I agree with @rvwnsd with one minor caveat, I'd say talk to a (vs. your) doctor - one who you can feel comfortable being open about your situation, this may require finding a new/different doctor. I don't think the escorting detail is important to share, especially since that's illegal, only that you are sexually active with other men (MSM). The science and options for HIV and STIs has changed a lot in just a few years and you could get bad advice/reaction from someone who is not up-to-date or disapproves of your choices. If you live in/near a major city, I'd seek out a doctor who caters to gay men's health. Many of us who lived through the terror of the AIDS crisis live with some amount of PTSD as a result esp. when it comes to sex, which is so sad really. Personally, I'd recommend anyone sexually active get on Prep...whether you consider yourself "safe" or not. There is mounting evidence that it may also prevent Hep B. Best of luck.....