c1T -
The rate of AIDS among prostitutes in Thailand is really high. H needs to get an AIDS test 3 months after his trip, and again a few months later. I wouldn't dream of sleeping with a man who had been with a prostitute in Thailand.

Let me tell you a truly sad story. I once had a patient (I'm in family medicine) a handsome nice young straight man in his 30s who came to my office with oral thrush. He was married, successful, and he and his wife were raising the young children of his brother and SIL who had died in an accident. A beautiful family.

Although he denied risk factors for AIDS, we ran a test - and it was positive. Turns out, he had slept with a prostitute in Thailand while there on a business trip. This was in the 80's, before there were antiviral drugs for AIDS, and I had to give this guy the bad news - that he was probably going to die, that he had put his beloved wife at risk, that those children were probably going to lose him too. One of the saddest conversations I ever had with a patient in my entire life. It still haunts me.

Ellie