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Do escorts really practice safe sex?
Jun 11, 2004

Dr. Bob

Most female escorts have protected intercourse, but give and receive unprotected oral sex. Oral sex is considered a low-risk exposure. However, wouldn't the cumulative effect of the many low-risk exposures be considered significant?

SC

Response from Dr. Frascino

Hello SC,

Statistically the answer to your question is no. Many low risk exposures do not add up to a significant exposure, they add up to many low risk exposures. It's like flipping a coin. Each time you flip there is a 50% chance you land on "heads" right? Now if you flip that coin and it lands on heads 25 times in a row, what's the chance the next flip is going to be heads again? It's still exactly 50% -- no matter how many heads or tails were flipped in a row before. The same principal applies to HIV transmission risk from various sexual practices. The per episode oral sex risk or unprotected anal sex risk or whatever risk always remains exactly the same. That means someone theoretically could contract HIV from their very first very low risk exposure! Just as someone could "win" the super-lotto by buying only one ticket or hit the mega-bucks jackpot at Las Vegas with their very first pull on a slot machine. The odds of winning or losing remain exactly the same with each chance you take.

So whether it's "heads" (blow jobs) or "tails" (anal sex), it's the per episode odds (and risks) that count.

So who is at greater risk of being HIV positive, the escort who consistently practices low risk and safer sex or the morbidly obese yahoo-dude in a baseball cap who leaves "the wife" home, goes to an NRA rally, gets drunk and has unprotected anal receptive sex with several strangers?

Hope that helps clarify things for you.

Dr. Bob



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