A Female Sex Industry Worker Requesting a Sexual Health Screen

Abstract

Two years later, Mary re-attends the clinic. She tells you that for the past 3 months she has been providing “escort services,” including sex. Although she is symptomless she requests testing for STIs. Her most recent sexual contact with a client had been about 10 days previously, and she had provided protected oral–genital and vaginal intercourse. Over the preceding 2 months she has had sexual contact with about five different clients per week, some men having been from South-East Asia. Clients use condoms consistently for vaginal sex but condoms are not always used for oral–genital sex. She has also been in a regular relationship for 18 months with a male partner who does not use condoms for intercourse. She does not use recreational drugs, but she does not know if any of her clients have ever injected such drugs. The Implanon ^® had been replaced about 1 year previously. Her general health remains good and she is not receiving any other medication. She has had no further pregnancies.