If we are embarrassed, the client will end up being embarrassed too.
My own experience has been that if you open any topic in plain English and directly you will usually get a truthful, or at least credible, reply - how many partners have you had since your last STD screen? Age at first ever intercourse? Number of other partners whilst married? Anal intercourse? Group sex? Same-sex encounters? Try it.
Every GP with an average list will have a handful of past, current or future sex workers, even in the 'nicest' boroughs. Do you know who your prostitutes are?
Try asking; they usually welcome the chance to cover issues of concern and you could do a great deal of good for them, quite apart from STD considerations.
Dr Steven Ford, Haydon Bridge, Northumberland.
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