0:00:07 > 0:00:11Britain is in the grip of an epidemic of sexually transmitted infections.
0:00:12 > 0:00:17- Everyone shagged everyone. - Behind every rash, lump and itch...
0:00:17 > 0:00:21Men would come in, they had pus coming out everywhere.
0:00:21 > 0:00:24- And there's some itching around the back passage?- Yeah.
0:00:24 > 0:00:29- Is a patient terrified they may have caught an STI?- What if it's scabies?
0:00:29 > 0:00:32This series follows the staff as they treat patients
0:00:32 > 0:00:35at the Manchester Centre for Sexual Health.
0:00:35 > 0:00:39Some of the things you see, especially herpes and warts,
0:00:39 > 0:00:41can look really nasty. I'm going celibate!
0:00:41 > 0:00:43And we work with the clinic
0:00:43 > 0:00:47to invite Manchester's young people to get checked out.
0:00:47 > 0:00:49- Was it protected or unprotected? - Unprotected.
0:00:49 > 0:00:52One, two, three.
0:00:52 > 0:00:55That has actually come back positive for gonorrhoea.
0:00:55 > 0:01:00- Oi!- Before learning how the fallout from unprotected sex...
0:01:00 > 0:01:01It's going up in increments, mate.
0:01:01 > 0:01:04Next you'll have syphilis with holes in your cock.
0:01:04 > 0:01:05..affects them...
0:01:05 > 0:01:08I feel like it's ruined my life.
0:01:08 > 0:01:10I want to get my results.
0:01:10 > 0:01:13..and their relationships.
0:01:13 > 0:01:17I'm calling because I just got a message from the clinic.
0:01:18 > 0:01:23This week, Lauren gets checked out after a one-night stand.
0:01:23 > 0:01:27You don't want to be known as the girl who has chlamydia!
0:01:29 > 0:01:34Trans-gender Jasmine's sex life puts a life-changing operation at risk.
0:01:34 > 0:01:37In the last three months, how many sexual partners have you had?
0:01:37 > 0:01:3962 since January.
0:01:41 > 0:01:46And macho Gary has some strange ideas about sexual health.
0:01:46 > 0:01:49My view on it is, you're not a real man unless you've had chlamydia.
0:02:04 > 0:02:07Hi. Do you want to come through?
0:02:07 > 0:02:10Last year, the clinic saw nearly 30,000 patients.
0:02:10 > 0:02:12It's non-stop for the staff,
0:02:12 > 0:02:15dealing with a wide range of sexual health problems.
0:02:15 > 0:02:18How many partners have you had in the last three months?
0:02:18 > 0:02:20Er.. a-ha-ha!
0:02:22 > 0:02:24- Three.- Three?
0:02:26 > 0:02:28Do you have any oral sex?
0:02:28 > 0:02:30Not really.
0:02:30 > 0:02:33Let me know if there's any soreness or pain, all right?
0:02:33 > 0:02:35- Is there any soreness?- No.
0:02:35 > 0:02:38Open your mouth a bit wider. That's it. Get right at the back.
0:02:38 > 0:02:41'I look forward to coming in at work every day.'
0:02:41 > 0:02:44In here, you could be here 20 years -
0:02:44 > 0:02:47you're still learning different things every day.
0:02:47 > 0:02:49- Have you ever paid for sex?- No.
0:02:50 > 0:02:54Every patient has got a different story.
0:02:54 > 0:02:57Everybody's got something different going on.
0:02:57 > 0:03:01This is student Gary, a familiar face down at the clinic.
0:03:01 > 0:03:03If I've had unprotected sex, then I will go
0:03:03 > 0:03:05and have myself checked out, which is
0:03:05 > 0:03:08why I come here regular. I'd say I've been here over ten times.
0:03:08 > 0:03:11They know me by name terms, anyway.
0:03:14 > 0:03:17That's more than can be said for many of the girls Gary has sex with.
0:03:17 > 0:03:21I prefer to do it online really, because then it's straightforward
0:03:21 > 0:03:23and you know what they want and they know what you want.
0:03:24 > 0:03:27You can do it without harming anyone,
0:03:27 > 0:03:30and you know there's not going to be any feelings and emotions involved.
0:03:30 > 0:03:33Gary lives at home with his mum and dad.
0:03:33 > 0:03:37They're fed up with him using the family home for his cyber sexploits.
0:03:38 > 0:03:40Gary thinks he's God's gift.
0:03:40 > 0:03:43Basically, I challenged him once,
0:03:43 > 0:03:47saying he's using the house as a brothel, and I wasn't allowing that.
0:03:47 > 0:03:48I don't get on with my mum and dad
0:03:48 > 0:03:51because of the whole sleeping around and bringing different girls
0:03:51 > 0:03:54back to the house and they weren't happy
0:03:54 > 0:03:56with the way I was treating the house.
0:03:56 > 0:03:59My worst worry is maybe one of these girls to knock at my door,
0:03:59 > 0:04:03saying "This is Gary's child!"
0:04:03 > 0:04:05But at the moment, touch wood, nobody's knocked on.
0:04:05 > 0:04:09Gary's last relationship ended badly two years ago,
0:04:09 > 0:04:12and since then, he's avoided getting serious with anyone.
0:04:12 > 0:04:14I suppose it's a bit like a drug.
0:04:14 > 0:04:18I just like to bring a lot of different girls home,
0:04:18 > 0:04:21and if I'm not, then I feel like I need to be.
0:04:21 > 0:04:23It's a bit like an addiction, I suppose.
0:04:25 > 0:04:29Gary's addiction has led to him catching chlamydia once already.
0:04:29 > 0:04:33But despite that, he still rarely bothers with condoms.
0:04:33 > 0:04:35Ruins the moment, so to speak.
0:04:35 > 0:04:38I'd say I worry about it, but it's something like,
0:04:38 > 0:04:43it's a roll of the dice, you just hope for the best,
0:04:43 > 0:04:45and see what the outcome is afterwards.
0:04:46 > 0:04:48Gary! Hiya!
0:04:48 > 0:04:50- Do you want to come through?- Yeah.
0:04:50 > 0:04:57His frenetic sex life has left his penis red, raw, and sore.
0:04:57 > 0:04:59What can we do for you today?
0:04:59 > 0:05:04- Basically just a general screening, but I've got redness as well.- OK.
0:05:04 > 0:05:07So I just want to get it checked out.
0:05:08 > 0:05:12- Where's this redness?- On my penis.
0:05:12 > 0:05:14But before looking at the offending member,
0:05:14 > 0:05:18Alison needs to find out the details of Gary's prolific sex life.
0:05:18 > 0:05:24- When's the last time you had sex with anybody?- Yesterday.- OK.
0:05:25 > 0:05:29- Is that a regular partner or a casual?- Casual.
0:05:29 > 0:05:32Just friends with benefits, sort of thing.
0:05:32 > 0:05:35- Did you use a condom?- No.
0:05:35 > 0:05:38- Any oral sex between you?- Yes. - Both ways?- Yeah.- OK.
0:05:38 > 0:05:42Before her, when was the last time you had sex with anybody different?
0:05:44 > 0:05:47- Two days before.- Two days before. So three days ago?- Yes.
0:05:48 > 0:05:50Could you contact her if you needed to?
0:05:50 > 0:05:54- No.- Was that just a one-off?- Yeah. - So no condom?- No.
0:05:56 > 0:05:57I need to get some more.
0:05:57 > 0:06:01I can do that for you today, no problem.
0:06:01 > 0:06:04And can you remember before the last time you had sex with anybody else?
0:06:04 > 0:06:07Probably about a week ago.
0:06:07 > 0:06:11Is that another friend-with- benefits, or is that...?
0:06:11 > 0:06:14- No, but I've got her... - You know?- Yeah, I've got her number.
0:06:14 > 0:06:17Was she a one-off at the time? You've not slept with her before?
0:06:17 > 0:06:22- No, it's just a one-off. - Same again?- Yeah.
0:06:22 > 0:06:24- No condoms.- No.
0:06:25 > 0:06:29Gary's symptoms could be signs of herpes, syphilis, or thrush.
0:06:29 > 0:06:31So Alison needs to examine his penis
0:06:31 > 0:06:34to see if he's picked up more than just girls online.
0:06:36 > 0:06:38- OK. Just going to have a little feel around, OK?- No worries.
0:06:38 > 0:06:42- Have you been on holiday? - No, sun beds.- Sun bed? Oh!
0:06:42 > 0:06:45Costa del sun beds! I wish I were going on holiday.
0:06:45 > 0:06:47- No pain there at all?- No, nothing.
0:06:47 > 0:06:50When you have sex, do you have vigorous sex?
0:06:51 > 0:06:52Yeah.
0:06:52 > 0:06:55Because sometimes, you know, if you have a bit of friction,
0:06:55 > 0:06:56that can cause a bit of irritation...
0:06:56 > 0:06:59- I know, I did notice that. - ..after sex.
0:06:59 > 0:07:03Well, during sex, it was fairly, like - it was like really rubbing,
0:07:03 > 0:07:05and it was right proper sore.
0:07:05 > 0:07:07OK.
0:07:07 > 0:07:10Alison has seen enough of Gary's penis
0:07:10 > 0:07:12and heard enough about his lifestyle.
0:07:16 > 0:07:18Have a seat.
0:07:18 > 0:07:22So, what I would advise is, I think it's just dry skin,
0:07:22 > 0:07:25probably caused by friction that time you had sex.
0:07:25 > 0:07:28I don't think it's anything to worry about.
0:07:28 > 0:07:29I'm going to give you a lecture now.
0:07:29 > 0:07:32So you've had a few partners, which is fine,
0:07:32 > 0:07:35but, you need to make sure you use condoms.
0:07:35 > 0:07:38That protects you, protects the girls, and also,
0:07:38 > 0:07:41you're not sure if some of them are on any contraception so you need
0:07:41 > 0:07:44to be worrying about potentially getting somebody pregnant.
0:07:44 > 0:07:48- Yeah, true.- I mean, how would you feel if you got somebody pregnant?
0:07:48 > 0:07:49- Not good.- Not good.
0:07:49 > 0:07:51So, sometimes it's not always best to rely on the girl.
0:07:51 > 0:07:54Not to say that you don't trust them, but you're in charge of
0:07:54 > 0:07:58your sexual health and you know, if you were to get somebody pregnant...
0:07:58 > 0:08:00- No, I understand. - ..it's on your shoulders as well!
0:08:00 > 0:08:04- Well, you take care of yourself. - Thank you for that. See you later.
0:08:04 > 0:08:06It's nice to meet you. See you now! Bye-bye.
0:08:07 > 0:08:09Gary will get the results of his tests
0:08:09 > 0:08:12within the next fortnight, but in the meantime,
0:08:12 > 0:08:15Alison's warnings appear to have fallen on deaf ears.
0:08:15 > 0:08:17I've heard it all before.
0:08:17 > 0:08:20It's like, I will use condoms, but then after a while, I think,
0:08:20 > 0:08:23the novelty sort of wears off.
0:08:23 > 0:08:26You sort of think you're invincible, sort of thing.
0:08:26 > 0:08:28When obviously you're not.
0:08:28 > 0:08:32Perhaps the novelty of catching HIV, syphilis,
0:08:32 > 0:08:36chlamydia or gonorrhoea may finally convince Gary to use protection.
0:08:46 > 0:08:50The clinic is the place to come if you've put yourself
0:08:50 > 0:08:51at risk of catching an STI.
0:08:51 > 0:08:56- Do you use condoms for oral sex? - No.- OK.
0:08:56 > 0:09:00But spreading the safe-sex message and making sure each new generation
0:09:00 > 0:09:03know they're there is a key part of the clinic's work.
0:09:03 > 0:09:05- We've only got one plastic willy. - No, two.
0:09:05 > 0:09:09We've got two plastic willies. Right you are.
0:09:09 > 0:09:13With the highest rate of sexual infection amongst 15-24-year-olds,
0:09:13 > 0:09:16consultant Margaret and senior nurse Cheryl are on a mission
0:09:16 > 0:09:18to a local college.
0:09:18 > 0:09:20Try and dispel some of the myths,
0:09:20 > 0:09:23like you can't get pregnant the first time,
0:09:23 > 0:09:26you can't catch anything if you do it standing up.
0:09:28 > 0:09:30Any curious students are free to drop in.
0:09:31 > 0:09:35Margaret kicks things off with an STI pop quiz.
0:09:35 > 0:09:37We're going to start off with you telling us
0:09:37 > 0:09:40about which sexually transmitted infections you know about.
0:09:40 > 0:09:44- Chlamydia. That's one of the big ones.- Think of another one.
0:09:44 > 0:09:50- Gonorrhoea.- Gonorrhoea. Yes.- Herpes. - Herpes. Very good.- Genital warts.
0:09:50 > 0:09:53- Warts.- Crabs.- Crabs, yes.
0:09:53 > 0:09:55Have you heard of scabies?
0:09:55 > 0:09:58- AIDS?- AIDS.
0:09:58 > 0:09:59Well done. You've done really well with that.
0:09:59 > 0:10:04There's another type of bug called trichomonas vaginalis.
0:10:04 > 0:10:07It's like a tiny little thing, you can't see it.
0:10:07 > 0:10:09And it swims around in body fluids.
0:10:09 > 0:10:12So women get it in their vaginas.
0:10:12 > 0:10:16Once familiar with the wide variety of STIs out there,
0:10:16 > 0:10:18Cheryl wants to warn them of the weird
0:10:18 > 0:10:20and wonderful ways they can be caught.
0:10:20 > 0:10:23What I want you to do very quickly as a group
0:10:23 > 0:10:27is pair your word with your definition.
0:10:27 > 0:10:31Inserting fingers into the anus or vagina.
0:10:31 > 0:10:34That's fingering, innit?
0:10:34 > 0:10:37- What's shrimping?- I don't know.
0:10:37 > 0:10:38Have you ever shrimped someone?
0:10:38 > 0:10:41That's wanking, innit?
0:10:41 > 0:10:44- I mean, masturbation. - Masturbating.- That's what I mean.
0:10:44 > 0:10:46Urinating as part of sexual activity.
0:10:46 > 0:10:48- Is that...? - That might be watersports.
0:10:48 > 0:10:50- Yeah.- Yeah!
0:10:50 > 0:10:53Shoes?
0:10:53 > 0:10:56Who sticks it in a shoe?
0:10:56 > 0:10:59But with one sure-fire way to protect themselves,
0:10:59 > 0:11:03practice makes perfect with the trusty johnny.
0:11:03 > 0:11:08Put it onto the erect penis and roll it down. OK?
0:11:08 > 0:11:11After sex, hold the condom on the base of the penis
0:11:11 > 0:11:13so it's not going to come off, and withdraw it.
0:11:13 > 0:11:15There you go.
0:11:15 > 0:11:18- Done it.- I'm first.
0:11:18 > 0:11:19Well done.
0:11:19 > 0:11:22- Can I have one of these? - Can we take these?
0:11:22 > 0:11:26- It glows in the dark. - It glows in the dark!
0:11:26 > 0:11:29'I've learnt more than when we had sex education at school.
0:11:29 > 0:11:31'It's taught me more about'
0:11:31 > 0:11:32where you can get diseases,
0:11:32 > 0:11:35how can they occur, what's safe, what's not safe.
0:11:35 > 0:11:37Just general stuff, really.
0:11:37 > 0:11:41And for 17-year-old Lauren, the risks haven't put her off sex.
0:11:41 > 0:11:43If something does happen, it does happen.
0:11:43 > 0:11:46Because I'm not scared about sex. We're old enough now.
0:11:46 > 0:11:50Just need to be careful of who I do it with, I guess.
0:11:50 > 0:11:53Lauren may plan to be safe in the future,
0:11:53 > 0:11:55but things that have happened in her past
0:11:55 > 0:11:58mean she's booked herself in for an appointment at the clinic.
0:12:06 > 0:12:09Dom and Lucas have been together for a year and a half.
0:12:09 > 0:12:12They've recently relocated to Manchester.
0:12:12 > 0:12:14Shortly after they started going out,
0:12:14 > 0:12:19Dom discovered the devastating news - he'd tested positive for HIV.
0:12:19 > 0:12:23But because they're always careful, Lucas remains negative.
0:12:23 > 0:12:27Hi. I've been before, but Lucas has come for the first time.
0:12:27 > 0:12:28Thank you very much. Cheers.
0:12:28 > 0:12:34Last year in the UK, 5,600 people were diagnosed with HIV.
0:12:34 > 0:12:36There's roughly a 50/50 split between those infected
0:12:36 > 0:12:40through either gay or straight sexual experiences.
0:12:42 > 0:12:46It was quite hard to begin with, the whole thought, you know.
0:12:46 > 0:12:48You kind of get scared about...
0:12:48 > 0:12:51not necessarily touching each other, but you get...maybe.
0:12:51 > 0:12:54You do think all the time about every bit of contact.
0:12:54 > 0:12:57Is this a risk?
0:12:57 > 0:13:00And I would feel responsible if anything ever did happen.
0:13:01 > 0:13:04They've come to the clinic today so Lucas can get tested
0:13:04 > 0:13:09and Dom can find out if his viral load is undetectable.
0:13:09 > 0:13:11Viral load is the term used
0:13:11 > 0:13:13to describe the amount of HIV in the blood.
0:13:13 > 0:13:16If the results come back undetectable,
0:13:16 > 0:13:19it means that Lucas is at a lot less risk
0:13:19 > 0:13:24in the general sex activities that we do,
0:13:24 > 0:13:28so I think that will help with our anxiety there a lot.
0:13:28 > 0:13:30Cos we have made a fresh start in Manchester.
0:13:30 > 0:13:33It would be the good news that we would have hoped
0:13:33 > 0:13:35that your viral load is down, so...
0:13:35 > 0:13:38It's not a load of stress off,
0:13:38 > 0:13:40but it takes that little edge off, doesn't it?
0:13:40 > 0:13:42Yeah. Definitely.
0:13:42 > 0:13:44- Lucas?- Being undetectable
0:13:44 > 0:13:47would mean Dom's body is responding to the drugs
0:13:47 > 0:13:51and will help reduce the risk of Lucas catching HIV.
0:13:52 > 0:13:54Just come in and take a seat, OK?
0:13:54 > 0:13:57I'm going to ask you some personal questions.
0:13:57 > 0:14:01- Try not to be offended because we ask everybody the same questions.- Yeah.
0:14:01 > 0:14:04Are you attending clinic today because someone has told you
0:14:04 > 0:14:07they have a sexually transmitted infection?
0:14:07 > 0:14:08Well, yeah and no.
0:14:08 > 0:14:12Yeah. I understand what you're saying.
0:14:12 > 0:14:15- So really it would be a yes. - Yeah, it would be a yes.
0:14:15 > 0:14:17- Have you ever had sex with a man? - Yeah.
0:14:17 > 0:14:20- Do you receive anal sex?- Yeah.- OK.
0:14:20 > 0:14:23And you're definitely not pregnant or breastfeeding?
0:14:23 > 0:14:26No.
0:14:26 > 0:14:29How long have you been with your partner for?
0:14:29 > 0:14:31- A year and a half.- OK.
0:14:31 > 0:14:34- So, he knows your status and everything?- Yeah.- Good.
0:14:34 > 0:14:37- And you're all right having bloods taken?- Yeah.- Good.
0:14:37 > 0:14:40- I'm used to it by now.- Yeah.
0:14:41 > 0:14:44- Does your partner get tested regular?- Yeah.
0:14:44 > 0:14:46About every three or four months.
0:14:46 > 0:14:48- Good.- I feel sorry for him.
0:14:48 > 0:14:53He'd hardly ever been to get any health checks done before he met me.
0:14:53 > 0:14:54Really?
0:14:54 > 0:14:57What I need you to do is just put a bit of pressure on that.
0:14:57 > 0:15:01- That was probably the best one I've had done.- Ah, you see!
0:15:01 > 0:15:04Thank you very much. It was nice to meet you. OK?
0:15:04 > 0:15:08Lucas faces up to a three-day wait for his results to come through.
0:15:08 > 0:15:10You take care. Bye-bye.
0:15:10 > 0:15:13'He was lovely. A nice young man.'
0:15:13 > 0:15:15And he's really sensible.
0:15:15 > 0:15:18He knows, he's aware of the risk factors for HIV.
0:15:18 > 0:15:22He's got a partner he's been with for just over a year.
0:15:22 > 0:15:27They take regular checkups, so, um...
0:15:27 > 0:15:30it's positive, really. It's good.
0:15:30 > 0:15:33- You're all done.- OK. Thank you. - No worries.
0:15:33 > 0:15:37- Dom can expect his viral load results in two to three days. - Thank you.
0:15:37 > 0:15:41With so much at stake, both Dom and Lucas face a tense wait.
0:15:41 > 0:15:46There is always that worry probably at the back of your mind,
0:15:46 > 0:15:49but if that does happen, I know that Dom will be there to support me,
0:15:49 > 0:15:53so I know we would get...through it.
0:16:04 > 0:16:07Student Lauren has come to the clinic to get herself checked out.
0:16:07 > 0:16:11The talk at her college got Lauren thinking about a risk
0:16:11 > 0:16:13she took recently in her sex life.
0:16:15 > 0:16:18I slept with this guy about a month ago, I think it was.
0:16:18 > 0:16:19And he had slept with a girl previously
0:16:19 > 0:16:22who's not known for being the cleanest of people.
0:16:22 > 0:16:24So I'm quite worried about that.
0:16:24 > 0:16:27We were just a bit drunk and it just led onto one thing.
0:16:27 > 0:16:30So that's how it really occurred.
0:16:30 > 0:16:34She's brought her best mate Sophie along for moral support.
0:16:34 > 0:16:37It's all become a bit too close to home after a girl they know
0:16:37 > 0:16:39contracted more than one STI.
0:16:39 > 0:16:42I couldn't believe it about her.
0:16:42 > 0:16:45- We were told how many things she's had already.- Exactly.
0:16:45 > 0:16:48- Is she still sleeping around? - She probably is.
0:16:48 > 0:16:50I think when she has a few drinks, apparently, she's easy.
0:16:50 > 0:16:52That's what they all say. So...
0:16:52 > 0:16:56- You don't want to be known as the girl who has chlamydia.- Rough.
0:16:56 > 0:16:59And it's not just boys giving them STIs
0:16:59 > 0:17:01that Lauren and her friends are wary of.
0:17:01 > 0:17:05A lot of people were speaking about how their boyfriends
0:17:05 > 0:17:08accidentally put their penis in the anal area
0:17:08 > 0:17:10instead of in their front area,
0:17:10 > 0:17:13which I think some boys do it on purpose, to be honest.
0:17:13 > 0:17:16How can you mistake it from that from that?
0:17:17 > 0:17:21- Lauren?- Yeah.- Would you like to come through?- Yeah, sure.
0:17:21 > 0:17:23If you want to have a seat there. OK?
0:17:23 > 0:17:26- I'm Alison.- Hiya.- Hiya.
0:17:26 > 0:17:27When's the last time you had sex?
0:17:27 > 0:17:31- About a month ago.- A month ago?- Yeah.
0:17:31 > 0:17:33And was that a casual partner?
0:17:33 > 0:17:34I was with someone for a year and a half
0:17:34 > 0:17:37and I was sleeping with him without condoms
0:17:37 > 0:17:39and I've been tested and we were fine.
0:17:39 > 0:17:42I broke up with him and I've only slept with one person after that,
0:17:42 > 0:17:43but he slept with someone before that
0:17:43 > 0:17:46and I don't know if she's too clean because she's slept around.
0:17:46 > 0:17:48So I was a bit worried about that.
0:17:48 > 0:17:52Did you use condoms with that partner?
0:17:52 > 0:17:55Um...once, but the other time, we didn't, so that's why.
0:17:55 > 0:17:57It's not really about being clean or not being clean.
0:17:57 > 0:18:00You can sleep with one person and they can give you an infection.
0:18:00 > 0:18:01It could happen just like that.
0:18:01 > 0:18:04Or you could have lots of sexual partners and not get something.
0:18:04 > 0:18:08Or you could. So just make sure you use a condom to protect yourself.
0:18:08 > 0:18:09- Say "Ah" for me.- Ah!
0:18:09 > 0:18:11- And again.- Ah!
0:18:11 > 0:18:15While lads wee in a cup, Lauren has to take her own vaginal swab
0:18:15 > 0:18:18to test for syphilis or gonorrhoea.
0:18:18 > 0:18:21It is all down to risk factors, sexual infections.
0:18:21 > 0:18:24You could have sex with one person and get an infection.
0:18:24 > 0:18:29It's just anyone who has unprotected sex is at risk of an infection.
0:18:30 > 0:18:33I was getting a bit nervous, to be honest.
0:18:33 > 0:18:35"Oh, God, what am I going to have to do?"
0:18:35 > 0:18:37But it's not actually that bad.
0:18:37 > 0:18:38More people should come and do it.
0:18:38 > 0:18:41It doesn't entail much, really, does it?
0:18:41 > 0:18:44It's easier for guys to do. All they have to do is pee in a pot.
0:18:44 > 0:18:47So they definitely should come more.
0:18:47 > 0:18:51Lauren will have to wait for up to two nervous weeks before finding out
0:18:51 > 0:18:55if her drunken one-night stand has left her with an STI.
0:19:04 > 0:19:07Dom was diagnosed HIV positive a year and half ago.
0:19:07 > 0:19:10Today, he's come to the clinic to see if his viral load
0:19:10 > 0:19:12has become undetectable.
0:19:12 > 0:19:17His boyfriend Lucas received his HIV test results via text.
0:19:17 > 0:19:19He remains negative.
0:19:19 > 0:19:23I suppose it means that we're doing everything right, really.
0:19:23 > 0:19:26Um...we're taking every precaution that we can.
0:19:26 > 0:19:29We haven't had no mishaps yet, so...
0:19:29 > 0:19:34And all my results have come back negative, so all's good, really.
0:19:34 > 0:19:37If Dom's viral load is undetectable, it would mean the medication
0:19:37 > 0:19:40is successfully helping his body fight the HIV infection
0:19:40 > 0:19:44and would be a huge leap forward for their relationship.
0:19:44 > 0:19:49It's quite important physically for our sex life and everything.
0:19:49 > 0:19:53Any more risk that might have been there by having a bigger infection,
0:19:53 > 0:19:55it reduces that risk
0:19:55 > 0:19:59and it eases my mind slightly.
0:19:59 > 0:20:01I'm hoping it's the right result.
0:20:03 > 0:20:07Facing an anxious wait, Lucas reflects on how he felt
0:20:07 > 0:20:11when they first found out Dom's HIV diagnosis.
0:20:11 > 0:20:14I think I didn't react too much. I think I was just shocked, mainly.
0:20:14 > 0:20:17I didn't know how to react to it.
0:20:17 > 0:20:19Cos I never met anyone with HIV.
0:20:19 > 0:20:22I've never spoke to anyone with HIV. I didn't know much about it.
0:20:22 > 0:20:26I just thought HIV turns into AIDS, you die, basically.
0:20:26 > 0:20:29So I don't think I was like, "Oh, my God, he's got HIV,
0:20:29 > 0:20:32"I can't be in a relationship with someone that's got HIV."
0:20:32 > 0:20:34I suppose it did cross my mind at the back,
0:20:34 > 0:20:37but I knew we had something strong, so I went with it.
0:20:37 > 0:20:39Why did you stand by him?
0:20:41 > 0:20:43I suppose...love.
0:20:45 > 0:20:47That's all it is. I-I know...
0:20:47 > 0:20:50Dom's my first boyfriend and I probably...
0:20:50 > 0:20:52I'm not his, but...
0:20:52 > 0:20:55There is that love factor, basically.
0:20:55 > 0:20:59So if Dom's viral load does go down after this result,
0:20:59 > 0:21:01it does mean we can move forward.
0:21:01 > 0:21:02So it would be...
0:21:04 > 0:21:05..the start that we really need.
0:21:07 > 0:21:10Finally, Dom returns with his results.
0:21:13 > 0:21:15How did it go?
0:21:15 > 0:21:18Er...not the result that we wanted.
0:21:18 > 0:21:21My viral load hasn't gone away.
0:21:21 > 0:21:24We've got to delay our celebration.
0:21:26 > 0:21:28I was expecting this time to be the one where they go,
0:21:28 > 0:21:31"We'll see you in six months."
0:21:31 > 0:21:33Or whatever they do. But...
0:21:35 > 0:21:36Well, it isn't the news we wanted.
0:21:40 > 0:21:44While the news could be better, they're remaining optimistic.
0:21:44 > 0:21:47Dom's only been on medication for six months
0:21:47 > 0:21:50and his viral load is coming down.
0:21:50 > 0:21:53It makes us feel like we are a strong couple.
0:21:53 > 0:21:56If we can go through that, the bad year that we've had,
0:21:56 > 0:21:59right at the start of our relationship,
0:21:59 > 0:22:01then we can go through anything.
0:22:04 > 0:22:06- Shall we go home?- Come on, then.
0:22:07 > 0:22:12Whilst he's been living with HIV for a year and a half,
0:22:12 > 0:22:14not everyone knows about his diagnosis.
0:22:14 > 0:22:17But he wants that to change.
0:22:17 > 0:22:18He's arranged to meet his mum
0:22:18 > 0:22:22to let her know what he's been going through.
0:22:22 > 0:22:26I haven't expressly told my family yet.
0:22:26 > 0:22:30I've told them that I have a blood condition.
0:22:30 > 0:22:34I was worried more that my family will get affected by the stigma,
0:22:34 > 0:22:38either themselves or with people talking to them
0:22:38 > 0:22:42if they found out that I had HIV.
0:22:42 > 0:22:44But I haven't, I haven't used the word,
0:22:44 > 0:22:48but that's what I'm going to do pretty soon.
0:22:51 > 0:22:52UPBEAT MUSIC
0:22:59 > 0:23:02Right, there's your coffees there, and there's the eggs.
0:23:03 > 0:23:06After having unprotected sex with a boy she's now unsure about,
0:23:06 > 0:23:10Lauren is waiting on the results of her STI tests.
0:23:10 > 0:23:13Just to know that I've not got it will be great, obviously,
0:23:13 > 0:23:16because you can sleep with about eight people in one week
0:23:16 > 0:23:19and not catch it, but you could sleep with one person and then get it.
0:23:19 > 0:23:23I think it just depends. You can't really say, to be honest.
0:23:23 > 0:23:25It's just how safe you are using a condom.
0:23:25 > 0:23:26Lauren's friend Sophie
0:23:26 > 0:23:29and her boyfriend Gary are here to lend support.
0:23:29 > 0:23:32- SOPHIE:- I'm going to Kenya, aren't I? >
0:23:32 > 0:23:33PHONE RINGS
0:23:34 > 0:23:35Hello?
0:23:36 > 0:23:37Hiya. It is Lauren.
0:23:43 > 0:23:45Eyy!
0:23:45 > 0:23:46Thank you.
0:23:47 > 0:23:51Thank you. Yeah, thank you. Bye. Bye.
0:23:51 > 0:23:54She can properly tell it was all negative.
0:23:54 > 0:23:56Yes. I knew it would be. Thank God!
0:23:58 > 0:23:59Yeah!
0:23:59 > 0:24:01They said it's negative, all of them.
0:24:01 > 0:24:04- I knew it would be.- No surprise. - I know.
0:24:04 > 0:24:06Not exactly like I'm on the street corners every night, is it?
0:24:06 > 0:24:10Waiting for someone. I'm pretty happy about that.
0:24:10 > 0:24:11Very relieved.
0:24:11 > 0:24:13Especially if my mum watches this and she's on TV
0:24:13 > 0:24:15and if I was positive, she'd be like, "What!?"
0:24:15 > 0:24:19But no, no. I'm glad.
0:24:32 > 0:24:34Today it's a training day at the clinic.
0:24:35 > 0:24:37This is a practice called taqaandan.
0:24:37 > 0:24:41It's basically penile manipulation to achieve detumescence.
0:24:41 > 0:24:43Isn't that's just masturbation?
0:24:43 > 0:24:44No.
0:24:46 > 0:24:49During a break from the consultant-led talks on sexual health,
0:24:49 > 0:24:53some of the nurses and healthcare assistants take the opportunity
0:24:53 > 0:24:55to do some ad hoc training of their own.
0:24:55 > 0:24:58- Morning, girls! ALL:- Morning!
0:24:59 > 0:25:02What we're doing this morning is just a quick teaching session
0:25:02 > 0:25:06on how not, and I stress the "not", to be a GUM nurse, OK?
0:25:06 > 0:25:07Right.
0:25:09 > 0:25:10What can we do for you?
0:25:10 > 0:25:13You know, I did have a bit of unprotected sex,
0:25:13 > 0:25:17so I think I'm a bit worried about it all.
0:25:17 > 0:25:19Unprotected sex. No condom?
0:25:19 > 0:25:20- No condom.- No.
0:25:22 > 0:25:25I've actually got a bit of a discharge.
0:25:25 > 0:25:26Is it smelly discharge?
0:25:26 > 0:25:29Yeah, there is a bit of a strange odour.
0:25:29 > 0:25:30LAUGHTER
0:25:31 > 0:25:32Right, OK.
0:25:32 > 0:25:35'Sessions like this, you know, it is fun,
0:25:35 > 0:25:38'but there's also a message behind it.'
0:25:38 > 0:25:40We wouldn't judge anybody.
0:25:40 > 0:25:43Whatever sexual practice patients have, that's their business.
0:25:43 > 0:25:44It's nothing to do with us.
0:25:44 > 0:25:48- Any pain during sex? - No pain during sex.
0:25:48 > 0:25:50- Are you still having sex?- Yeah.
0:25:51 > 0:25:54Is that wrong? Should I not be having sex?
0:25:54 > 0:25:57I wouldn't if I were discharging, but you know, it's up to you.
0:26:03 > 0:26:04That poor patient.
0:26:05 > 0:26:07And that's what we don't want to do.
0:26:07 > 0:26:10We don't want our patients to come in and be made to feel like that.
0:26:10 > 0:26:14It's about having good communication, being non-judgemental,
0:26:14 > 0:26:18even if they've got a discharge and there's a bit of a smell.
0:26:29 > 0:26:33Adam and Jo are in a brand spanking new relationship.
0:26:33 > 0:26:35They've already started having sex with each other
0:26:35 > 0:26:37but want to stop using condoms,
0:26:37 > 0:26:41so they need to be sure neither of them have any STIs.
0:26:41 > 0:26:44I don't know what he's got, he doesn't know what I've got.
0:26:44 > 0:26:47I'm 99% sure that everything's going to be OK,
0:26:47 > 0:26:49but obviously there's always that slight chance
0:26:49 > 0:26:53that something might not be, so I am a little bit nervous,
0:26:53 > 0:26:57but I think that's to be expected, to be honest.
0:26:57 > 0:26:59Better to be safe than sorry.
0:26:59 > 0:27:02- I'm Celia.- Hi, Celia. - Love your hair.
0:27:02 > 0:27:03Thank you!
0:27:03 > 0:27:05All right, hon.
0:27:05 > 0:27:07- Have you ever paid for sex?- No.
0:27:07 > 0:27:09- Have you ever been paid?- No.
0:27:10 > 0:27:13Have you ever had sex to your knowledge with a bisexual
0:27:13 > 0:27:16or HIV-positive man?
0:27:16 > 0:27:19- Bisexual, yes.- OK.
0:27:19 > 0:27:21- Have you ever had sex with a man?- No.
0:27:21 > 0:27:24Have you ever injected drugs or had sex with someone
0:27:24 > 0:27:26that has, as far as you know?
0:27:26 > 0:27:27As far as I know, no.
0:27:29 > 0:27:31So what job do you do?
0:27:31 > 0:27:32Erm...
0:27:32 > 0:27:37I work as a beautician but I have a rather unusual hobby.
0:27:37 > 0:27:39Tell us! What is it?
0:27:39 > 0:27:43Erm... I do BDSM and fetish.
0:27:43 > 0:27:46- A dominate...- I'm a dominatrix.
0:27:46 > 0:27:48I love stuff like that, me.
0:27:48 > 0:27:53- Yes, yes. I get to hit people. It's very good fun.- So you enjoy it.
0:27:53 > 0:27:54Love it. Absolutely love it.
0:27:54 > 0:27:57- I can tell on your face anyway. - It lights up when I talk about it.
0:27:57 > 0:28:04- Doesn't your fellow mind?- Well, I'm trying to slowly introduce him. Yeah.
0:28:09 > 0:28:11The world of bondage and S&M can be risky,
0:28:11 > 0:28:17but as a consenting adult, it's one that Adam seems keen to explore.
0:28:17 > 0:28:20I'm being slowly introduced into the whole world of BDSM,
0:28:20 > 0:28:26being slowly brought into it. It's so far working out quite well.
0:28:26 > 0:28:30Who knows? Maybe in the future I could be a little bit more into it.
0:28:30 > 0:28:32I'm open to it.
0:28:32 > 0:28:35- That's a bit of trampling.- Oh, dear.
0:28:35 > 0:28:39Between consenting adults, the risks to health from bondage games
0:28:39 > 0:28:40can usually be managed effectively.
0:28:40 > 0:28:42Obviously that's my heel on a ball.
0:28:42 > 0:28:46But Adam is understandably wary about the threat from STIs
0:28:46 > 0:28:50carried in one particular bodily fluid.
0:28:50 > 0:28:54The only real thing that would worry me would be the blood, basically.
0:28:54 > 0:28:59Obviously, it's transmitted also in your blood.
0:28:59 > 0:29:03That would be the only thing that would be of any concern, really.
0:29:03 > 0:29:06The rest of it is pretty much...
0:29:06 > 0:29:07..comes with the territory.
0:29:10 > 0:29:12What's your favourite stuff?
0:29:12 > 0:29:14I love caning, whipping, that sort of thing.
0:29:14 > 0:29:16I like things that do cause pain.
0:29:16 > 0:29:19I do sort of play with needles as well,
0:29:19 > 0:29:21where you'll put them through the...
0:29:21 > 0:29:25- The torso. Jab them with a needle? - Yeah, through the nipples or...
0:29:25 > 0:29:28Or the willies or the balls.
0:29:28 > 0:29:32Because of Jo's special needlework, she needs to be extra careful
0:29:32 > 0:29:36when it comes to blood-borne infections like hepatitis and HIV.
0:29:37 > 0:29:41But her unusual hobby has tickled Celia.
0:29:41 > 0:29:45It's exciting. I like things like that!
0:29:45 > 0:29:48I love it. Give them some beating.
0:29:50 > 0:29:52Whatever to your fancy, hon, I don't mind.
0:29:53 > 0:29:55There you go.
0:29:55 > 0:29:57Hopefully we'll be in touch within two weeks,
0:29:57 > 0:29:59but it can be a little over at times.
0:29:59 > 0:30:00All right? Free to go.
0:30:02 > 0:30:06I think Celia was quite sort of taken by the domination.
0:30:06 > 0:30:09I think I might have made a new little friend there.
0:30:09 > 0:30:12I do like things like that. I'm not going to lie. I do.
0:30:12 > 0:30:14Being in charge.
0:30:14 > 0:30:18Adam and Jo will find out within a fortnight if either have an STI.
0:30:18 > 0:30:22Then it might be safe to dispense with the latex. Of one sort, anyway.
0:30:37 > 0:30:42Andrew has an itchy penis. He suspects it might be an STI.
0:30:42 > 0:30:45I've come to the clinic today because I have a rash
0:30:45 > 0:30:49on my private parts which I need to get checked out.
0:30:49 > 0:30:53I do not practice safe sex as much as I should.
0:30:56 > 0:31:01I haven't had sex in about five months but my sexual partner
0:31:01 > 0:31:05was away for a while, and when she came back
0:31:05 > 0:31:09we spent a night in bed together and she wouldn't sleep with me,
0:31:09 > 0:31:11but there was skin on skin contact, so I don't know
0:31:11 > 0:31:13if I've picked up anything from that.
0:31:13 > 0:31:15- You have normal vaginal sex. - Yes.- Any oral sex?
0:31:15 > 0:31:18- Yes.- Both ways?- Yep.
0:31:18 > 0:31:19- Any anal sex?- Yes.
0:31:21 > 0:31:24- Just describe exactly where it is. - It's underneath my foreskin.
0:31:24 > 0:31:26It looks scaly.
0:31:26 > 0:31:31It's got white sort of lumps and there were red lumps on the head.
0:31:31 > 0:31:33I'm not sure whether it was thrush or not,
0:31:33 > 0:31:35so I've been dunking my penis in yoghurt.
0:31:36 > 0:31:37OK.
0:31:42 > 0:31:46Jasmine has come to the clinic after years of unprotected sex
0:31:46 > 0:31:48with many different partners.
0:31:48 > 0:31:51God Almighty, some of these pictures on this phone!
0:31:51 > 0:31:53I'm just looking from the weekend.
0:31:53 > 0:31:57The last sexual encounter I had was on Saturday night in Manchester.
0:31:57 > 0:31:59It was just someone I bumped into.
0:31:59 > 0:32:02Had a few drinks and round the back and how's your father.
0:32:02 > 0:32:04It's terrible, isn't it, really?
0:32:04 > 0:32:07# Oh, girls just want to have fun. #
0:32:07 > 0:32:10In a week's time, Jasmine is due to have a sex change operation,
0:32:10 > 0:32:14and desperately needs a clean bill of health if it's to go ahead.
0:32:14 > 0:32:18- Is it Jasmine?- It is. - Come through, Chuck.- Thanks!
0:32:18 > 0:32:21So you've come for a check-up, have you?
0:32:21 > 0:32:23- I have, yes.- Have you had one before?
0:32:23 > 0:32:25- A long, long, long time ago. - All right.
0:32:25 > 0:32:29So in the last three months, how many sexual partners have you had?
0:32:30 > 0:32:32- A lot.- What's a lot?
0:32:32 > 0:32:35- 62 since January.- 62 since January.
0:32:35 > 0:32:38- You know, different sexual encounters.- OK.
0:32:38 > 0:32:43- So, with partners, do you give oral sex?- Of course.
0:32:43 > 0:32:47- And do you receive anal sex? - I have done, yes.
0:32:47 > 0:32:52As in partners, male or female partners?
0:32:52 > 0:32:54- I've had both.- OK.
0:32:54 > 0:32:56- Have you ever injected drugs? - I have, yes.
0:32:56 > 0:33:01- And did you share needles and that kind of thing, equipment?- Yeah.
0:33:01 > 0:33:04- Have you had a HIV test before?- Yes.
0:33:04 > 0:33:09- And do you remember when that was and where?- I think it was in prison.
0:33:09 > 0:33:15- When was that then?- About seven years ago.- OK.
0:33:15 > 0:33:17Six months ago, Jasmine was released from a male prison,
0:33:17 > 0:33:20where she did time for a string of burglaries.
0:33:20 > 0:33:24She went in as Darren and came out as Jasmine.
0:33:24 > 0:33:27But whilst inside, she took some serious risks.
0:33:27 > 0:33:30And all your partners born in the UK?
0:33:30 > 0:33:34- No, they're not. Uganda.- Uganda.
0:33:34 > 0:33:36- And was it unprotected?- It was.
0:33:37 > 0:33:39- Was it in prison?- It was.
0:33:40 > 0:33:43Jasmine's risky behaviour could have serious consequences
0:33:43 > 0:33:48for her gender reassignment surgery in just a few days' time.
0:33:48 > 0:33:51How would you feel if you was given a HIV positive result,
0:33:51 > 0:33:54- having put yourself at so much risk? - It's going to devastate me
0:33:54 > 0:33:57because my operation's in less than two weeks and obviously it's going
0:33:57 > 0:34:00to have a big impact on my operation.
0:34:00 > 0:34:02So everything I fought for, everything I wanted,
0:34:02 > 0:34:05all my dreams are just going to go pretty much down the Swanee,
0:34:05 > 0:34:08which, you know, devastation.
0:34:08 > 0:34:10It's until you come to these clinics you suddenly realise,
0:34:10 > 0:34:13and it hits you like, "Oh, my God."
0:34:14 > 0:34:16With her surgery just days away,
0:34:16 > 0:34:20the clinic will rush through the results of Jasmine's full screening.
0:34:20 > 0:34:21JASMINE GIGGLES
0:34:21 > 0:34:24Just uncross your legs. You're going to have to be very ladylike.
0:34:24 > 0:34:26It's like they say, just because you have a vagina
0:34:26 > 0:34:28and boobs doesn't make you a lady.
0:34:29 > 0:34:33I have got a vagina and I'm not a lady.
0:34:33 > 0:34:36- I have never been ladylike ever. - Exactly.
0:34:36 > 0:34:37- All right then.- Brilliant.
0:34:37 > 0:34:38NURSES LAUGH
0:34:40 > 0:34:43- Thank you. Bye!- Bye-bye.
0:34:45 > 0:34:48She has taken a lot of risks, like I said to her,
0:34:48 > 0:34:51and you can only say, "Look, you're at risk of all these infections.
0:34:51 > 0:34:54"How would you feel if you came back HIV-positive?"
0:34:54 > 0:34:56"Yeah, it would affect my life
0:34:56 > 0:34:58"and I'd be devastated" or whatever.
0:34:58 > 0:35:02You can only give the information. Whether they will act on it...
0:35:02 > 0:35:04They're adults, so...
0:35:06 > 0:35:09It's very nerve-wracking.
0:35:09 > 0:35:12To actually get HIV or anything can actually trash the rest of my life.
0:35:12 > 0:35:15I've waited 36 years for this operation
0:35:15 > 0:35:17and I don't want to lose it.
0:35:18 > 0:35:20In less than a week, Jasmine will find out
0:35:20 > 0:35:24if her risky behaviour has not only damaged her sexual health,
0:35:24 > 0:35:28but also the chances of her operation going ahead as planned.
0:35:33 > 0:35:35OK. I'm going to examine your testicles now.
0:35:35 > 0:35:37- Let me know if it's tender. - All right.
0:35:37 > 0:35:41Andrew has come to the clinic, worried he may have thrush,
0:35:41 > 0:35:45having spent last week dipping his penis in yoghurt.
0:35:45 > 0:35:50'When you start getting rashes and showing symptoms of possible STIs,
0:35:50 > 0:35:54'it should be a warning that if you've not been having safe sex in the past,'
0:35:54 > 0:36:00it's definitely a good idea to start, because it's never too late.
0:36:00 > 0:36:02Or maybe it is, but, you know.
0:36:03 > 0:36:07I wouldn't be too concerned about it, OK?
0:36:07 > 0:36:10I think the most likely thing that rash is small amounts of thrush.
0:36:10 > 0:36:12It doesn't look particularly threatening.
0:36:12 > 0:36:16If we give you this cream and it all settles down, we'll be quite happy.
0:36:16 > 0:36:20Dr James prescribes cream as treatment.
0:36:20 > 0:36:22- We'll bring you back in two weeks' time.- Thank you.
0:36:22 > 0:36:23All the best.
0:36:23 > 0:36:27So it seems yoghurt wasn't too far off the mark after all.
0:36:27 > 0:36:29I didn't know any of my friends who've had thrush
0:36:29 > 0:36:32so it's the first time I've actually come across anybody
0:36:32 > 0:36:38who has had it and that person is me, so aren't I the lucky one?
0:36:47 > 0:36:51Serial online shagger Gary has been waiting for his STI test results.
0:36:53 > 0:36:56I got the text back off the clinic to say
0:36:56 > 0:36:58that the results are negative,
0:36:58 > 0:37:01which means that I haven't got anything, luckily.
0:37:01 > 0:37:03But following the good news from the clinic,
0:37:03 > 0:37:06Gary got a text from one of his internet sex buddies
0:37:06 > 0:37:08which rather took the shine off things.
0:37:09 > 0:37:13She basically texted me to say that she needs to speak to me
0:37:13 > 0:37:19to come round, and I was trying my best to avoid her
0:37:19 > 0:37:22and then she just basically texted me that she was pregnant
0:37:22 > 0:37:24because she knew that I wasn't going to come round.
0:37:24 > 0:37:29Finding out that she was pregnant is a big shock
0:37:29 > 0:37:31and being a dad
0:37:31 > 0:37:37is not something that I'm prepared for and what I'm ready for.
0:37:39 > 0:37:41Gary is meeting up with his mate Matthew.
0:37:41 > 0:37:43Don't try and act funny!
0:37:43 > 0:37:45He wants to discuss his baby blues,
0:37:45 > 0:37:48but not before filling him in on his latest conquest.
0:37:48 > 0:37:51She kept touching my cock and that. I was like, "No, no, no."
0:37:51 > 0:37:55I said, "Stop." There was little kids all about. So she carried on.
0:37:55 > 0:37:57And then she was like, "We'll wait till we get in the cinema."
0:37:57 > 0:38:00Got in the cinema, she started kissing me and that.
0:38:00 > 0:38:03She carried on so I thought, "Forget this." I fingered her anyway.
0:38:03 > 0:38:05Then she just got on top and started, like, proper sex.
0:38:05 > 0:38:10- While people were in front of you? - Yeah.- And you was watching Ted?- Yeah.
0:38:10 > 0:38:12Gary has been having unprotected sex
0:38:12 > 0:38:14with dozens of girls he barely knows.
0:38:16 > 0:38:18I take responsibility for what I've done, but...
0:38:18 > 0:38:20She was on the pill, so...
0:38:20 > 0:38:23How am I meant to know that this is going to happen?
0:38:23 > 0:38:25How am I meant to know that she is going to fall pregnant
0:38:25 > 0:38:28when she's on the pill? You don't expect that to happen.
0:38:28 > 0:38:30But it's a random girl you just met and she says,
0:38:30 > 0:38:33"Yeah, I'm on the pill", you should still wear a johnny.
0:38:33 > 0:38:36Yeah, but that just ruins the moment. It does.
0:38:36 > 0:38:37There is no moment.
0:38:37 > 0:38:41It's just... It's not like you got a candlelit dinner and all that.
0:38:41 > 0:38:44- I don't do stuff like that. - It's just a bang.
0:38:44 > 0:38:45But it ruins it, simple as that.
0:38:45 > 0:38:47Yeah, but it's either that or ruin your life.
0:38:47 > 0:38:51Yeah, I suppose pregnancy, that does ruin things.
0:38:51 > 0:38:52AIDS ruins stuff as well.
0:38:52 > 0:38:54Yeah, but, the way I see it, if they're telling me
0:38:54 > 0:38:57they're on the pill, they ain't going to get pregnant.
0:38:57 > 0:39:00If I get chlamydia... Pretty much everyone gets chlamydia. It happens.
0:39:00 > 0:39:03It is the most common STI out there.
0:39:03 > 0:39:06If I get chlamydia, fair enough, I just take a tablet.
0:39:06 > 0:39:07No-one needs to know.
0:39:07 > 0:39:10I'm not ashamed to say I had it once. So what?
0:39:10 > 0:39:14- I haven't.- You're not a real man unless you've had chlamydia.
0:39:14 > 0:39:17- You're not a real man? - Unless you've had chlamydia.
0:39:17 > 0:39:21- Yeah, but I've had thrush. What does that make me?- Not a man.
0:39:21 > 0:39:24Having chlamydia actually makes Gary a serious threat to
0:39:24 > 0:39:26the sexual health and future fertility
0:39:26 > 0:39:29of anyone he has unprotected sex with.
0:39:29 > 0:39:32Not something his mum would approve of.
0:39:32 > 0:39:35- Have you even told your mum yet?- No, I haven't said anything to her,
0:39:35 > 0:39:37but you know what my mum is like.
0:39:37 > 0:39:39She calls me Dirty Dick. That's my mum's nickname.
0:39:39 > 0:39:42To be honest, I know she's going to be annoyed with me
0:39:42 > 0:39:44and I know she's going to have a go at me,
0:39:44 > 0:39:47but at the same time, I think she's already expecting it.
0:39:47 > 0:39:49She already thinks I got ten kids dotted around.
0:39:49 > 0:39:52Later on, Gary will find out exactly what his mum thinks
0:39:52 > 0:39:55when he spills the beans about what's been going on.
0:39:55 > 0:39:56Jealous of you?
0:40:05 > 0:40:08Dom was diagnosed with HIV in late 2010.
0:40:08 > 0:40:11It's taken him a while to come to terms with,
0:40:11 > 0:40:17and there's one important person he's yet to tell he's HIV positive.
0:40:17 > 0:40:20I'm just on the way to see my mother to tell her about
0:40:20 > 0:40:24what I've been going through and my condition.
0:40:26 > 0:40:31A little bit nervous but, you know, we'll see how it goes.
0:40:31 > 0:40:34It's a difficult conversation to have, but Dom knows
0:40:34 > 0:40:38that being HIV-positive isn't the life sentence that it used to be.
0:40:38 > 0:40:41- Hello.- Hello.
0:40:41 > 0:40:43- How are you?- All right. OK. You?
0:40:44 > 0:40:47He's keen to make sure his mum understands
0:40:47 > 0:40:49what he's been going through.
0:40:49 > 0:40:52You know I've been ill for a while.
0:40:52 > 0:40:58I've just decided that I'm going to come open to everyone and...
0:40:58 > 0:41:00I've actually got...
0:41:00 > 0:41:01I've actually got HIV.
0:41:01 > 0:41:05- I don't know if you'd worked it out. - I thought you had.
0:41:05 > 0:41:06So...
0:41:07 > 0:41:11I wanted you to tell me cos I knew you would eventually.
0:41:11 > 0:41:14I have to take a daily lot of tablets.
0:41:14 > 0:41:18It's been... I've been taking them since January.
0:41:18 > 0:41:22I'm never going to get rid of it, but with the treatment,
0:41:22 > 0:41:27the treatment keeps the virus from multiplying, keeps it down.
0:41:27 > 0:41:30You must have been really angry with somebody passing it on to you.
0:41:30 > 0:41:36At the end of the day, it's not another person's responsibility
0:41:36 > 0:41:41to look after your own health in any sense, especially sexual health.
0:41:41 > 0:41:43It's your own responsibility.
0:41:43 > 0:41:45So, you know...
0:41:45 > 0:41:50If anybody, I'd be angry at myself for being silly at some point.
0:41:50 > 0:41:53I'm even stronger now, cos of having to go through,
0:41:53 > 0:41:57like any people that go through a drama,
0:41:57 > 0:42:00I come out the other side fine and everybody gets stronger.
0:42:00 > 0:42:03We can all be strong and carry on as normal.
0:42:04 > 0:42:06- Well, we'll do that.- Mmm.
0:42:12 > 0:42:14Dom's mum is relieved her son has had the courage
0:42:14 > 0:42:16to tell her about his condition.
0:42:16 > 0:42:20I am relieved in a way, but I did suspect that that's what it was.
0:42:20 > 0:42:22But I wanted him to tell me himself.
0:42:24 > 0:42:29The positive approach he's got on it is really helpful as well.
0:42:29 > 0:42:33And for Dom, a bright outlook on his future with Lucas
0:42:33 > 0:42:35is the only way forward.
0:42:35 > 0:42:39It feels like a massive weight off my shoulders now.
0:42:39 > 0:42:43I've been debating, telling people for over a year now,
0:42:43 > 0:42:46and I know now it's definitely the right thing to have done.
0:42:46 > 0:42:48There's no stopping me now.
0:42:48 > 0:42:53I've been through bad times but I'm positive and I'm positive.
0:43:08 > 0:43:13There's one STI that takes up more of the staff's time than any other.
0:43:13 > 0:43:15Can I just pull this back? Is that OK? All right.
0:43:17 > 0:43:20The virus that causes warts can be carried for years without symptoms.
0:43:20 > 0:43:23But when they do make their appearance,
0:43:23 > 0:43:26there's no mistaking them.
0:43:26 > 0:43:29It's a genital wart. Have you heard of those?
0:43:29 > 0:43:31- DISGUISED MALE VOICE: Oh, never. - Never. OK.
0:43:33 > 0:43:35Genital warts are from skin to skin contact.
0:43:35 > 0:43:37It's a skin virus and obviously,
0:43:37 > 0:43:41if you're having sex with somebody and you got to skin to skin contact,
0:43:41 > 0:43:43that's how the transmitted,
0:43:43 > 0:43:46and if you got close genital contact, that's how it's passed on.
0:43:47 > 0:43:49One of a range of treatments for genital warts
0:43:49 > 0:43:51is removal by freezing.
0:43:53 > 0:43:57And an enormous tank of liquid nitrogen is kept locked up outside
0:43:57 > 0:44:00the clinic for exactly this purpose.
0:44:00 > 0:44:01When you're ready, you just say.
0:44:01 > 0:44:04I haven't done it for a while.
0:44:05 > 0:44:09The minus 320 degree gas is decanted into small canisters.
0:44:10 > 0:44:12In the staff's expert hands,
0:44:12 > 0:44:14it's the perfect weapon against warts.
0:44:14 > 0:44:16The idea is to get it accurately
0:44:16 > 0:44:20on the wart itself and it kills it
0:44:20 > 0:44:22and that will help it just to burn
0:44:22 > 0:44:23and drop off, basically.
0:44:23 > 0:44:28However, not everyone at the clinic has a license to freeze.
0:44:28 > 0:44:32I don't do the freezing. The sister or the doctor does it.
0:44:32 > 0:44:37I would actually love to do it myself, love. Burn them away.
0:44:57 > 0:44:58Jasmine is at home.
0:44:58 > 0:45:01She's yet to discover her test results
0:45:01 > 0:45:03ahead of her sex change operation.
0:45:03 > 0:45:07- It's not very clean, is it? - No, it's dirty.
0:45:07 > 0:45:10- Probably a bit like my sex life. - You said it, dear.
0:45:10 > 0:45:11JASMINE CHORTLES
0:45:11 > 0:45:14She stays in a suburban semi with her two adopted mums,
0:45:14 > 0:45:16Jenny Ann and Ellen.
0:45:17 > 0:45:19Come on, Jas. Lunch is ready.
0:45:21 > 0:45:23What are you doing tomorrow, dear?
0:45:23 > 0:45:27- I've got to go and get my results. - You are, eh?- Yeah, course I am.
0:45:27 > 0:45:29It's one of those things, what do I do?
0:45:29 > 0:45:32You know, it's like, obviously my operation on Monday and I'll see
0:45:32 > 0:45:35if I've caught anything, then it's going to put my operation back.
0:45:35 > 0:45:40'When I became Jasmine, the rest of my family didn't want to have
0:45:40 > 0:45:41'anything to do with me as such,'
0:45:41 > 0:45:44but obviously, when I got in contact with Jenny Ann then Ellen,
0:45:44 > 0:45:46it's like they've just loved me.
0:45:46 > 0:45:48We've just grown together as a family.
0:45:48 > 0:45:51If you're not careful you'll get a reputation,
0:45:51 > 0:45:55and that can be a real bar to you getting involved
0:45:55 > 0:45:57in a serious relationship.
0:45:57 > 0:46:01If you are known as the easy girl around town...
0:46:07 > 0:46:10Jasmine's operation is only days away.
0:46:10 > 0:46:14It will put right a problem that's blighted her whole life.
0:46:14 > 0:46:18When I was first born, the nurse turned round to my mum
0:46:18 > 0:46:21and they said, "Congratulations, you got a little girl."
0:46:21 > 0:46:24Then, all of a sudden, they was like, "Hang on a second,
0:46:24 > 0:46:25"you've actually got a boy!"
0:46:26 > 0:46:30My genitalia hadn't really formed properly,
0:46:30 > 0:46:36so obviously, it was like in between a vagina and a very small penis.
0:46:36 > 0:46:41It's been terrible because the penis part isn't really big enough.
0:46:41 > 0:46:45Obviously the vagina part isn't you know, very workable
0:46:45 > 0:46:48at the best of times, so obviously it left me in a situation
0:46:48 > 0:46:52where it was like, sexual life was pretty much non-existent.
0:46:52 > 0:46:56For Jasmine, the big day can't come quickly enough.
0:46:57 > 0:46:59I'll tell you something, I can't wait.
0:46:59 > 0:47:01Absolutely excited, because it's like, you know,
0:47:01 > 0:47:05I've waited all these years and it's a dream come true.
0:47:07 > 0:47:11What am I going to do if I've got hepatitis or AIDS, HIV?
0:47:11 > 0:47:15Your behaviour has been very risky.
0:47:15 > 0:47:18You know, some of the people I've been sleeping with,
0:47:18 > 0:47:20I've been having proper hardcore sex with them.
0:47:20 > 0:47:25- Some of them have been drug users. - So, penetrative...- Yeah.
0:47:25 > 0:47:28You don't understand. The sex is proper dirty sex.
0:47:28 > 0:47:30Not like you and Mum, you know,
0:47:30 > 0:47:33just having a bit of a canoodle or what have you.
0:47:33 > 0:47:36The fact is, it's like anal sex and giving them a blow job afterwards.
0:47:36 > 0:47:39- It's not exactly good, is it? - No, it isn't.
0:47:39 > 0:47:43It's like with these tests, if they come back positive,
0:47:43 > 0:47:47- the fact is, that's going to put my surgery off.- Almost certainly, yes.
0:47:47 > 0:47:50Yeah, I know. Exactly. And I'm really concerned.
0:47:50 > 0:47:53I can't keep waiting any longer, you know. It's driving me crazy.
0:47:53 > 0:47:56How likely do you think it is there's something wrong?
0:47:56 > 0:47:59Do you think it's more likely the test will be positive?
0:47:59 > 0:48:02Yeah, I've got a funny feeling there is going to be positive.
0:48:03 > 0:48:04Because it's like, you know,
0:48:04 > 0:48:07my immune system's been quite low anyway and it's like, you know,
0:48:07 > 0:48:08some of the activities I been up to
0:48:08 > 0:48:11haven't exactly been the best things since sliced bread, have they?
0:48:11 > 0:48:15- No.- Do you know something? You don't half give me some lectures.
0:48:15 > 0:48:17I know, but I'm your mum, dear.
0:48:20 > 0:48:24- We care about you, Jas.- I know.
0:48:39 > 0:48:42It has been a long two-week wait for Adam and Jo's results
0:48:42 > 0:48:45from the clinic but now they've finally come through.
0:48:46 > 0:48:48I got my results earlier on today.
0:48:48 > 0:48:53"Your most recent test results from MCSH are negative."
0:48:53 > 0:48:56Which was obviously really, really good to hear.
0:48:56 > 0:49:02And Adam's had the all-clear too. Which might be a mixed blessing.
0:49:02 > 0:49:06- I'd like to up the ante.- Well, there we are, maybe even up the ante.
0:49:06 > 0:49:08Will you not run off this time?
0:49:08 > 0:49:12- Go, "Argh, I'm not doing that." - It's scary stuff.
0:49:12 > 0:49:16These two lovebirds are now free to do whatever they want
0:49:16 > 0:49:18so long as Adam gives the thumbs-up.
0:49:29 > 0:49:32Several weeks ago, online sex addict Gary
0:49:32 > 0:49:34discovered he got a girl pregnant
0:49:34 > 0:49:36after a night of unprotected casual sex.
0:49:36 > 0:49:40But he has had some shocking news through from the girl.
0:49:40 > 0:49:43'I have been texting the girl that told me she was pregnant
0:49:43 > 0:49:47'and she was thinking about keeping it but she has found out'
0:49:47 > 0:49:51recently that she has actually miscarried it.
0:49:51 > 0:49:54Obviously, I was upset the fact that it has happened
0:49:54 > 0:49:57because it was my, obviously, it was my fault why it happened
0:49:57 > 0:50:02and I'd never want a girl to go through that
0:50:02 > 0:50:06but then on the opposite side, I was happy
0:50:06 > 0:50:09because I know that none of us are ready for it
0:50:09 > 0:50:11and that it wouldn't be cared for.
0:50:11 > 0:50:14Despite living with his mum, up to now
0:50:14 > 0:50:17he's told her nothing about the pregnancy of the miscarriage.
0:50:17 > 0:50:21I don't really know how to put it.
0:50:21 > 0:50:23I got someone pregnant not long ago.
0:50:26 > 0:50:29- Am I allowed to ask who?- Hm? - Am I allowed to ask who?
0:50:29 > 0:50:31Cos you don't know them.
0:50:31 > 0:50:33She's lost it anyway.
0:50:35 > 0:50:40I'm just absolutely gobsmacked you've just told me.
0:50:40 > 0:50:41She must be devastated
0:50:41 > 0:50:44that you're not there to support her emotionally.
0:50:46 > 0:50:48I don't know. I just...
0:50:48 > 0:50:50tried cutting contact with her
0:50:50 > 0:50:52so obviously I've stopped speaking to her
0:50:52 > 0:50:54so I've just let her deal with it on her own.
0:50:54 > 0:50:57That's not good. I've been through that. I've been there, Gary.
0:50:57 > 0:50:59Right, well, I've just like... I don't know.
0:50:59 > 0:51:01I don't really see what I can do. She's got her mum there for her
0:51:01 > 0:51:03so I don't really know what I can say to her.
0:51:03 > 0:51:07- You're playing such a risky game, son.- I know it is.
0:51:07 > 0:51:11To be honest, it has made me think and it has put it in perspective.
0:51:11 > 0:51:17Obviously because my attitude on, like, STDs was just, well,
0:51:17 > 0:51:20if I get something little, it's a tablet to get rid of it.
0:51:20 > 0:51:24I suppose with a baby it's completely and utterly different, isn't it?
0:51:24 > 0:51:27But obviously she's lost it, anyway.
0:51:27 > 0:51:31- I have learnt from it and I know it won't happen again.- I hope not.
0:51:31 > 0:51:32It won't.
0:51:33 > 0:51:35I love you millions.
0:51:40 > 0:51:42Just don't get upset.
0:51:45 > 0:51:47- Are you OK?- Yes.- I love you.
0:51:54 > 0:51:56'I'm hoping he's learnt by it'
0:51:56 > 0:51:58and hopefully won't relapse
0:51:58 > 0:52:01back into that. I'm hoping he grows up a bit now
0:52:01 > 0:52:07and actually comes to a bit of sense about what life's all about, really,
0:52:07 > 0:52:10and what could happen, what potentially could happen
0:52:10 > 0:52:14if he carried on just hopping, bed hopping.
0:52:14 > 0:52:16'It has been a bit of an emotional ride
0:52:16 > 0:52:22'and a bit of a rollercoaster but I know what I need to do'
0:52:22 > 0:52:25and I know to control my ways and I know what I need to do
0:52:25 > 0:52:32in order to do that and to start behaving and be good, really.
0:52:41 > 0:52:44With her sex change surgery hanging in the balance,
0:52:44 > 0:52:48Jasmine is nervous about her test results.
0:52:48 > 0:52:53I'm actually trying not to think of the worst, if possible,
0:52:53 > 0:52:56but the chances are the worst could actually be there.
0:52:58 > 0:53:02- Jasmine.- Hi.- Hiya, you all right? - Yeah, fine, thank you.
0:53:02 > 0:53:03Is that your magazine, chuck?
0:53:03 > 0:53:06- Certainly is. Well, it's not mine, it's yours.- Is it? Put it back then.
0:53:06 > 0:53:09- I stuck it back on the chair. - Are you all right?
0:53:09 > 0:53:12It's been a long week, hasn't it?
0:53:12 > 0:53:16For Jasmine, everything is riding on these results.
0:53:16 > 0:53:19OK, so, your results.
0:53:19 > 0:53:24- Yeah.- Have you been worrying? - Of course.- Oh.
0:53:24 > 0:53:27- I'm stressed. - OK, so, let me just tell you.
0:53:27 > 0:53:31I'll put you out of your misery. Everything's absolutely fine.
0:53:31 > 0:53:35- Thank you.- It's OK.- Thanks very much. - So, you are very lucky.
0:53:35 > 0:53:39I'm just sweating buckets now. Getting rid of the relief.
0:53:39 > 0:53:42Because, I mean, you have had real risky behaviour
0:53:42 > 0:53:46- over the last six months. - I know, yeah. Proper dirty sex.
0:53:46 > 0:53:48It's been a really big scare for me and I'm really, you know,
0:53:48 > 0:53:50glad that these, you know,
0:53:50 > 0:53:55results have came back negative cos it's been worrying and stressful.
0:53:55 > 0:53:57With everything over the last six months and everything,
0:53:57 > 0:54:01you've been really quite lucky with these results so far.
0:54:01 > 0:54:05How you go on now is really important, yeah?
0:54:05 > 0:54:09Just protection all the time. Yeah?
0:54:09 > 0:54:11- Thank you.- All right, chuck. - Thanks, babes.
0:54:14 > 0:54:16I feel absolutely relieved now, you know.
0:54:16 > 0:54:19I feel like I've got a lot of weight off my shoulders,
0:54:19 > 0:54:20my surgery can go ahead
0:54:20 > 0:54:25and, obviously, I'm just so ecstatic at the moment.
0:54:25 > 0:54:28Plus the fact is I haven't got to go around telling people
0:54:28 > 0:54:31that I actually passed a disease on to them or anything, you know,
0:54:31 > 0:54:33any sexual disease.
0:54:33 > 0:54:38It's, you know, the feeling I've got is great relief.
0:54:38 > 0:54:40But nurse Lisa is worried that
0:54:40 > 0:54:42if Jasmine doesn't start being more sensible,
0:54:42 > 0:54:44her luck is going to run out.
0:54:44 > 0:54:48Well, she's going to get caught at some stage or other.
0:54:48 > 0:54:49If you are having unprotected sex
0:54:49 > 0:54:52you're going to get caught at some stage.
0:54:53 > 0:54:58You're going to get an infection, which is not very nice.
0:54:58 > 0:55:01Can't be there putting the condom on for them!
0:55:01 > 0:55:05So, it's going to be down to her.
0:55:18 > 0:55:21At the end of every clinic day when the patients have left...
0:55:21 > 0:55:23See you later.
0:55:23 > 0:55:25..there is one job nobody volunteers for.
0:55:28 > 0:55:31I'm going to discard the urine
0:55:31 > 0:55:36and then throw the empty jars in the contamination bin.
0:55:38 > 0:55:42Today, nurse Chris has drawn the short straw.
0:55:42 > 0:55:46Every day, depending on how many we get.
0:55:49 > 0:55:51It's for safety, really.
0:55:52 > 0:55:55The same will happen tomorrow, the next day
0:55:55 > 0:55:59and for as long as people have unsafe sex.
0:55:59 > 0:56:04The never-ending fight against STIs continues.
0:56:12 > 0:56:16Subtitles by Red Bee Media Ltd