Advice on escorts and STD's

Hi. Going to be visiting an agency girl soon (a thai one), and wondering about HIV specifically. Are escorts who work for agencies often checked for infection? Because I am aware that (for some strange reason) in asian cultures such as in Thailand people are either unaware or maybe just don't care about practicing safe sex, and are obviously notorious for this.

Would you advise getting checked out at a clinic even just after one encounter or is the risk low enough to just leave it unless symptoms are eventually found?

Sorry if this post sounds stupid, don't really know how it works.

Thanks, I'd really appreciate any feedback

Hiya bob:
Not sure about the agency & checking - perhaps some of the more experienced members who have used their services can help with that.

Regarding HIV specifically - the risk of transmission will be based on what activities you perform and if a person is HIV +ve, what their viral load is, so it varies, but is usually quite low. It is highest when receiving unprotected anal sex.
Symptoms of HIV can be nil / vague e.g. feeling a bit under the weather and so if you ever have a risky encounter where you are concerned, better to go to a GUM clinic. The usual blood test done won't give a definite negative until around 3months post the encounter, so often if its very risky behaviour the option of post-exposure prophylaxis meds is discussed.

hope that helps - remember a person could have other STIs apart from HIV too!

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Originally Posted by Goldy

hope that helps - remember a person could have other STIs apart from HIV too!

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Yeah, I would be concerned about all the other nasty stuff floating around out there as well. Believe it or not, there are some things out there far worse than HIV. Stay safe and bag it up!

Thanks very much for the advise/info, very helpful.

True, but I'm mainly concerned about HIV as it's pretty much a death sentence right.

I'm going to be safe where the actual intercourse Is concerned, and I never get ill/feel under the weather so I'd presume I'd notice.

I suppose I'd have to end up going anyway for own peace of mind.

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Originally Posted by up_for_it

Yeah, I would be concerned about all the other nasty stuff floating around out there as well. Believe it or not, there are some things out there far worse than HIV. Stay safe and bag it up!

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Will do. Do people go to the clinic even after protected and rare/one-off encounters though or is it pointless?

Just a get a scrip for Truvada and you won't ever have to worry about HIV again.

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Originally Posted by Westheangelino

Just a get a scrip for Truvada and you won't ever have to worry about HIV again.

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Aaaaa.... No. I don't want to get a life threatening disease so I can do bareback. That's fucking trampy. Respect yourself a bit more.

Truvada is an PrEP which the CDC ranks as being UP TO 92% effective if used consistently and as directed. It does not protect other STDs. The effectiveness of condoms against HIV transmission are ranked somewhere between 90% to 95% . As with anything else, the probability of HIV infection rises with number of exposures.

^ Um....I'm talking about taking a drug to make sure you WON'T get infected. Also, just because you are taking truvada doesn't mean you have to bareback. It's useful for bareback fans like me, but also for people who worry to damn much to begin with.

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Originally Posted by bobtrucker1

True, but I'm mainly concerned about HIV as it's pretty much a death sentence right.

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No it isn't.

.... and if you ever finally do go and see an escort and let's face it you've been asking for questions on here for over a year now then go and get tested at a GUM clinic afterwards.

And make sure you do it after the "window period" which in case of HIV is 3 months effectively... :p

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Originally Posted by Westheangelino

^ Um....I'm talking about taking a drug to make sure you WON'T get infected. Also, just because you are taking truvada doesn't mean you have to bareback. It's useful for bareback fans like me, but also for people who worry to damn much to begin with.

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Ok sorry, I thought you mean take it and there's no need for Condoms or something. Seriously though why do bareback with escorts who probably have a 50/50 chance of having the disease?

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Originally Posted by Ts RedVeX

And make sure you do it after the "window period" which in case of HIV is 3 months effectively... :p

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Thanks for the info :)

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Originally Posted by trish

Truvada is an PrEP which the CDC ranks as being UP TO 92% effective if used consistently and as directed. It does not protect other STDs. The effectiveness of condoms against HIV transmission are ranked somewhere between 90% to 95% . As with anything else, the probability of HIV infection rises with number of exposures.

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Thanks for the info. I'm not entirely sure what the graph is supposed to achieve as it doesn't compare the likelihood of infection with the usage of the drug and the likelihood of infection through using condoms solely.

Do you by any chance know of the estimates of HIV contraction of both insertive and receptive penetration as well as with oral penetration though?

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Originally Posted by bobtrucker1

Thanks for the info. I'm not entirely sure what the graph is supposed to achieve as it doesn't compare the likelihood of infection with the usage of the drug and the likelihood of infection through using condoms solely.

Do you by any chance know of the estimates of HIV contraction of both insertive and receptive penetration as well as with oral penetration though?

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First off, I AM NOT A DOCTOR. I'm just extrapolating from what one can find from just a couple of CDC sources. According to the CDC ( http://www.cdc.gov/hiv/policies/law/risk.html ) the probability of HIV infection through anal receptive intercourse via one encounter with an HIV infected partner is 138/10000 (e.g. 0.0138 which is a 1.38% chance of contraction through one unprotected anal receptive exposure). The same source gives you a 0.11% chance of contraction via one unprotected anal insertive exposure. Remember “exposure” means intercourse with an HIV infected partner.

The chart pictures four curves:

The top two curves are for people using PrEP alone. The topmost curve illustrates the probability that someone on PrEP alone will acquire an HIV-infection via N independent anal receptive exposures. The curve below that is for anal insertive exposures. The number N of exposures is read off the horizontal axis and the corresponding probability if found by going up to the appropriate curve and over to the vertical axis. So according to the graph, if someone uses PrEP alone, and has 2500 anal receptive exposures the probability that they have become infected is about 0.2 (i.e. 20% chance of transmission). 2500 is a lot a exposures. I originally made the chart imaging two life partners, one infected and one not. In such a situation 500 exposures per year seems reasonable. Over a three decades that would be 15000 exposures. Since (as stated in my last post) the effectiveness of condoms against HIV is comparable to the effectiveness of PrEP the graphs for people using condoms alone would look very much like the two for PrEP alone.

The bottom two curves are for people using PrEP + Condoms. These curves are so low you can barely see them...so I made a separate picture for them, and still you can barely make out the bottom most curve.

The chart illustrates two lessons: 1) Keep your number of exposures low to none;i.e. avoid risky behaviors 2) barring that use protection and get yourself regularly checked (remember HIV isn't the only STD).

(If you're just experimenting and have no idea whether you're going to make visiting escorts a habit tell your doctor. Truvada is not generally recommended for intermittent use.

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Originally Posted by trish

Truvada is an PrEP which the CDC ranks as being UP TO 92% effective if used consistently and as directed. It does not protect other STDs. The effectiveness of condoms against HIV transmission are ranked somewhere between 90% to 95% . As with anything else, the probability of HIV infection rises with number of exposures.

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Condoms are actually close to 100% effective at stopping the spread of HIV when used correctly; well above that 90-95% figure. HIV can't penetrate latex. So if the condom is intact the virus can't make the jump in any area that the condom covers. The risk is that the condom could break. Or, less likely, that HIV could penetrate some uncovered area that is exposed to body fluid--perhaps if there is a break in the skin somewhere.

So roughly, with 63M people living in the UK, out of which about 100k have HIV, the probability of getting it during a single unprotected session of receptive anal intercourse with a random person here is 1/630*0.0138 so 0.0022% (1 in 45k LOL) sounds like u need to be quite lucky to get infected overall. I am just curious how they came up with that 0.0138 figure...

Going further, if I work 7days a week, have on average 3 customers per day and they will all fuck me bareback, I will need 42 years till I am very likely to be have gotten infected... I will have naturally ceased to be by then:dead:

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Originally Posted by bobtrucker1

Hi. Going to be visiting an agency girl soon (a thai one), and wondering about HIV specifically. Are escorts who work for agencies often checked for infection? Because I am aware that (for some strange reason) in asian cultures such as in Thailand people are either unaware or maybe just don't care about practicing safe sex, and are obviously notorious for this.

Would you advise getting checked out at a clinic even just after one encounter or is the risk low enough to just leave it unless symptoms are eventually found?

Sorry if this post sounds stupid, don't really know how it works.

Thanks, I'd really appreciate any feedback

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If you're worried about HIV and other STDs then WEAR A CONDOM. It's not rocket science and most escorts will insist on it anyway.
If you're still worried then you should probably just give up on the idea and have a wank instead...

I have lived and visited Thailand for years , and I have yet to meet a girl ( TS or otherwise)to not hold safety as their first priority.I have heard horror stories , but never encountered them .
In my visits to escorts , I have completely given up anal ( although I still fantasise about it) and I never ask the escort to come .I just get into oral and stroking and that does me fine.
In the old days , the escorts I know were always super safe .

Prostitutes are NOT vectors for HIV and never have been

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Originally Posted by Ts RedVeX

So roughly, with 63M people living in the UK, out of which about 100k have HIV, the probability of getting it during a single unprotected session of receptive anal intercourse with a random person here is 1/630*0.0138 so 0.0022% (1 in 45k LOL) sounds like u need to be quite lucky to get infected overall. I am just curious how they came up with that 0.0138 figure...

Going further, if I work 7days a week, have on average 3 customers per day and they will all fuck me bareback, I will need 42 years till I am very likely to be have gotten infected... I will have naturally ceased to be by then

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Good question. I’m taking the 0.0138 (found in http://www.cdc.gov/hiv/policies/law/risk.html ) to be the probability of acquiring an HIV infection through a single, unprotected, anal receptive “copulation” with an HIV-infected person; i.e. one unprotected anal receptive “exposure”. It tells us nothing about how many people in the UK actually carry the HIV virus. If nobody in the UK were infected, then the probability of acquiring HIV from one unprotected, anal receptive encounter with a person in the UK is (0/63M)(0.0138 ) = 0. If everybody in the UK were infected the probability of transmission (via one unprotected anal receptive encounter) would be (63M/63M)(0.0138 ) = 0.0138 ->1.38%. The point is: to get the number you seem to want (the probability of transmission through one anal receptive encounter with person in the UK, you need to multiply 0.0138 by the number of HIV infected persons in the UK (a number I don't know off-hand) divided by the population which you say is roughly 63M. This will be larger than the 0.0022% you came up with (unless there's only one infected person in the whole UK).

Clever , Trish - love your maths xx

I do not understand myself or humanity in that we use ignorance as a shield to our conscience by having sex with people we dont know their sexual health history. If we know that someone has an STD we avoid that person sexually even with a condom but if we dont then we use a condom or not. And if the condom comes off during sex the panic that ensues is almost comical. It seems wise to fear STDs before casual sex than to fear after the fact, but then I am not a very wise person at all. :dead-1:

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Originally Posted by bobtrucker1

True, but I'm mainly concerned about HIV as it's pretty much a death sentence right.

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It's not a death sentence.

Doctors are projecting HIV poz people to live well into their 70s and 80s now. The meds are so effective these days that HIV poz don't even carry the virus in their blood or semen. That's if they take their meds daily.

That's why it's important to get tested regularly because infected people with high viral loads that don't know their status are the most dangerous to other partners.

Continuing with Post #21. According to ( http://www.nat.org.uk/HIV-Facts/Stat...HIV-in-UK.aspx ) 98400 people in the UK were infected with the HIV virus in 2012. Of course the distribution of these infections may not be uniform, but for purposes of argument let’s suppose that the chance that the person you pick up and bonk tonight has HIV is 98400/63M = 0.00156 -> 0.156 %. Now let’s suppose by “bonk” we mean “unprotected anal receptive intercourse.” Then the probability of acquiring HIV through one bonk is (0.00156)(0.0138 ) = 0.0000215 -> 0.00225% . Seems, RedVex, that you got the right answer, but left out the 98400 when you explained your procedure.

So the probability of walking away from one random bonking without acquiring HIV is 1-0.0000215 = 0.9999785. The probability of walking away from two random bonkings without acquiring HIV is (0.9999785)(0.999785) = 0.9999569 . The probability of walking away from N random bonkings without acquiring HIV is (0.9999785) to the Nth power.

Let’s figure, as you do in your post, that someone is bonked by three random people daily. That 7665 bonks per year. (0.9999785) to the 7665 power is 0.848 . So the probability of acquiring HIV by year’s end is 1-0.848 = .152 -> 15.2%. At this rate of bonking, one will have been bonked 76650 times by decade’s end. (0.9999785) to the 76650th power is 0.192. The probability of acquiring HIV by decades end is therefore 1-0.192 = 0.808 -> 80.8%.

We might be able to argue the odds are better than depicted here, by assuming the 78% of those in the UK who know they carry the virus are on PrEPs that significantly lower the amount of virus in their fluids. (See bulldogtuck’s post above).

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Originally Posted by trish

Continuing with Post #21. According to ( http://www.nat.org.uk/HIV-Facts/Stat...HIV-in-UK.aspx ) 98400 people in the UK were infected with the HIV virus in 2012. Of course the distribution of these infections may not be uniform, but for purposes of argument let’s suppose that the chance that the person you pick up and bonk tonight has HIV is 98400/63M = 0.00156 -> 0.156 %. Now let’s suppose by “bonk” we mean “unprotected anal receptive intercourse.” Then the probability of acquiring HIV through one bonk is (0.00156)(0.0138 ) = 0.0000215 -> 0.00225% . Seems, RedVex, that you got the right answer, but left out the 98400 when you explained your procedure.

So the probability of walking away from one random bonking without acquiring HIV is 1-0.0000215 = 0.9999785. The probability of walking away from two random bonkings without acquiring HIV is (0.9999785)(0.999785) = 0.9999569 . The probability of walking away from N random bonkings without acquiring HIV is (0.9999785) to the Nth power.

Let’s figure, as you do in your post, that someone is bonked by three random people daily. That 7665 bonks per year. (0.9999785) to the 7665 power is 0.848 . So the probability of acquiring HIV by year’s end is 1-0.848 = .152 -> 15.2%. At this rate of bonking, one will have been bonked 76650 times by decade’s end. (0.9999785) to the 76650th power is 0.192. The probability of acquiring HIV by decades end is therefore 1-0.192 = 0.808 -> 80.8%.

We might be able to argue the odds are better than depicted here, by assuming the 78% of those in the UK who know they carry the virus are on PrEPs that significantly lower the amount of virus in their fluids. (See bulldogtuck’s post above).

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Nice maths. So having protected sex once or twice with one partner carrying the disease is extremely minimal? And that's presuming they do have the virus which they may not.

I was never going to practice unsafe sex, but I was still concerned with the chances even with the condom as a factor into its prevention

Bobtrucker , for whatever it's worth , I have felt alot better in myself since giving up anal sex. In the past I never practised unsafe sex and I really enjoyed anal , but something was amiss.I also feel now I'm getting older , and I may not be as attractive as I once was , I'm also being considerate to the escort in question.What's the point in making someone do something , just because you've paid them.So these days , it's all very safe .And I seek escorts that are highly intelligent and very sensual .

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Originally Posted by bobtrucker1

Nice maths. So having protected sex once or twice with one partner carrying the disease is extremely minimal? And that's presuming they do have the virus which they may not.

I was never going to practice unsafe sex, but I was still concerned with the chances even with the condom as a factor into its prevention

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The probability of transmission by bonking once with a HIV-infected person is 0.0138.
The probability of no transmission through a single bonk with an HIV-infected person is 1-0.0138 = 0.9862. The probability of no transmission after two bonks with an HIV-infected person is (0.9862) squared; i.e. 0.9726.

The probability of acquiring HIV by bonking once with a random person in the UK is 0.0000215. (I just noticed this got mistranscribed in my post above to 22.5%...of course it's really 21.5%).
The probability of not acquiring HIV through a single bonk with a random person is 1-0.0000215 = 0.9999785. No HIV after two bonks is (0.9862) squared; i.e. 0.9999569.

So if you made one mistake, chances are you're okay. But for your own sake and the sake of the people with whom you have sex, get checked (and tell the doctor when you thought you may have exposed yourself to make sure the proper time window has elasped).

addendum: .0000215 is of course 0.00215%

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Originally Posted by trish

addendum: .0000215 is of course 0.00215%

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Ah ok, thanks for the info. So Protected anal (both insertive and receptive) therefore has an extremely low chance of transmission then? I have no plan on 'bonking' haha

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Originally Posted by bobtrucker1

Ah ok, thanks for the info. So Protected anal (both insertive and receptive) therefore has an extremely low chance of transmission then? I have no plan on 'bonking' haha

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PrEP alone or Condoms alone have in the neighborhood of 92% effectness (some would say higher and others would say lower). That means each affords a protection that lowers the unprotected rate of transmission by 92%. The probability of transmission via one anal receptive encounter with an HIV infected person is (as we said before) 0.0138 . Notice that the number 0.0011 is 92% lower than 0.0138. So, if you are anally penetrated on once occassion by an HIV infected person wearing a condom, the probability that you acquired HIV is 0.11%. Whether that's high or low is up to you to decide, but its certainly a lot better than the 1.38% chance without protection.

Now suppose you have protected (with a condom) anal receptive sex with a random person from the UK. Then the probability of acquiring HIV is (98400/63M)(0.0011) = 0.00000172 -> 0.00017%. That’s pretty good, even in the long run.

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Originally Posted by trish

Let’s figure, as you do in your post, that someone is bonked by three random people daily. That 7665 bonks per year.

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One of my hidden assumptions was that only planet Earth was taken into consideration.

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Originally Posted by Ts RedVeX

One of my hidden assumptions was that only planet Earth was taken into consideration.

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Why would you hide an assumption like that? This changes everything!

That's why I decided to unveal it.

Use condoms and you should be fine. If you do see any sores, then politely decline. Its not different then having sex with anyone you don't know. Now a lot of medical professionals will say escorts are much safer than women you would regularly meet because many do test and are informed about their health.

So relax and try if it has peek your interest and go with someone reputable so you know what you are getting.

Most importantly, when you are sexually active, be open an honest with your medical care provider and if you feel that you cannot be open with them, then find someone who you can. Be vigilante and be active in your testing, even if your risk is low. An informed medical provider will tell what you need to test for, because depending on what you are doing sexually, you don't need to worry about everything.

Don't risk it. Most of the escorts have some sort of disease. Don't take their word for it, most of them lie just to make some money. Have you been vaccinated from hpv or hepatitis a or hepatitis b?

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Originally Posted by LittleGuy

Don't risk it. Most of the escorts have some sort of disease. Don't take their word for it, most of them lie just to make some money. Have you been vaccinated from hpv or hepatitis a or hepatitis b?

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Sorry, risk what? I wasn't planning on not using protection.

I'm honestly not sure obviously had all the baby ones and one recently within the last 3-5 years.

Also, I believe there are now antigen tests that can detect HIV in a couple of weeks.

Little guy, on what evidence and facts do you base your statement 'that most girls are diseased'?I'm always interested in how people come up with such information .How do they know - or it just speculation?
I think one has to be very careful not to make sweeping generalisations .

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Originally Posted by tarot

Little guy, on what evidence and facts do you base your statement 'that most girls are diseased'?I'm always interested in how people come up with such information .How do they know - or it just speculation?
I think one has to be very careful not to make sweeping generalisations .

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Because their job is to have sex with strangers every day... Of course they're going to be diseased. You're pretty naive if you're going into encounters thinking that they're completely healthy.

Also think about some of the types of people who visit escorts. I'm not saying everyone here are unclean or whatever, but naturally with such a high number of sexual partners; they're going to be sleeping with guys who aren't cautious about safe sex practices.

+ (and this is really a generlisation however) thai girls are renowned for not having the same approach to safe sex as we are here. I suspect partly due to social reasons (apparently it is seen as un-manly to use condoms there); and educational reasons (unaware of some of the dangers of having unprotected sex).

Just like if you're a racing driver - you drive cars more so are more likely to have a crash than the average person; if you work in the sex industry you will be having more sex and so are more likely to get diseases than the average person.