Episode 4 Unsafe Sex in the City


Episode 4

Series about life at the Manchester Centre for Sexual Health. Pre-op transsexual Jasmine hopes her sexploits don't jeopardise her life-changing operation.


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Transcript


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Britain is in the grip of an epidemic of sexually transmitted infections.

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-Everyone shagged everyone.

-Behind every rash, lump and itch...

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Men would come in, they had pus coming out everywhere.

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-And there's some itching around the back passage?

-Yeah.

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-Is a patient terrified they may have caught an STI?

-What if it's scabies?

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This series follows the staff as they treat patients

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at the Manchester Centre for Sexual Health.

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Some of the things you see, especially herpes and warts,

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can look really nasty. I'm going celibate!

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And we work with the clinic

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to invite Manchester's young people to get checked out.

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-Was it protected or unprotected?

-Unprotected.

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One, two, three.

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That has actually come back positive for gonorrhoea.

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-Oi!

-Before learning how the fallout from unprotected sex...

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It's going up in increments, mate.

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Next you'll have syphilis with holes in your cock.

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..affects them...

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I feel like it's ruined my life.

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I want to get my results.

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..and their relationships.

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

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This week, Lauren gets checked out after a one-night stand.

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You don't want to be known as the girl who has chlamydia!

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Trans-gender Jasmine's sex life puts a life-changing operation at risk.

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In the last three months, how many sexual partners have you had?

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62 since January.

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And macho Gary has some strange ideas about sexual health.

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My view on it is, you're not a real man unless you've had chlamydia.

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Hi. Do you want to come through?

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Last year, the clinic saw nearly 30,000 patients.

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It's non-stop for the staff,

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dealing with a wide range of sexual health problems.

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How many partners have you had in the last three months?

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Er.. a-ha-ha!

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-Three.

-Three?

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Do you have any oral sex?

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Not really.

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Let me know if there's any soreness or pain, all right?

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-Is there any soreness?

-No.

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Open your mouth a bit wider. That's it. Get right at the back.

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'I look forward to coming in at work every day.'

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In here, you could be here 20 years -

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you're still learning different things every day.

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-Have you ever paid for sex?

-No.

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Every patient has got a different story.

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Everybody's got something different going on.

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This is student Gary, a familiar face down at the clinic.

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If I've had unprotected sex, then I will go

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and have myself checked out, which is

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why I come here regular. I'd say I've been here over ten times.

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They know me by name terms, anyway.

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That's more than can be said for many of the girls Gary has sex with.

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I prefer to do it online really, because then it's straightforward

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and you know what they want and they know what you want.

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You can do it without harming anyone,

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and you know there's not going to be any feelings and emotions involved.

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Gary lives at home with his mum and dad.

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They're fed up with him using the family home for his cyber sexploits.

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Gary thinks he's God's gift.

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Basically, I challenged him once,

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saying he's using the house as a brothel, and I wasn't allowing that.

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I don't get on with my mum and dad

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because of the whole sleeping around and bringing different girls

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back to the house and they weren't happy

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with the way I was treating the house.

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My worst worry is maybe one of these girls to knock at my door,

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saying "This is Gary's child!"

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But at the moment, touch wood, nobody's knocked on.

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Gary's last relationship ended badly two years ago,

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and since then, he's avoided getting serious with anyone.

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I suppose it's a bit like a drug.

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I just like to bring a lot of different girls home,

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and if I'm not, then I feel like I need to be.

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It's a bit like an addiction, I suppose.

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Gary's addiction has led to him catching chlamydia once already.

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But despite that, he still rarely bothers with condoms.

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Ruins the moment, so to speak.

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I'd say I worry about it, but it's something like,

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it's a roll of the dice, you just hope for the best,

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and see what the outcome is afterwards.

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Gary! Hiya!

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-Do you want to come through?

-Yeah.

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His frenetic sex life has left his penis red, raw, and sore.

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What can we do for you today?

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-Basically just a general screening, but I've got redness as well.

-OK.

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So I just want to get it checked out.

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-Where's this redness?

-On my penis.

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But before looking at the offending member,

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Alison needs to find out the details of Gary's prolific sex life.

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-When's the last time you had sex with anybody?

-Yesterday.

-OK.

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-Is that a regular partner or a casual?

-Casual.

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Just friends with benefits, sort of thing.

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-Did you use a condom?

-No.

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-Any oral sex between you?

-Yes.

-Both ways?

-Yeah.

-OK.

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Before her, when was the last time you had sex with anybody different?

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-Two days before.

-Two days before. So three days ago?

-Yes.

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Could you contact her if you needed to?

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-No.

-Was that just a one-off?

-Yeah.

-So no condom?

-No.

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I need to get some more.

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I can do that for you today, no problem.

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And can you remember before the last time you had sex with anybody else?

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Probably about a week ago.

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Is that another friend-with- benefits, or is that...?

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-No, but I've got her...

-You know?

-Yeah, I've got her number.

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Was she a one-off at the time? You've not slept with her before?

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-No, it's just a one-off.

-Same again?

-Yeah.

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-No condoms.

-No.

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Gary's symptoms could be signs of herpes, syphilis, or thrush.

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So Alison needs to examine his penis

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to see if he's picked up more than just girls online.

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-OK. Just going to have a little feel around, OK?

-No worries.

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-Have you been on holiday?

-No, sun beds.

-Sun bed? Oh!

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Costa del sun beds! I wish I were going on holiday.

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-No pain there at all?

-No, nothing.

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When you have sex, do you have vigorous sex?

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Yeah.

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Because sometimes, you know, if you have a bit of friction,

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that can cause a bit of irritation...

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-I know, I did notice that.

-..after sex.

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Well, during sex, it was fairly, like - it was like really rubbing,

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and it was right proper sore.

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OK.

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Alison has seen enough of Gary's penis

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and heard enough about his lifestyle.

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Have a seat.

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So, what I would advise is, I think it's just dry skin,

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probably caused by friction that time you had sex.

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I don't think it's anything to worry about.

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I'm going to give you a lecture now.

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So you've had a few partners, which is fine,

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but, you need to make sure you use condoms.

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That protects you, protects the girls, and also,

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you're not sure if some of them are on any contraception so you need

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to be worrying about potentially getting somebody pregnant.

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-Yeah, true.

-I mean, how would you feel if you got somebody pregnant?

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-Not good.

-Not good.

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So, sometimes it's not always best to rely on the girl.

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Not to say that you don't trust them, but you're in charge of

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your sexual health and you know, if you were to get somebody pregnant...

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-No, I understand.

-..it's on your shoulders as well!

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-Well, you take care of yourself.

-Thank you for that. See you later.

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It's nice to meet you. See you now! Bye-bye.

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Gary will get the results of his tests

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within the next fortnight, but in the meantime,

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Alison's warnings appear to have fallen on deaf ears.

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I've heard it all before.

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It's like, I will use condoms, but then after a while, I think,

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the novelty sort of wears off.

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You sort of think you're invincible, sort of thing.

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When obviously you're not.

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Perhaps the novelty of catching HIV, syphilis,

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chlamydia or gonorrhoea may finally convince Gary to use protection.

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The clinic is the place to come if you've put yourself

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at risk of catching an STI.

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-Do you use condoms for oral sex?

-No.

-OK.

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But spreading the safe-sex message and making sure each new generation

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know they're there is a key part of the clinic's work.

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-We've only got one plastic willy.

-No, two.

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We've got two plastic willies. Right you are.

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With the highest rate of sexual infection amongst 15-24-year-olds,

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consultant Margaret and senior nurse Cheryl are on a mission

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to a local college.

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Try and dispel some of the myths,

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like you can't get pregnant the first time,

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you can't catch anything if you do it standing up.

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Any curious students are free to drop in.

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Margaret kicks things off with an STI pop quiz.

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We're going to start off with you telling us

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about which sexually transmitted infections you know about.

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-Chlamydia. That's one of the big ones.

-Think of another one.

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-Gonorrhoea.

-Gonorrhoea. Yes.

-Herpes.

-Herpes. Very good.

-Genital warts.

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-Warts.

-Crabs.

-Crabs, yes.

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Have you heard of scabies?

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-AIDS?

-AIDS.

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Well done. You've done really well with that.

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There's another type of bug called trichomonas vaginalis.

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It's like a tiny little thing, you can't see it.

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And it swims around in body fluids.

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So women get it in their vaginas.

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Once familiar with the wide variety of STIs out there,

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Cheryl wants to warn them of the weird

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and wonderful ways they can be caught.

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What I want you to do very quickly as a group

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is pair your word with your definition.

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Inserting fingers into the anus or vagina.

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That's fingering, innit?

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-What's shrimping?

-I don't know.

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Have you ever shrimped someone?

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That's wanking, innit?

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-I mean, masturbation.

-Masturbating.

-That's what I mean.

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Urinating as part of sexual activity.

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-Is that...?

-That might be watersports.

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-Yeah.

-Yeah!

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Shoes?

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Who sticks it in a shoe?

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But with one sure-fire way to protect themselves,

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practice makes perfect with the trusty johnny.

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Put it onto the erect penis and roll it down. OK?

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After sex, hold the condom on the base of the penis

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so it's not going to come off, and withdraw it.

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There you go.

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-Done it.

-I'm first.

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Well done.

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-Can I have one of these?

-Can we take these?

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-It glows in the dark.

-It glows in the dark!

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'I've learnt more than when we had sex education at school.

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'It's taught me more about'

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where you can get diseases,

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how can they occur, what's safe, what's not safe.

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Just general stuff, really.

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And for 17-year-old Lauren, the risks haven't put her off sex.

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If something does happen, it does happen.

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Because I'm not scared about sex. We're old enough now.

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Just need to be careful of who I do it with, I guess.

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Lauren may plan to be safe in the future,

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but things that have happened in her past

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mean she's booked herself in for an appointment at the clinic.

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Dom and Lucas have been together for a year and a half.

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They've recently relocated to Manchester.

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Shortly after they started going out,

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Dom discovered the devastating news - he'd tested positive for HIV.

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But because they're always careful, Lucas remains negative.

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Hi. I've been before, but Lucas has come for the first time.

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Thank you very much. Cheers.

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Last year in the UK, 5,600 people were diagnosed with HIV.

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There's roughly a 50/50 split between those infected

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through either gay or straight sexual experiences.

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It was quite hard to begin with, the whole thought, you know.

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You kind of get scared about...

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not necessarily touching each other, but you get...maybe.

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You do think all the time about every bit of contact.

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Is this a risk?

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And I would feel responsible if anything ever did happen.

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They've come to the clinic today so Lucas can get tested

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and Dom can find out if his viral load is undetectable.

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Viral load is the term used

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to describe the amount of HIV in the blood.

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If the results come back undetectable,

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it means that Lucas is at a lot less risk

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in the general sex activities that we do,

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so I think that will help with our anxiety there a lot.

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Cos we have made a fresh start in Manchester.

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It would be the good news that we would have hoped

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that your viral load is down, so...

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It's not a load of stress off,

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but it takes that little edge off, doesn't it?

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Yeah. Definitely.

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-Lucas?

-Being undetectable

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would mean Dom's body is responding to the drugs

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and will help reduce the risk of Lucas catching HIV.

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Just come in and take a seat, OK?

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I'm going to ask you some personal questions.

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-Try not to be offended because we ask everybody the same questions.

-Yeah.

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Are you attending clinic today because someone has told you

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they have a sexually transmitted infection?

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Well, yeah and no.

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Yeah. I understand what you're saying.

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-So really it would be a yes.

-Yeah, it would be a yes.

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-Have you ever had sex with a man?

-Yeah.

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-Do you receive anal sex?

-Yeah.

-OK.

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And you're definitely not pregnant or breastfeeding?

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No.

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How long have you been with your partner for?

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-A year and a half.

-OK.

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-So, he knows your status and everything?

-Yeah.

-Good.

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-And you're all right having bloods taken?

-Yeah.

-Good.

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-I'm used to it by now.

-Yeah.

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-Does your partner get tested regular?

-Yeah.

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About every three or four months.

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-Good.

-I feel sorry for him.

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He'd hardly ever been to get any health checks done before he met me.

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Really?

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What I need you to do is just put a bit of pressure on that.

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-That was probably the best one I've had done.

-Ah, you see!

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Thank you very much. It was nice to meet you. OK?

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Lucas faces up to a three-day wait for his results to come through.

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You take care. Bye-bye.

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'He was lovely. A nice young man.'

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And he's really sensible.

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He knows, he's aware of the risk factors for HIV.

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He's got a partner he's been with for just over a year.

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They take regular checkups, so, um...

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it's positive, really. It's good.

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-You're all done.

-OK. Thank you.

-No worries.

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-Dom can expect his viral load results in two to three days.

-Thank you.

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With so much at stake, both Dom and Lucas face a tense wait.

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There is always that worry probably at the back of your mind,

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but if that does happen, I know that Dom will be there to support me,

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so I know we would get...through it.

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Student Lauren has come to the clinic to get herself checked out.

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The talk at her college got Lauren thinking about a risk

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she took recently in her sex life.

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I slept with this guy about a month ago, I think it was.

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And he had slept with a girl previously

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who's not known for being the cleanest of people.

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So I'm quite worried about that.

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We were just a bit drunk and it just led onto one thing.

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So that's how it really occurred.

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She's brought her best mate Sophie along for moral support.

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It's all become a bit too close to home after a girl they know

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contracted more than one STI.

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I couldn't believe it about her.

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-We were told how many things she's had already.

-Exactly.

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-Is she still sleeping around?

-She probably is.

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I think when she has a few drinks, apparently, she's easy.

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That's what they all say. So...

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-You don't want to be known as the girl who has chlamydia.

-Rough.

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And it's not just boys giving them STIs

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that Lauren and her friends are wary of.

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A lot of people were speaking about how their boyfriends

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accidentally put their penis in the anal area

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instead of in their front area,

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which I think some boys do it on purpose, to be honest.

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How can you mistake it from that from that?

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-Lauren?

-Yeah.

-Would you like to come through?

-Yeah, sure.

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If you want to have a seat there. OK?

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-I'm Alison.

-Hiya.

-Hiya.

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When's the last time you had sex?

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-About a month ago.

-A month ago?

-Yeah.

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And was that a casual partner?

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I was with someone for a year and a half

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and I was sleeping with him without condoms

0:17:340:17:37

and I've been tested and we were fine.

0:17:370:17:39

I broke up with him and I've only slept with one person after that,

0:17:390:17:42

but he slept with someone before that

0:17:420:17:43

and I don't know if she's too clean because she's slept around.

0:17:430:17:46

So I was a bit worried about that.

0:17:460:17:48

Did you use condoms with that partner?

0:17:480:17:52

Um...once, but the other time, we didn't, so that's why.

0:17:520:17:55

It's not really about being clean or not being clean.

0:17:550:17:57

You can sleep with one person and they can give you an infection.

0:17:570:18:00

It could happen just like that.

0:18:000:18:01

Or you could have lots of sexual partners and not get something.

0:18:010:18:04

Or you could. So just make sure you use a condom to protect yourself.

0:18:040:18:08

-Say "Ah" for me.

-Ah!

0:18:080:18:09

-And again.

-Ah!

0:18:090:18:11

While lads wee in a cup, Lauren has to take her own vaginal swab

0:18:110:18:15

to test for syphilis or gonorrhoea.

0:18:150:18:18

It is all down to risk factors, sexual infections.

0:18:180:18:21

You could have sex with one person and get an infection.

0:18:210:18:24

It's just anyone who has unprotected sex is at risk of an infection.

0:18:240:18:29

I was getting a bit nervous, to be honest.

0:18:300:18:33

"Oh, God, what am I going to have to do?"

0:18:330:18:35

But it's not actually that bad.

0:18:350:18:37

More people should come and do it.

0:18:370:18:38

It doesn't entail much, really, does it?

0:18:380:18:41

It's easier for guys to do. All they have to do is pee in a pot.

0:18:410:18:44

So they definitely should come more.

0:18:440:18:47

Lauren will have to wait for up to two nervous weeks before finding out

0:18:470:18:51

if her drunken one-night stand has left her with an STI.

0:18:510:18:55

Dom was diagnosed HIV positive a year and half ago.

0:19:040:19:07

Today, he's come to the clinic to see if his viral load

0:19:070:19:10

has become undetectable.

0:19:100:19:12

His boyfriend Lucas received his HIV test results via text.

0:19:120:19:17

He remains negative.

0:19:170:19:19

I suppose it means that we're doing everything right, really.

0:19:190:19:23

Um...we're taking every precaution that we can.

0:19:230:19:26

We haven't had no mishaps yet, so...

0:19:260:19:29

And all my results have come back negative, so all's good, really.

0:19:290:19:34

If Dom's viral load is undetectable, it would mean the medication

0:19:340:19:37

is successfully helping his body fight the HIV infection

0:19:370:19:40

and would be a huge leap forward for their relationship.

0:19:400:19:44

It's quite important physically for our sex life and everything.

0:19:440:19:49

Any more risk that might have been there by having a bigger infection,

0:19:490:19:53

it reduces that risk

0:19:530:19:55

and it eases my mind slightly.

0:19:550:19:59

I'm hoping it's the right result.

0:19:590:20:01

Facing an anxious wait, Lucas reflects on how he felt

0:20:030:20:07

when they first found out Dom's HIV diagnosis.

0:20:070:20:11

I think I didn't react too much. I think I was just shocked, mainly.

0:20:110:20:14

I didn't know how to react to it.

0:20:140:20:17

Cos I never met anyone with HIV.

0:20:170:20:19

I've never spoke to anyone with HIV. I didn't know much about it.

0:20:190:20:22

I just thought HIV turns into AIDS, you die, basically.

0:20:220:20:26

So I don't think I was like, "Oh, my God, he's got HIV,

0:20:260:20:29

"I can't be in a relationship with someone that's got HIV."

0:20:290:20:32

I suppose it did cross my mind at the back,

0:20:320:20:34

but I knew we had something strong, so I went with it.

0:20:340:20:37

Why did you stand by him?

0:20:370:20:39

I suppose...love.

0:20:410:20:43

That's all it is. I-I know...

0:20:450:20:47

Dom's my first boyfriend and I probably...

0:20:470:20:50

I'm not his, but...

0:20:500:20:52

There is that love factor, basically.

0:20:520:20:55

So if Dom's viral load does go down after this result,

0:20:550:20:59

it does mean we can move forward.

0:20:590:21:01

So it would be...

0:21:010:21:02

..the start that we really need.

0:21:040:21:05

Finally, Dom returns with his results.

0:21:070:21:10

How did it go?

0:21:130:21:15

Er...not the result that we wanted.

0:21:150:21:18

My viral load hasn't gone away.

0:21:180:21:21

We've got to delay our celebration.

0:21:210:21:24

I was expecting this time to be the one where they go,

0:21:260:21:28

"We'll see you in six months."

0:21:280:21:31

Or whatever they do. But...

0:21:310:21:33

Well, it isn't the news we wanted.

0:21:350:21:36

While the news could be better, they're remaining optimistic.

0:21:400:21:44

Dom's only been on medication for six months

0:21:440:21:47

and his viral load is coming down.

0:21:470:21:50

It makes us feel like we are a strong couple.

0:21:500:21:53

If we can go through that, the bad year that we've had,

0:21:530:21:56

right at the start of our relationship,

0:21:560:21:59

then we can go through anything.

0:21:590:22:01

-Shall we go home?

-Come on, then.

0:22:040:22:06

Whilst he's been living with HIV for a year and a half,

0:22:070:22:12

not everyone knows about his diagnosis.

0:22:120:22:14

But he wants that to change.

0:22:140:22:17

He's arranged to meet his mum

0:22:170:22:18

to let her know what he's been going through.

0:22:180:22:22

I haven't expressly told my family yet.

0:22:220:22:26

I've told them that I have a blood condition.

0:22:260:22:30

I was worried more that my family will get affected by the stigma,

0:22:300:22:34

either themselves or with people talking to them

0:22:340:22:38

if they found out that I had HIV.

0:22:380:22:42

But I haven't, I haven't used the word,

0:22:420:22:44

but that's what I'm going to do pretty soon.

0:22:440:22:48

UPBEAT MUSIC

0:22:510:22:52

Right, there's your coffees there, and there's the eggs.

0:22:590:23:02

After having unprotected sex with a boy she's now unsure about,

0:23:030:23:06

Lauren is waiting on the results of her STI tests.

0:23:060:23:10

Just to know that I've not got it will be great, obviously,

0:23:100:23:13

because you can sleep with about eight people in one week

0:23:130:23:16

and not catch it, but you could sleep with one person and then get it.

0:23:160:23:19

I think it just depends. You can't really say, to be honest.

0:23:190:23:23

It's just how safe you are using a condom.

0:23:230:23:25

Lauren's friend Sophie

0:23:250:23:26

and her boyfriend Gary are here to lend support.

0:23:260:23:29

-SOPHIE:

-I'm going to Kenya, aren't I? >

0:23:290:23:32

PHONE RINGS

0:23:320:23:33

Hello?

0:23:340:23:35

Hiya. It is Lauren.

0:23:360:23:37

Eyy!

0:23:430:23:45

Thank you.

0:23:450:23:46

Thank you. Yeah, thank you. Bye. Bye.

0:23:470:23:51

She can properly tell it was all negative.

0:23:510:23:54

Yes. I knew it would be. Thank God!

0:23:540:23:56

Yeah!

0:23:580:23:59

They said it's negative, all of them.

0:23:590:24:01

-I knew it would be.

-No surprise.

-I know.

0:24:010:24:04

Not exactly like I'm on the street corners every night, is it?

0:24:040:24:06

Waiting for someone. I'm pretty happy about that.

0:24:060:24:10

Very relieved.

0:24:100:24:11

Especially if my mum watches this and she's on TV

0:24:110:24:13

and if I was positive, she'd be like, "What!?"

0:24:130:24:15

But no, no. I'm glad.

0:24:150:24:19

Today it's a training day at the clinic.

0:24:320:24:34

This is a practice called taqaandan.

0:24:350:24:37

It's basically penile manipulation to achieve detumescence.

0:24:370:24:41

Isn't that's just masturbation?

0:24:410:24:43

No.

0:24:430:24:44

During a break from the consultant-led talks on sexual health,

0:24:460:24:49

some of the nurses and healthcare assistants take the opportunity

0:24:490:24:53

to do some ad hoc training of their own.

0:24:530:24:55

-Morning, girls! ALL:

-Morning!

0:24:550:24:58

What we're doing this morning is just a quick teaching session

0:24:590:25:02

on how not, and I stress the "not", to be a GUM nurse, OK?

0:25:020:25:06

Right.

0:25:060:25:07

What can we do for you?

0:25:090:25:10

You know, I did have a bit of unprotected sex,

0:25:100:25:13

so I think I'm a bit worried about it all.

0:25:130:25:17

Unprotected sex. No condom?

0:25:170:25:19

-No condom.

-No.

0:25:190:25:20

I've actually got a bit of a discharge.

0:25:220:25:25

Is it smelly discharge?

0:25:250:25:26

Yeah, there is a bit of a strange odour.

0:25:260:25:29

LAUGHTER

0:25:290:25:30

Right, OK.

0:25:310:25:32

'Sessions like this, you know, it is fun,

0:25:320:25:35

'but there's also a message behind it.'

0:25:350:25:38

We wouldn't judge anybody.

0:25:380:25:40

Whatever sexual practice patients have, that's their business.

0:25:400:25:43

It's nothing to do with us.

0:25:430:25:44

-Any pain during sex?

-No pain during sex.

0:25:440:25:48

-Are you still having sex?

-Yeah.

0:25:480:25:50

Is that wrong? Should I not be having sex?

0:25:510:25:54

I wouldn't if I were discharging, but you know, it's up to you.

0:25:540:25:57

That poor patient.

0:26:030:26:04

And that's what we don't want to do.

0:26:050:26:07

We don't want our patients to come in and be made to feel like that.

0:26:070:26:10

It's about having good communication, being non-judgemental,

0:26:100:26:14

even if they've got a discharge and there's a bit of a smell.

0:26:140:26:18

Adam and Jo are in a brand spanking new relationship.

0:26:290:26:33

They've already started having sex with each other

0:26:330:26:35

but want to stop using condoms,

0:26:350:26:37

so they need to be sure neither of them have any STIs.

0:26:370:26:41

I don't know what he's got, he doesn't know what I've got.

0:26:410:26:44

I'm 99% sure that everything's going to be OK,

0:26:440:26:47

but obviously there's always that slight chance

0:26:470:26:49

that something might not be, so I am a little bit nervous,

0:26:490:26:53

but I think that's to be expected, to be honest.

0:26:530:26:57

Better to be safe than sorry.

0:26:570:26:59

-I'm Celia.

-Hi, Celia.

-Love your hair.

0:26:590:27:02

Thank you!

0:27:020:27:03

All right, hon.

0:27:030:27:05

-Have you ever paid for sex?

-No.

0:27:050:27:07

-Have you ever been paid?

-No.

0:27:070:27:09

Have you ever had sex to your knowledge with a bisexual

0:27:100:27:13

or HIV-positive man?

0:27:130:27:16

-Bisexual, yes.

-OK.

0:27:160:27:19

-Have you ever had sex with a man?

-No.

0:27:190:27:21

Have you ever injected drugs or had sex with someone

0:27:210:27:24

that has, as far as you know?

0:27:240:27:26

As far as I know, no.

0:27:260:27:27

So what job do you do?

0:27:290:27:31

Erm...

0:27:310:27:32

I work as a beautician but I have a rather unusual hobby.

0:27:320:27:37

Tell us! What is it?

0:27:370:27:39

Erm... I do BDSM and fetish.

0:27:390:27:43

-A dominate...

-I'm a dominatrix.

0:27:430:27:46

I love stuff like that, me.

0:27:460:27:48

-Yes, yes. I get to hit people. It's very good fun.

-So you enjoy it.

0:27:480:27:53

Love it. Absolutely love it.

0:27:530:27:54

-I can tell on your face anyway.

-It lights up when I talk about it.

0:27:540:27:57

-Doesn't your fellow mind?

-Well, I'm trying to slowly introduce him. Yeah.

0:27:570:28:04

The world of bondage and S&M can be risky,

0:28:090:28:11

but as a consenting adult, it's one that Adam seems keen to explore.

0:28:110:28:17

I'm being slowly introduced into the whole world of BDSM,

0:28:170:28:20

being slowly brought into it. It's so far working out quite well.

0:28:200:28:26

Who knows? Maybe in the future I could be a little bit more into it.

0:28:260:28:30

I'm open to it.

0:28:300:28:32

-That's a bit of trampling.

-Oh, dear.

0:28:320:28:35

Between consenting adults, the risks to health from bondage games

0:28:350:28:39

can usually be managed effectively.

0:28:390:28:40

Obviously that's my heel on a ball.

0:28:400:28:42

But Adam is understandably wary about the threat from STIs

0:28:420:28:46

carried in one particular bodily fluid.

0:28:460:28:50

The only real thing that would worry me would be the blood, basically.

0:28:500:28:54

Obviously, it's transmitted also in your blood.

0:28:540:28:59

That would be the only thing that would be of any concern, really.

0:28:590:29:03

The rest of it is pretty much...

0:29:030:29:06

..comes with the territory.

0:29:060:29:07

What's your favourite stuff?

0:29:100:29:12

I love caning, whipping, that sort of thing.

0:29:120:29:14

I like things that do cause pain.

0:29:140:29:16

I do sort of play with needles as well,

0:29:160:29:19

where you'll put them through the...

0:29:190:29:21

-The torso. Jab them with a needle?

-Yeah, through the nipples or...

0:29:210:29:25

Or the willies or the balls.

0:29:250:29:28

Because of Jo's special needlework, she needs to be extra careful

0:29:280:29:32

when it comes to blood-borne infections like hepatitis and HIV.

0:29:320:29:36

But her unusual hobby has tickled Celia.

0:29:370:29:41

It's exciting. I like things like that!

0:29:410:29:45

I love it. Give them some beating.

0:29:450:29:48

Whatever to your fancy, hon, I don't mind.

0:29:500:29:52

There you go.

0:29:530:29:55

Hopefully we'll be in touch within two weeks,

0:29:550:29:57

but it can be a little over at times.

0:29:570:29:59

All right? Free to go.

0:29:590:30:00

I think Celia was quite sort of taken by the domination.

0:30:020:30:06

I think I might have made a new little friend there.

0:30:060:30:09

I do like things like that. I'm not going to lie. I do.

0:30:090:30:12

Being in charge.

0:30:120:30:14

Adam and Jo will find out within a fortnight if either have an STI.

0:30:140:30:18

Then it might be safe to dispense with the latex. Of one sort, anyway.

0:30:180:30:22

Andrew has an itchy penis. He suspects it might be an STI.

0:30:370:30:42

I've come to the clinic today because I have a rash

0:30:420:30:45

on my private parts which I need to get checked out.

0:30:450:30:49

I do not practice safe sex as much as I should.

0:30:490:30:53

I haven't had sex in about five months but my sexual partner

0:30:560:31:01

was away for a while, and when she came back

0:31:010:31:05

we spent a night in bed together and she wouldn't sleep with me,

0:31:050:31:09

but there was skin on skin contact, so I don't know

0:31:090:31:11

if I've picked up anything from that.

0:31:110:31:13

-You have normal vaginal sex.

-Yes.

-Any oral sex?

0:31:130:31:15

-Yes.

-Both ways?

-Yep.

0:31:150:31:18

-Any anal sex?

-Yes.

0:31:180:31:19

-Just describe exactly where it is.

-It's underneath my foreskin.

0:31:210:31:24

It looks scaly.

0:31:240:31:26

It's got white sort of lumps and there were red lumps on the head.

0:31:260:31:31

I'm not sure whether it was thrush or not,

0:31:310:31:33

so I've been dunking my penis in yoghurt.

0:31:330:31:35

OK.

0:31:360:31:37

Jasmine has come to the clinic after years of unprotected sex

0:31:420:31:46

with many different partners.

0:31:460:31:48

God Almighty, some of these pictures on this phone!

0:31:480:31:51

I'm just looking from the weekend.

0:31:510:31:53

The last sexual encounter I had was on Saturday night in Manchester.

0:31:530:31:57

It was just someone I bumped into.

0:31:570:31:59

Had a few drinks and round the back and how's your father.

0:31:590:32:02

It's terrible, isn't it, really?

0:32:020:32:04

# Oh, girls just want to have fun. #

0:32:040:32:07

In a week's time, Jasmine is due to have a sex change operation,

0:32:070:32:10

and desperately needs a clean bill of health if it's to go ahead.

0:32:100:32:14

-Is it Jasmine?

-It is.

-Come through, Chuck.

-Thanks!

0:32:140:32:18

So you've come for a check-up, have you?

0:32:180:32:21

-I have, yes.

-Have you had one before?

0:32:210:32:23

-A long, long, long time ago.

-All right.

0:32:230:32:25

So in the last three months, how many sexual partners have you had?

0:32:250:32:29

-A lot.

-What's a lot?

0:32:300:32:32

-62 since January.

-62 since January.

0:32:320:32:35

-You know, different sexual encounters.

-OK.

0:32:350:32:38

-So, with partners, do you give oral sex?

-Of course.

0:32:380:32:43

-And do you receive anal sex?

-I have done, yes.

0:32:430:32:47

As in partners, male or female partners?

0:32:470:32:52

-I've had both.

-OK.

0:32:520:32:54

-Have you ever injected drugs?

-I have, yes.

0:32:540:32:56

-And did you share needles and that kind of thing, equipment?

-Yeah.

0:32:560:33:01

-Have you had a HIV test before?

-Yes.

0:33:010:33:04

-And do you remember when that was and where?

-I think it was in prison.

0:33:040:33:09

-When was that then?

-About seven years ago.

-OK.

0:33:090:33:15

Six months ago, Jasmine was released from a male prison,

0:33:150:33:17

where she did time for a string of burglaries.

0:33:170:33:20

She went in as Darren and came out as Jasmine.

0:33:200:33:24

But whilst inside, she took some serious risks.

0:33:240:33:27

And all your partners born in the UK?

0:33:270:33:30

-No, they're not. Uganda.

-Uganda.

0:33:300:33:34

-And was it unprotected?

-It was.

0:33:340:33:36

-Was it in prison?

-It was.

0:33:370:33:39

Jasmine's risky behaviour could have serious consequences

0:33:400:33:43

for her gender reassignment surgery in just a few days' time.

0:33:430:33:48

How would you feel if you was given a HIV positive result,

0:33:480:33:51

-having put yourself at so much risk?

-It's going to devastate me

0:33:510:33:54

because my operation's in less than two weeks and obviously it's going

0:33:540:33:57

to have a big impact on my operation.

0:33:570:34:00

So everything I fought for, everything I wanted,

0:34:000:34:02

all my dreams are just going to go pretty much down the Swanee,

0:34:020:34:05

which, you know, devastation.

0:34:050:34:08

It's until you come to these clinics you suddenly realise,

0:34:080:34:10

and it hits you like, "Oh, my God."

0:34:100:34:13

With her surgery just days away,

0:34:140:34:16

the clinic will rush through the results of Jasmine's full screening.

0:34:160:34:20

JASMINE GIGGLES

0:34:200:34:21

Just uncross your legs. You're going to have to be very ladylike.

0:34:210:34:24

It's like they say, just because you have a vagina

0:34:240:34:26

and boobs doesn't make you a lady.

0:34:260:34:28

I have got a vagina and I'm not a lady.

0:34:290:34:33

-I have never been ladylike ever.

-Exactly.

0:34:330:34:36

-All right then.

-Brilliant.

0:34:360:34:37

NURSES LAUGH

0:34:370:34:38

-Thank you. Bye!

-Bye-bye.

0:34:400:34:43

She has taken a lot of risks, like I said to her,

0:34:450:34:48

and you can only say, "Look, you're at risk of all these infections.

0:34:480:34:51

"How would you feel if you came back HIV-positive?"

0:34:510:34:54

"Yeah, it would affect my life

0:34:540:34:56

"and I'd be devastated" or whatever.

0:34:560:34:58

You can only give the information. Whether they will act on it...

0:34:580:35:02

They're adults, so...

0:35:020:35:04

It's very nerve-wracking.

0:35:060:35:09

To actually get HIV or anything can actually trash the rest of my life.

0:35:090:35:12

I've waited 36 years for this operation

0:35:120:35:15

and I don't want to lose it.

0:35:150:35:17

In less than a week, Jasmine will find out

0:35:180:35:20

if her risky behaviour has not only damaged her sexual health,

0:35:200:35:24

but also the chances of her operation going ahead as planned.

0:35:240:35:28

OK. I'm going to examine your testicles now.

0:35:330:35:35

-Let me know if it's tender.

-All right.

0:35:350:35:37

Andrew has come to the clinic, worried he may have thrush,

0:35:370:35:41

having spent last week dipping his penis in yoghurt.

0:35:410:35:45

'When you start getting rashes and showing symptoms of possible STIs,

0:35:450:35:50

'it should be a warning that if you've not been having safe sex in the past,'

0:35:500:35:54

it's definitely a good idea to start, because it's never too late.

0:35:540:36:00

Or maybe it is, but, you know.

0:36:000:36:02

I wouldn't be too concerned about it, OK?

0:36:030:36:07

I think the most likely thing that rash is small amounts of thrush.

0:36:070:36:10

It doesn't look particularly threatening.

0:36:100:36:12

If we give you this cream and it all settles down, we'll be quite happy.

0:36:120:36:16

Dr James prescribes cream as treatment.

0:36:160:36:20

-We'll bring you back in two weeks' time.

-Thank you.

0:36:200:36:22

All the best.

0:36:220:36:23

So it seems yoghurt wasn't too far off the mark after all.

0:36:230:36:27

I didn't know any of my friends who've had thrush

0:36:270:36:29

so it's the first time I've actually come across anybody

0:36:290:36:32

who has had it and that person is me, so aren't I the lucky one?

0:36:320:36:38

Serial online shagger Gary has been waiting for his STI test results.

0:36:470:36:51

I got the text back off the clinic to say

0:36:530:36:56

that the results are negative,

0:36:560:36:58

which means that I haven't got anything, luckily.

0:36:580:37:01

But following the good news from the clinic,

0:37:010:37:03

Gary got a text from one of his internet sex buddies

0:37:030:37:06

which rather took the shine off things.

0:37:060:37:08

She basically texted me to say that she needs to speak to me

0:37:090:37:13

to come round, and I was trying my best to avoid her

0:37:130:37:19

and then she just basically texted me that she was pregnant

0:37:190:37:22

because she knew that I wasn't going to come round.

0:37:220:37:24

Finding out that she was pregnant is a big shock

0:37:240:37:29

and being a dad

0:37:290:37:31

is not something that I'm prepared for and what I'm ready for.

0:37:310:37:37

Gary is meeting up with his mate Matthew.

0:37:390:37:41

Don't try and act funny!

0:37:410:37:43

He wants to discuss his baby blues,

0:37:430:37:45

but not before filling him in on his latest conquest.

0:37:450:37:48

She kept touching my cock and that. I was like, "No, no, no."

0:37:480:37:51

I said, "Stop." There was little kids all about. So she carried on.

0:37:510:37:55

And then she was like, "We'll wait till we get in the cinema."

0:37:550:37:57

Got in the cinema, she started kissing me and that.

0:37:570:38:00

She carried on so I thought, "Forget this." I fingered her anyway.

0:38:000:38:03

Then she just got on top and started, like, proper sex.

0:38:030:38:05

-While people were in front of you?

-Yeah.

-And you was watching Ted?

-Yeah.

0:38:050:38:10

Gary has been having unprotected sex

0:38:100:38:12

with dozens of girls he barely knows.

0:38:120:38:14

I take responsibility for what I've done, but...

0:38:160:38:18

She was on the pill, so...

0:38:180:38:20

How am I meant to know that this is going to happen?

0:38:200:38:23

How am I meant to know that she is going to fall pregnant

0:38:230:38:25

when she's on the pill? You don't expect that to happen.

0:38:250:38:28

But it's a random girl you just met and she says,

0:38:280:38:30

"Yeah, I'm on the pill", you should still wear a johnny.

0:38:300:38:33

Yeah, but that just ruins the moment. It does.

0:38:330:38:36

There is no moment.

0:38:360:38:37

It's just... It's not like you got a candlelit dinner and all that.

0:38:370:38:41

-I don't do stuff like that.

-It's just a bang.

0:38:410:38:44

But it ruins it, simple as that.

0:38:440:38:45

Yeah, but it's either that or ruin your life.

0:38:450:38:47

Yeah, I suppose pregnancy, that does ruin things.

0:38:470:38:51

AIDS ruins stuff as well.

0:38:510:38:52

Yeah, but, the way I see it, if they're telling me

0:38:520:38:54

they're on the pill, they ain't going to get pregnant.

0:38:540:38:57

If I get chlamydia... Pretty much everyone gets chlamydia. It happens.

0:38:570:39:00

It is the most common STI out there.

0:39:000:39:03

If I get chlamydia, fair enough, I just take a tablet.

0:39:030:39:06

No-one needs to know.

0:39:060:39:07

I'm not ashamed to say I had it once. So what?

0:39:070:39:10

-I haven't.

-You're not a real man unless you've had chlamydia.

0:39:100:39:14

-You're not a real man?

-Unless you've had chlamydia.

0:39:140:39:17

-Yeah, but I've had thrush. What does that make me?

-Not a man.

0:39:170:39:21

Having chlamydia actually makes Gary a serious threat to

0:39:210:39:24

the sexual health and future fertility

0:39:240:39:26

of anyone he has unprotected sex with.

0:39:260:39:29

Not something his mum would approve of.

0:39:290:39:32

-Have you even told your mum yet?

-No, I haven't said anything to her,

0:39:320:39:35

but you know what my mum is like.

0:39:350:39:37

She calls me Dirty Dick. That's my mum's nickname.

0:39:370:39:39

To be honest, I know she's going to be annoyed with me

0:39:390:39:42

and I know she's going to have a go at me,

0:39:420:39:44

but at the same time, I think she's already expecting it.

0:39:440:39:47

She already thinks I got ten kids dotted around.

0:39:470:39:49

Later on, Gary will find out exactly what his mum thinks

0:39:490:39:52

when he spills the beans about what's been going on.

0:39:520:39:55

Jealous of you?

0:39:550:39:56

Dom was diagnosed with HIV in late 2010.

0:40:050:40:08

It's taken him a while to come to terms with,

0:40:080:40:11

and there's one important person he's yet to tell he's HIV positive.

0:40:110:40:17

I'm just on the way to see my mother to tell her about

0:40:170:40:20

what I've been going through and my condition.

0:40:200:40:24

A little bit nervous but, you know, we'll see how it goes.

0:40:260:40:31

It's a difficult conversation to have, but Dom knows

0:40:310:40:34

that being HIV-positive isn't the life sentence that it used to be.

0:40:340:40:38

-Hello.

-Hello.

0:40:380:40:41

-How are you?

-All right. OK. You?

0:40:410:40:43

He's keen to make sure his mum understands

0:40:440:40:47

what he's been going through.

0:40:470:40:49

You know I've been ill for a while.

0:40:490:40:52

I've just decided that I'm going to come open to everyone and...

0:40:520:40:58

I've actually got...

0:40:580:41:00

I've actually got HIV.

0:41:000:41:01

-I don't know if you'd worked it out.

-I thought you had.

0:41:010:41:05

So...

0:41:050:41:06

I wanted you to tell me cos I knew you would eventually.

0:41:070:41:11

I have to take a daily lot of tablets.

0:41:110:41:14

It's been... I've been taking them since January.

0:41:140:41:18

I'm never going to get rid of it, but with the treatment,

0:41:180:41:22

the treatment keeps the virus from multiplying, keeps it down.

0:41:220:41:27

You must have been really angry with somebody passing it on to you.

0:41:270:41:30

At the end of the day, it's not another person's responsibility

0:41:300:41:36

to look after your own health in any sense, especially sexual health.

0:41:360:41:41

It's your own responsibility.

0:41:410:41:43

So, you know...

0:41:430:41:45

If anybody, I'd be angry at myself for being silly at some point.

0:41:450:41:50

I'm even stronger now, cos of having to go through,

0:41:500:41:53

like any people that go through a drama,

0:41:530:41:57

I come out the other side fine and everybody gets stronger.

0:41:570:42:00

We can all be strong and carry on as normal.

0:42:000:42:03

-Well, we'll do that.

-Mmm.

0:42:040:42:06

Dom's mum is relieved her son has had the courage

0:42:120:42:14

to tell her about his condition.

0:42:140:42:16

I am relieved in a way, but I did suspect that that's what it was.

0:42:160:42:20

But I wanted him to tell me himself.

0:42:200:42:22

The positive approach he's got on it is really helpful as well.

0:42:240:42:29

And for Dom, a bright outlook on his future with Lucas

0:42:290:42:33

is the only way forward.

0:42:330:42:35

It feels like a massive weight off my shoulders now.

0:42:350:42:39

I've been debating, telling people for over a year now,

0:42:390:42:43

and I know now it's definitely the right thing to have done.

0:42:430:42:46

There's no stopping me now.

0:42:460:42:48

I've been through bad times but I'm positive and I'm positive.

0:42:480:42:53

There's one STI that takes up more of the staff's time than any other.

0:43:080:43:13

Can I just pull this back? Is that OK? All right.

0:43:130:43:15

The virus that causes warts can be carried for years without symptoms.

0:43:170:43:20

But when they do make their appearance,

0:43:200:43:23

there's no mistaking them.

0:43:230:43:26

It's a genital wart. Have you heard of those?

0:43:260:43:29

-DISGUISED MALE VOICE: Oh, never.

-Never. OK.

0:43:290:43:31

Genital warts are from skin to skin contact.

0:43:330:43:35

It's a skin virus and obviously,

0:43:350:43:37

if you're having sex with somebody and you got to skin to skin contact,

0:43:370:43:41

that's how the transmitted,

0:43:410:43:43

and if you got close genital contact, that's how it's passed on.

0:43:430:43:46

One of a range of treatments for genital warts

0:43:470:43:49

is removal by freezing.

0:43:490:43:51

And an enormous tank of liquid nitrogen is kept locked up outside

0:43:530:43:57

the clinic for exactly this purpose.

0:43:570:44:00

When you're ready, you just say.

0:44:000:44:01

I haven't done it for a while.

0:44:010:44:04

The minus 320 degree gas is decanted into small canisters.

0:44:050:44:09

In the staff's expert hands,

0:44:100:44:12

it's the perfect weapon against warts.

0:44:120:44:14

The idea is to get it accurately

0:44:140:44:16

on the wart itself and it kills it

0:44:160:44:20

and that will help it just to burn

0:44:200:44:22

and drop off, basically.

0:44:220:44:23

However, not everyone at the clinic has a license to freeze.

0:44:230:44:28

I don't do the freezing. The sister or the doctor does it.

0:44:280:44:32

I would actually love to do it myself, love. Burn them away.

0:44:320:44:37

Jasmine is at home.

0:44:570:44:58

She's yet to discover her test results

0:44:580:45:01

ahead of her sex change operation.

0:45:010:45:03

-It's not very clean, is it?

-No, it's dirty.

0:45:030:45:07

-Probably a bit like my sex life.

-You said it, dear.

0:45:070:45:10

JASMINE CHORTLES

0:45:100:45:11

She stays in a suburban semi with her two adopted mums,

0:45:110:45:14

Jenny Ann and Ellen.

0:45:140:45:16

Come on, Jas. Lunch is ready.

0:45:170:45:19

What are you doing tomorrow, dear?

0:45:210:45:23

-I've got to go and get my results.

-You are, eh?

-Yeah, course I am.

0:45:230:45:27

It's one of those things, what do I do?

0:45:270:45:29

You know, it's like, obviously my operation on Monday and I'll see

0:45:290:45:32

if I've caught anything, then it's going to put my operation back.

0:45:320:45:35

'When I became Jasmine, the rest of my family didn't want to have

0:45:350:45:40

'anything to do with me as such,'

0:45:400:45:41

but obviously, when I got in contact with Jenny Ann then Ellen,

0:45:410:45:44

it's like they've just loved me.

0:45:440:45:46

We've just grown together as a family.

0:45:460:45:48

If you're not careful you'll get a reputation,

0:45:480:45:51

and that can be a real bar to you getting involved

0:45:510:45:55

in a serious relationship.

0:45:550:45:57

If you are known as the easy girl around town...

0:45:570:46:01

Jasmine's operation is only days away.

0:46:070:46:10

It will put right a problem that's blighted her whole life.

0:46:100:46:14

When I was first born, the nurse turned round to my mum

0:46:140:46:18

and they said, "Congratulations, you got a little girl."

0:46:180:46:21

Then, all of a sudden, they was like, "Hang on a second,

0:46:210:46:24

"you've actually got a boy!"

0:46:240:46:25

My genitalia hadn't really formed properly,

0:46:260:46:30

so obviously, it was like in between a vagina and a very small penis.

0:46:300:46:36

It's been terrible because the penis part isn't really big enough.

0:46:360:46:41

Obviously the vagina part isn't you know, very workable

0:46:410:46:45

at the best of times, so obviously it left me in a situation

0:46:450:46:48

where it was like, sexual life was pretty much non-existent.

0:46:480:46:52

For Jasmine, the big day can't come quickly enough.

0:46:520:46:56

I'll tell you something, I can't wait.

0:46:570:46:59

Absolutely excited, because it's like, you know,

0:46:590:47:01

I've waited all these years and it's a dream come true.

0:47:010:47:05

What am I going to do if I've got hepatitis or AIDS, HIV?

0:47:070:47:11

Your behaviour has been very risky.

0:47:110:47:15

You know, some of the people I've been sleeping with,

0:47:150:47:18

I've been having proper hardcore sex with them.

0:47:180:47:20

-Some of them have been drug users.

-So, penetrative...

-Yeah.

0:47:200:47:25

You don't understand. The sex is proper dirty sex.

0:47:250:47:28

Not like you and Mum, you know,

0:47:280:47:30

just having a bit of a canoodle or what have you.

0:47:300:47:33

The fact is, it's like anal sex and giving them a blow job afterwards.

0:47:330:47:36

-It's not exactly good, is it?

-No, it isn't.

0:47:360:47:39

It's like with these tests, if they come back positive,

0:47:390:47:43

-the fact is, that's going to put my surgery off.

-Almost certainly, yes.

0:47:430:47:47

Yeah, I know. Exactly. And I'm really concerned.

0:47:470:47:50

I can't keep waiting any longer, you know. It's driving me crazy.

0:47:500:47:53

How likely do you think it is there's something wrong?

0:47:530:47:56

Do you think it's more likely the test will be positive?

0:47:560:47:59

Yeah, I've got a funny feeling there is going to be positive.

0:47:590:48:02

Because it's like, you know,

0:48:030:48:04

my immune system's been quite low anyway and it's like, you know,

0:48:040:48:07

some of the activities I been up to

0:48:070:48:08

haven't exactly been the best things since sliced bread, have they?

0:48:080:48:11

-No.

-Do you know something? You don't half give me some lectures.

0:48:110:48:15

I know, but I'm your mum, dear.

0:48:150:48:17

-We care about you, Jas.

-I know.

0:48:200:48:24

It has been a long two-week wait for Adam and Jo's results

0:48:390:48:42

from the clinic but now they've finally come through.

0:48:420:48:45

I got my results earlier on today.

0:48:460:48:48

"Your most recent test results from MCSH are negative."

0:48:480:48:53

Which was obviously really, really good to hear.

0:48:530:48:56

And Adam's had the all-clear too. Which might be a mixed blessing.

0:48:560:49:02

-I'd like to up the ante.

-Well, there we are, maybe even up the ante.

0:49:020:49:06

Will you not run off this time?

0:49:060:49:08

-Go, "Argh, I'm not doing that."

-It's scary stuff.

0:49:080:49:12

These two lovebirds are now free to do whatever they want

0:49:120:49:16

so long as Adam gives the thumbs-up.

0:49:160:49:18

Several weeks ago, online sex addict Gary

0:49:290:49:32

discovered he got a girl pregnant

0:49:320:49:34

after a night of unprotected casual sex.

0:49:340:49:36

But he has had some shocking news through from the girl.

0:49:360:49:40

'I have been texting the girl that told me she was pregnant

0:49:400:49:43

'and she was thinking about keeping it but she has found out'

0:49:430:49:47

recently that she has actually miscarried it.

0:49:470:49:51

Obviously, I was upset the fact that it has happened

0:49:510:49:54

because it was my, obviously, it was my fault why it happened

0:49:540:49:57

and I'd never want a girl to go through that

0:49:570:50:02

but then on the opposite side, I was happy

0:50:020:50:06

because I know that none of us are ready for it

0:50:060:50:09

and that it wouldn't be cared for.

0:50:090:50:11

Despite living with his mum, up to now

0:50:110:50:14

he's told her nothing about the pregnancy of the miscarriage.

0:50:140:50:17

I don't really know how to put it.

0:50:170:50:21

I got someone pregnant not long ago.

0:50:210:50:23

-Am I allowed to ask who?

-Hm?

-Am I allowed to ask who?

0:50:260:50:29

Cos you don't know them.

0:50:290:50:31

She's lost it anyway.

0:50:310:50:33

I'm just absolutely gobsmacked you've just told me.

0:50:350:50:40

She must be devastated

0:50:400:50:41

that you're not there to support her emotionally.

0:50:410:50:44

I don't know. I just...

0:50:460:50:48

tried cutting contact with her

0:50:480:50:50

so obviously I've stopped speaking to her

0:50:500:50:52

so I've just let her deal with it on her own.

0:50:520:50:54

That's not good. I've been through that. I've been there, Gary.

0:50:540:50:57

Right, well, I've just like... I don't know.

0:50:570:50:59

I don't really see what I can do. She's got her mum there for her

0:50:590:51:01

so I don't really know what I can say to her.

0:51:010:51:03

-You're playing such a risky game, son.

-I know it is.

0:51:030:51:07

To be honest, it has made me think and it has put it in perspective.

0:51:070:51:11

Obviously because my attitude on, like, STDs was just, well,

0:51:110:51:17

if I get something little, it's a tablet to get rid of it.

0:51:170:51:20

I suppose with a baby it's completely and utterly different, isn't it?

0:51:200:51:24

But obviously she's lost it, anyway.

0:51:240:51:27

-I have learnt from it and I know it won't happen again.

-I hope not.

0:51:270:51:31

It won't.

0:51:310:51:32

I love you millions.

0:51:330:51:35

Just don't get upset.

0:51:400:51:42

-Are you OK?

-Yes.

-I love you.

0:51:450:51:47

'I'm hoping he's learnt by it'

0:51:540:51:56

and hopefully won't relapse

0:51:560:51:58

back into that. I'm hoping he grows up a bit now

0:51:580:52:01

and actually comes to a bit of sense about what life's all about, really,

0:52:010:52:07

and what could happen, what potentially could happen

0:52:070:52:10

if he carried on just hopping, bed hopping.

0:52:100:52:14

'It has been a bit of an emotional ride

0:52:140:52:16

'and a bit of a rollercoaster but I know what I need to do'

0:52:160:52:22

and I know to control my ways and I know what I need to do

0:52:220:52:25

in order to do that and to start behaving and be good, really.

0:52:250:52:32

With her sex change surgery hanging in the balance,

0:52:410:52:44

Jasmine is nervous about her test results.

0:52:440:52:48

I'm actually trying not to think of the worst, if possible,

0:52:480:52:53

but the chances are the worst could actually be there.

0:52:530:52:56

-Jasmine.

-Hi.

-Hiya, you all right?

-Yeah, fine, thank you.

0:52:580:53:02

Is that your magazine, chuck?

0:53:020:53:03

-Certainly is. Well, it's not mine, it's yours.

-Is it? Put it back then.

0:53:030:53:06

-I stuck it back on the chair.

-Are you all right?

0:53:060:53:09

It's been a long week, hasn't it?

0:53:090:53:12

For Jasmine, everything is riding on these results.

0:53:120:53:16

OK, so, your results.

0:53:160:53:19

-Yeah.

-Have you been worrying?

-Of course.

-Oh.

0:53:190:53:24

-I'm stressed.

-OK, so, let me just tell you.

0:53:240:53:27

I'll put you out of your misery. Everything's absolutely fine.

0:53:270:53:31

-Thank you.

-It's OK.

-Thanks very much.

-So, you are very lucky.

0:53:310:53:35

I'm just sweating buckets now. Getting rid of the relief.

0:53:350:53:39

Because, I mean, you have had real risky behaviour

0:53:390:53:42

-over the last six months.

-I know, yeah. Proper dirty sex.

0:53:420:53:46

It's been a really big scare for me and I'm really, you know,

0:53:460:53:48

glad that these, you know,

0:53:480:53:50

results have came back negative cos it's been worrying and stressful.

0:53:500:53:55

With everything over the last six months and everything,

0:53:550:53:57

you've been really quite lucky with these results so far.

0:53:570:54:01

How you go on now is really important, yeah?

0:54:010:54:05

Just protection all the time. Yeah?

0:54:050:54:09

-Thank you.

-All right, chuck.

-Thanks, babes.

0:54:090:54:11

I feel absolutely relieved now, you know.

0:54:140:54:16

I feel like I've got a lot of weight off my shoulders,

0:54:160:54:19

my surgery can go ahead

0:54:190:54:20

and, obviously, I'm just so ecstatic at the moment.

0:54:200:54:25

Plus the fact is I haven't got to go around telling people

0:54:250:54:28

that I actually passed a disease on to them or anything, you know,

0:54:280:54:31

any sexual disease.

0:54:310:54:33

It's, you know, the feeling I've got is great relief.

0:54:330:54:38

But nurse Lisa is worried that

0:54:380:54:40

if Jasmine doesn't start being more sensible,

0:54:400:54:42

her luck is going to run out.

0:54:420:54:44

Well, she's going to get caught at some stage or other.

0:54:440:54:48

If you are having unprotected sex

0:54:480:54:49

you're going to get caught at some stage.

0:54:490:54:52

You're going to get an infection, which is not very nice.

0:54:530:54:58

Can't be there putting the condom on for them!

0:54:580:55:01

So, it's going to be down to her.

0:55:010:55:05

At the end of every clinic day when the patients have left...

0:55:180:55:21

See you later.

0:55:210:55:23

..there is one job nobody volunteers for.

0:55:230:55:25

I'm going to discard the urine

0:55:280:55:31

and then throw the empty jars in the contamination bin.

0:55:310:55:36

Today, nurse Chris has drawn the short straw.

0:55:380:55:42

Every day, depending on how many we get.

0:55:420:55:46

It's for safety, really.

0:55:490:55:51

The same will happen tomorrow, the next day

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and for as long as people have unsafe sex.

0:55:550:55:59

The never-ending fight against STIs continues.

0:55:590:56:04

Subtitles by Red Bee Media Ltd

0:56:120:56:16

Twenty-year-old Gary finds out the hard way that it's not just STIs condoms are designed to prevent. Pre-op transsexual Jasmine hopes her high-risk sexploits don't jeopardise her life-changing operation.


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