal sex?- No.
0:43:35 > 0:43:37- So you only have female partners, is that right?- Yeah.
0:43:37 > 0:43:41- Do you use sex toys at all with your partners?- No.- No.
0:43:41 > 0:43:43And when you have sex with your female partners,
0:43:43 > 0:43:46- do you use any other protection at all?- No.
0:43:46 > 0:43:49- You don't use anything...?- There's only one protection for lesbians.
0:43:49 > 0:43:52- Yeah, that's right. - That sheet thing.- Yep.
0:43:52 > 0:43:54- I've never used that.- Right, OK.
0:43:54 > 0:43:57- But you are aware that there is such a thing if need be.- Yeah.
0:43:57 > 0:44:00I mean, they do say that you can make your own dental dams,
0:44:00 > 0:44:03so it's like a clingfilm, basically.
0:44:04 > 0:44:06Insert that into your vagina.
0:44:06 > 0:44:10You need to put it to about there. Give it a swirl.
0:44:10 > 0:44:11- Toilet's just in there.- OK.
0:44:18 > 0:44:21The rectal ones are slightly harder,
0:44:21 > 0:44:23and I have known somebody come out the bathroom
0:44:23 > 0:44:26with the cotton wool bit missing, and I was going, "Where's the end?"
0:44:26 > 0:44:29and they're going, "Don't know," so it's like...!
0:44:29 > 0:44:31Thank you very much.
0:44:31 > 0:44:34- No, thank you. You take care. - Bye.- Bye.
0:44:34 > 0:44:39Her risk, as a lesbian woman, is very low.
0:44:39 > 0:44:42Erm, especially as she has no penetrative sex, she's not...
0:44:42 > 0:44:46she's not, erm, using sex toys so her risk of infection is low,
0:44:46 > 0:44:48but there's obviously still a risk there.
0:44:52 > 0:44:55Alex will find out if her worries were without foundation
0:44:55 > 0:44:56in the next two weeks.
0:44:56 > 0:44:59In the meantime, there is one method she could try out
0:44:59 > 0:45:02to protect herself from even the smallest risk.
0:45:02 > 0:45:05The dental dams, the notion behind them
0:45:05 > 0:45:08is stop the risk of infection through oral sex, obviously,
0:45:08 > 0:45:10but people don't use them.
0:45:10 > 0:45:13It's not something that people like.
0:45:21 > 0:45:24Dan came to the clinic seeking treatment for an anal discharge.
0:45:24 > 0:45:27He's waiting for test results,
0:45:27 > 0:45:29which will tell him if he's contracted gonorrhoea
0:45:29 > 0:45:31for the second time in as many months.
0:45:33 > 0:45:35Oh, I do have a chat.
0:45:36 > 0:45:42You find a guy, you start chatting and...perhaps you hook up.
0:45:42 > 0:45:46Hoping for the all-clear, Dan is already cruising a gay hook-up site.
0:45:48 > 0:45:50He's just replied.
0:45:50 > 0:45:53He's a barman and an author, of sorts.
0:45:56 > 0:45:59All these conversations follow the same format.
0:45:59 > 0:46:01Sometimes I just find it really mundane,
0:46:01 > 0:46:04and you just want to cut to the chase.
0:46:04 > 0:46:09I'm fairly versatile and up for...various things.
0:46:11 > 0:46:12Working in the city centre,
0:46:12 > 0:46:16I get some people that want me to come round on lunchtime
0:46:16 > 0:46:21and, er, I think that's a bit too much.
0:46:21 > 0:46:26Tempted a few times, but I've yet to... I've yet to do that.
0:46:26 > 0:46:30Since his appointment, life's been tough for Dan.
0:46:30 > 0:46:36Yeah, well, they said to withhold sex so it's just, er, frustration
0:46:36 > 0:46:41with abstaining but, erm, it's not been that long, but, er...
0:46:42 > 0:46:44..long enough!
0:46:44 > 0:46:45HE LAUGHS
0:46:45 > 0:46:46PHONE BEEPS
0:46:46 > 0:46:48Luckily, Dan is saved by the bell.
0:46:49 > 0:46:55I've just gotten a results text, and it looks negative,
0:46:55 > 0:46:56so it's all good.
0:46:56 > 0:46:58"Negative," right there, in words.
0:46:58 > 0:47:00So, woo-hoo!
0:47:03 > 0:47:07Across town, it's results day for the likely lads.
0:47:11 > 0:47:13I've got a text saying,
0:47:13 > 0:47:18"Your most recent test results from MSCH are negative."
0:47:18 > 0:47:19See, that's...
0:47:19 > 0:47:21Yeah, that's right, isn't it? Yeah.
0:47:25 > 0:47:28John is facing the prospect of his fourth bout of chlamydia,
0:47:28 > 0:47:31but he could've contracted a far more serious STI
0:47:31 > 0:47:35through his high-risk sexploits.
0:47:35 > 0:47:37I need to stop, I know I need to stop now,
0:47:37 > 0:47:39cos I don't want it to get to the point where I think,
0:47:39 > 0:47:41"I should've stopped and started using protection,"
0:47:41 > 0:47:44when I end up with something like HIV or something like that.
0:47:44 > 0:47:47Cos I know it's in Manchester, cos I've read leaflets on it.
0:47:47 > 0:47:49So, obviously, I need to stop now.
0:47:49 > 0:47:51I like to put a front on, don't I?
0:47:51 > 0:47:54So people don't see that I'm worried, but...
0:47:54 > 0:47:57I'm just a bit worried by myself.
0:48:00 > 0:48:01The long wait for results
0:48:01 > 0:48:05has also been causing Alex to do more worrying.
0:48:06 > 0:48:09When I was talking to my friends about it, it was scaring me a bit.
0:48:09 > 0:48:12I was like, "I might have a symptom,
0:48:12 > 0:48:14"but I've just not picked up on it because I thought I was ill,"
0:48:14 > 0:48:16or something like that.
0:48:16 > 0:48:18PHONE BEEPS
0:48:28 > 0:48:31My, er, my tests are negative. So, I don't have anything.
0:48:31 > 0:48:34Yeah! That's good.
0:48:34 > 0:48:37Phew, that's like a weight off my shoulders.
0:48:37 > 0:48:42I feel like texting them back saying, "Thanks," but it probably won't work.
0:48:42 > 0:48:46She can't wait to share the news with her girlfriend.
0:48:46 > 0:48:49I'm just putting, "I'm free from STIs".
0:48:52 > 0:48:57I'm so happy that I haven't actually got any STIs.
0:48:57 > 0:49:00I feel like I owe myself a pint. Definitely.
0:49:07 > 0:49:09Alex hits town for some celebration drinks,
0:49:09 > 0:49:12and she's invested in a special safe sex treat
0:49:12 > 0:49:14for her and her girlfriend to enjoy.
0:49:16 > 0:49:17I ordered some...
0:49:18 > 0:49:21- Oh, my God!- No!
0:49:22 > 0:49:24Babes!
0:49:24 > 0:49:25It's balloons, it's balloons.
0:49:27 > 0:49:31- Simple. Why don't you have a dam? - Personally, I would never use one.
0:49:35 > 0:49:37'We're just about to try the dental dams now.'
0:49:37 > 0:49:40So, wish us luck.
0:49:40 > 0:49:41Cool.
0:49:45 > 0:49:47The following morning,
0:49:47 > 0:49:51and it seems the dental dam's charms have been lost on the girls.
0:49:51 > 0:49:54It's definitely not a solution of how to protect yourself.
0:49:54 > 0:49:58I'd rather not have sex with someone than use that on someone.
0:49:58 > 0:50:00I didn't like it at all. I wouldn't use it again.
0:50:00 > 0:50:03Like Alex said, if I was that worried about someone having an STI,
0:50:03 > 0:50:05I just wouldn't have sex with them.
0:50:05 > 0:50:08# If you can see me
0:50:09 > 0:50:12# Then you're probably a little too close
0:50:12 > 0:50:13# So you think you could love me... #
0:50:13 > 0:50:15Dan and his mates are celebrating him
0:50:15 > 0:50:19getting the all-clear on his latest gonorrhoea test.
0:50:21 > 0:50:22Happy Thursday!
0:50:25 > 0:50:29Yeah, so... Yeah, I went to the clinic for a check-up.
0:50:29 > 0:50:31I go every month.
0:50:31 > 0:50:36The first time I got gonorrhoea was a wake-up call...kind of.
0:50:36 > 0:50:38How many times have you had that?
0:50:38 > 0:50:40Er...four.
0:50:40 > 0:50:44I'm actually quite lucky, I've only ever had thrush once.
0:50:44 > 0:50:48He may be clear of gonorrhoea, but Dan is still HIV-positive.
0:50:48 > 0:50:50I can pull mine back!
0:50:51 > 0:50:55And whilst that's no longer the death sentence it once was, it still means
0:50:55 > 0:50:59a lifetime on medication and often prejudice from those around you.
0:50:59 > 0:51:06If I was to ever think that I was positive or have a...
0:51:06 > 0:51:09I don't know how I would cope.
0:51:09 > 0:51:11I don't think I would tell anybody.
0:51:11 > 0:51:14I think I would really go into myself.
0:51:16 > 0:51:20But if you had a support network of close friends, would you tell them?
0:51:20 > 0:51:24I don't know, cos my idea of people, the way they react...
0:51:26 > 0:51:29I wouldn't want anyone to think that of us.
0:51:31 > 0:51:38I caught it because it was horny to NOT use condoms.
0:51:38 > 0:51:39Yeah.
0:51:39 > 0:51:41And I wouldn't say I actively sought it out,
0:51:41 > 0:51:46but I was just being stupid.
0:51:46 > 0:51:50I've regretted it every day since, because it is such a life-changer.
0:51:50 > 0:51:52You all right?
0:51:54 > 0:51:56Do you need to take a break?
0:51:57 > 0:51:59Shall we? Yeah.
0:52:07 > 0:52:10Dan's friend, Hunter, visibly shocked, leaves the room.
0:52:12 > 0:52:13You OK?
0:52:13 > 0:52:16Although Dan didn't know it, it turns out Hunter
0:52:16 > 0:52:20was completely unaware of Dan's HIV status until now.
0:52:22 > 0:52:26I didn't know that Dan was positive.
0:52:29 > 0:52:30It's just...
0:52:30 > 0:52:34It's not the end of the world, you know,
0:52:34 > 0:52:36he's still Dan to me.
0:52:36 > 0:52:39I'm still going to love him just as much.
0:52:40 > 0:52:44I changed my own life, and it was kind of a stupid decision.
0:52:44 > 0:52:48You're playing the dice game that your numbers will come up
0:52:48 > 0:52:49and you'll win.
0:52:49 > 0:52:54Eventually your numbers aren't going to come in, and you'll catch it.
0:52:54 > 0:52:56I suppose that's the tipping point.
0:52:56 > 0:52:58You go from...
0:53:00 > 0:53:03..happy Dan to what the hell happened?
0:53:03 > 0:53:05And you...
0:53:07 > 0:53:12..start relying on your friends, cos it may seem like it's the end.
0:53:12 > 0:53:15His friend's reaction makes Dan reflect
0:53:15 > 0:53:17on just how serious his condition is.
0:53:19 > 0:53:24Yeah, I didn't really expect that. Thought everybody knew everything.
0:53:24 > 0:53:28His reaction to the news that I was positive was very real.
0:53:28 > 0:53:31I try not to feel sad for myself.
0:53:33 > 0:53:36I made that decision, I did that, I did it to myself.
0:53:37 > 0:53:40Two years ago it was a...
0:53:42 > 0:53:47..decision I was making and it ultimately was the wrong one.
0:53:57 > 0:54:00John and his mates are meeting up for the first time
0:54:00 > 0:54:02since receiving their results.
0:54:03 > 0:54:05So subject on the matter.
0:54:05 > 0:54:07So did you get a text?
0:54:07 > 0:54:09- Yeah, I did.- Go on, then.
0:54:09 > 0:54:11I'm going last, mate.
0:54:11 > 0:54:13- I was negative.- Were ya?
0:54:13 > 0:54:14I knew I was going to be.
0:54:16 > 0:54:18Negative! Oh, yes it was.
0:54:18 > 0:54:21- I'm pretty disappointed, bruv. - I know. You?
0:54:21 > 0:54:25Mine's negative as well. I were just hoping you'd ha...
0:54:25 > 0:54:28I said that before, I was like, mate...
0:54:28 > 0:54:30The hopes were on you, mate.
0:54:30 > 0:54:34I did think, though, you'd be the most likely person to have it,
0:54:34 > 0:54:35have something.
0:54:35 > 0:54:39- Why?- Because you're fucking, you're horrible and you shag anything.
0:54:39 > 0:54:41Oh! Yeah, but I'd like to know if I've got summat
0:54:41 > 0:54:47and get it sorted rather than let it fester inside my body for two years.
0:54:47 > 0:54:49It's great news for John,
0:54:49 > 0:54:52and a chance to change his complacent attitude to unsafe sex.
0:54:53 > 0:54:58'Definitely relieved, so now I have to be sensible.'
0:54:58 > 0:55:01I've still got a thing in me head where I think it's a bit of a con or summat
0:55:01 > 0:55:04where I'm going to get a text in a couple of weeks saying
0:55:04 > 0:55:05you have got summat.
0:55:05 > 0:55:08But...surprised.
0:55:16 > 0:55:20The boys may be all clear, but back at the clinic the staff face
0:55:20 > 0:55:24yet another fun-packed day treating all manner of STIs.
0:55:25 > 0:55:31On this one we have a gentleman who's come in with a discharge.
0:55:31 > 0:55:34Warts, genital warts. Burning sensation when weeing.
0:55:34 > 0:55:36Stomach pains.
0:55:36 > 0:55:39Painful sex, need to wee more often.
0:55:39 > 0:55:42And this is a lady that's come in, she's got a sore throat.
0:55:42 > 0:55:46So she's obviously thinking that's probably a sign
0:55:46 > 0:55:48that she might have some infection in her throat.
0:55:49 > 0:55:51With the battle against STIs on-going,
0:55:51 > 0:55:55the clinic still believe it can be won.
0:55:55 > 0:55:58Everybody's out there enjoying themselves, as quite rightly,
0:55:58 > 0:56:02but let's do it safely, so... Maybe one day!
0:56:05 > 0:56:09You don't want to be known as the girl who has chlamydia.
0:56:09 > 0:56:12My view on it is you're not a real man unless you've had chlamydia.
0:56:12 > 0:56:16So, in the last three months, how many sexual partners have you had?
0:56:16 > 0:56:18A lot.
0:56:18 > 0:56:20How am I meant to know if she's going to fall pregnant?
0:56:43 > 0:56:46Subtitles by Red Bee Media Ltd