Sahil Malhotra (Male Escort) - Penicillin IM injection for penis infection, after having unprotected commercial sex

Sahil Malhotra is a fair, handsome, confident and fit 25-year-old young man. He came to my clinic 2 days ago with an issue and he wanted to speak to a male doctor, but since Tarunn was not in the clinic, I assured him he can talk to me.

He revealed that he had an infection on his private part. I told him to go inside the examination room and open his jeans and briefs. Upon examination I saw a non-sore chancre on his penis foreskin. I got suspicious about syphilis infection, and asked him to get a blood test which he did and today he walked into the clinic  his blood test results. 

Upon seeing the blood test results it was clear that he had syphilis infection, as I had suspected.

I was concerned and took him into the examination chamber in my clinic, and asked him to sit on the chair, as I wanted to get some information from him.

Here is our discussion:

Me: Okay I see you have syphilis infection, I would like to know about your sex life

Sahil: Okay (very confidently)

Me: Are you married, please be honest, do not lie with the doctor

Sahil: Yes I am married

Me: Okay, then I will need to examine your wife as well, very high chances she is also infected.

Sahil, knew his lie has been caught.

Sahil: Hmm... I lied, I am not married.

Me: Okay, then I assume you having sex with multiple sexual partners?

Sahil: Yes, that is correct.

Me: Hmm, can I please ask why do you need multiple sex partners?

Sahil: Okay, madam (a bit reluctantly), I am a out-call male escort

Me: What do you mean by that?

Sahil explained that he is a upmarket sex escort, who satisfies rich, high-class middle-aged and mature women. Women who are not satisfied with their sex lives, as their husbands are no longer interested in them, or are busy with their business / work are his clients. He has a lot of clients and this keeps on increasing through word of mouth. He became a male escort 2 years ago, as he wanted a side hustle to make some extra money, as his business was not doing well. Also, since he lives a lavish life, he wanted money to buy luxury brand clothing, mobiles, bikes, cars etc. His close friend had introduced him to this world and he was since, able to make good money as an escort. This way he continued doing this and is no longer his side hustle but his main income stream. He said that he usually sleeps with 8 to 10 women per week.

He added that he provides full range of personal service i.e. vaginal sex, oral sex, anal sex, after steamy foreplays. Foreplays often start with passionate smooches, lying down with the client on the bed, to get a boner, giving massages to the client and other intimate things including BDSM.

The client usually book rooms in top hotels, for these experiences.

Me: So, does all this end up with sex always?

Sahil: Yes, foreplay ends with passionate sex, which might go on for hours.  Sometimes multiple rounds of sex, as the women want oral, vaginal and at times anal sex as well. No problem for me as they pay generously for such experiences.

Me: Okay, do you and your clients ensure you have protected sex?

Sahil: Hmm, as most of the women I meet, are around the age of 45 and more and menopausal, they request sex without protection, to get the maximum pleasure. As they do not see any risk of pregnancy after having unprotected sex.

Me: Okay, I got the point, you got a syphilis infection as you are having unprotected sex with multiple sexual partners. This would have also lead to them having this infection as well, if they get themselves checked by a doctor.

Sahil: Okay I see now. I want to get treated ASAP as I am not able to make any money due to this since the last week.

Me: You are worried about money but you still don't see the risk. You must understand, you should not be having unprotected sex anymore. You were lucky to have a primary infection this time, had it advanced, you could have had irreversible and worsened health issues.

Sahil was a bit concerned and asked. Will this get treated completely, madam?

Me: Yes, this can be easily managed, but you need to understand you cannot keep on doing unprotected sex.

Sahil: I promise you madam, I will ensure I use protection during intimacy with clients and will not give into their fantasies.

Me: Yes, that you will need to enforce. All good, I will have to give you an benzathine penicillin injection to treat this primary infection. You will only need 1 injection, IM, looking at your condition

Sahil: Okay, an injection?

Me: Yes, lie down on the examination table. I will give you the injection

He did as he was asked to do and with a bit of shyness, pulled down his jeans and briefs to expose his buttocks.

I prepped the injection and came near him, he was lying on the table with bare buttock. His buttocks were well shaped and fair with some hairs.

I sat on the chair and cleaned his buttock with cotton swab.

I then jabbed the needle into his buttock, he let sigh 'oh', I started to push the medicine he started agitating saying 'its burning'

Me: Stay still, its done, you are a young man, don't behave like a child !!

Injection was done, he did feel the discomfort due to the jab and sting of the medicine, but was fine in the end.

I took out the needle, cleaned the needle site and asked him to pull up his jeans. He pulled up his jeans and was visibly in some pain.

He thanked me, and before he left the clinic, I again reminded me of the importance of having protected sex, to which he agreed and then left the clinic with a smile.