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We wish to share with journal readers a clinical case that challenged us clinically and highlighted a number of learning points for our community sexual and reproductive healthcare (cSRH) service.
A transgender male attended our integrated sexual health clinic with a presentation of blisters. He had had unprotected vaginal sexual intercourse 5 days previously, and had been paid for this episode of sex. He was in a long-term relationship with his female partner, and was considering going into casual sex work (CSW). Currently he was a full-time carer for his partner, while also trying to hold down a part-time cleaning job. His transgender friends had informed …
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