After discussing the benefits of the escort profession, it is obvious that the disadvantages of the escort profession are to be discussed as well, especially since their significance is not negligible at all.
Mental problems
In the field of sexual services, we have to face a great deal of mental problems and discomfort, which is certainly worth considering for those who want to take employment in the escort service industry.
Intrinsic disgust
Among the possible mental problems that can occur working in the escort industry the most prevalent is the internal conflict of the personality that is triggered by the escort’s oppressed disagreement to sex work. In some professions, this phenomenon may occur as well, but in the escort industry the phenomenon is much more typical and faster in its negative mental process. The answer to the plausible question what causes it can be given by examining the nature of the sex work and the client-escort relation. The nature of sex work presupposes a strong personality because the possible perverse forms of sex work requires such a stable and calm escort personality that does not involve psychologically in the sexual processes and looks at the sex act as an outsider. Escorts who cannot distance themselves from the dirty or perverted forms of sex work can easily get an intrinsic disgust from the sex work and then from themselves gradually and then the signs of disrupting personality will unmistakably appear in psychosomatic illnesses (stomach pain, headache, nausea, stress), to get rid of which it is possible only after giving up the profession. The hierarchical relationship between client and escort can also contribute to the emergence of psychological problems because humiliation or humiliating sexual acts are common elements of escort services such as COF, cumming on face. In terms of finishing sex service, it is a simple act, but it can be very humiliating for some escorts if a stranger ejaculates on the face, who she does not necessarily sympathize with, on the top of all. Of course, in the higher circles of the escort profession, this kind of danger can easily be eliminated because the escort has the right to say no to carrying out even favourite sexual acts, if she does not like the client.
Burn-out
The symptom of burnout is a very common psychological consequence of long-term work in the sex industry. There are several phases of burnout, which in all cases follow high work spirit and hard work, during which time the escort tries to meet a lot of expectations and does her best even though sex clients often cause unpleasant experiences, but for the time being gaining more profits is the most important. A lot of work and unavoidable negative experiences eventually lead to a frustration when the escort is unable to establish a balanced relationship between work and individual life. Her performance is decreasing as she tends to get tired and be fed up with problematic guests, while simultaneously her self-esteem is reducing, but the amount of work remains the same, she does not slow down. In the next phase, the phase of apathy, the escort treats clients as almost enemies, trying to communicate with them as little as possible, and her sexual service gradually becomes a routine, concentrating only on the technical part of the service, after which she tries to get rid of the client as soon as possible. At this point, psychosomatic reactions appear, as well as chronic fatigue, sleep disorders will be the everyday condition of the burning escort. Burn-out is present in all areas of work, but it is even more typical in the escort industry for the reasons already mentioned in the previous point. The burnt-out escort is the worst possible sex service provider, as being bored, impassionate, scrappy, non-communicative, the nightmare of sex clients longing for sexual experience and it's not uncommon that the burnt-out escort is on drugs or tranquilizers to be able to bear her life.
Addictions
As a consequence of the above discussed, escorts with mental problems are prone to turn to drugs, tranquilizers or alcohol to seek consolation, which has the direct consequence of addiction and mental degradation. Understandably, mental and physical degradation negatively affects the quality of sex service delivery, which will also be strongly felt on the sex client supply as well. Instead of well-known and well-paying guests, modest sex clients will come up with lesser expectations and less predictable behaviour. Drug-addicted or alcoholic escorts are more likely to be exposed to violence because their state of mind has changed due to drugs, so they become more likely to be victims of violent acts, because some guests may think that a drugged prostitute's debatable quality service is not worth the money they agreed on.
Drug addiction can also affect quality escorts or luxury escorts, whose lively social life often includes consuming quality drugs, which is a status symbol as well therefore it is difficult to avoid them.
Physical wear and tear
Physical wear and tear affects those parts of the escort’s body that are most exposed to the typical rubbing and suction effect of sexual activity. These are the little and the big labia of the vagina that tend to get frazzled due to the high number of intercourse. The anus can see even more damage caused by forced penetrations even though it has been carefully prepared by lubrication because the ring muscle can easily dilate if it is exposed to frequent penetration. This applies to the upper ring muscle, the throat muscles, which can be easily damaged by frequent deep throat, eventually leading to serious gastroenterological problems over the longer term. In addition, nipples may also be worn out by too much mouth-suction, which can result in overstretching of the boobs, which can be observed in mothers with multiple children, although it depends on the genes.
Venereal diseases
Perhaps the most well-known and most serious risk of the escort trade is the sexually transmitted diseases. Genitalia are the perfect place for the spreading and transmitting bacteria, viruses and fungi, which is why escort service providers usually require condom protection from the client, but unfortunately, money hunger, stupidity and guest’s selfishness often force unprotected sexual services to be performed. This fact is already backed up by the possible types of sexual services because there are offers without protection in ejaculatory modes (CIM, CIV, etc.) Sexual diseases can be transmitted not only through sexual contact therefore it is worth paying attention to some important details when meeting a sex client or an escort. In this subsection, the most commonly occurring sexually transmitted diseases will be discussed according to what pathogen causes the disease.
Sexually transmitted viruses
Sexually transmitted viruses include the most lethal sexually transmitted disease, such as HIV or the most dangerous Hepatitis variants, but there are less dangerous but rather unpleasant various herpes viruses as well.
HIV or AIDS
AIDS (Acquired Immune Deficiency Syndrome) is a 100% mortality symptom induced by HIV (Human Immunodeficiency Virus) virus, which was first identified in 1981 but had appeared much earlier. The virus destroys the cells of the immune system and the progressive degradation of the immune system promotes the appearance of other infections and tumours that a well-functioning immune system could successfully overcome. After infection, symptoms usually occur in years (five years on average) but in the meantime, the infected can transmit the virus. There is no drug for eradicating the virus, just limiting its reproduction and treating and maintaining the diseased immune system. The disease has five stages, and it is very important that it is symptom-free for many years or causes just some minor impermanent symptoms, and in its main phase, which may last from 3 to 8 years, the immune system seems to work well, but the virus continuously and unnoticeably multiplies, then suddenly the symptoms (diarrhoea, rash, fever, weight loss, thrush) appear. Then, the condition of the body drastically deteriorates and reaches the final stage of death in 2 years through various infections (pneumonia, skin fungal infections, and sarcoma). The virus can be transmitted by direct mucosal contact or by various body fluids, such as blood, semen, vaginal secretion, progenitor and breast milk. The infection may occur during intercourse, but also when any of the liquids mentioned above has got in contact with a mucous membrane or skin lesion.
Hepatitis, infectious hepatitis
There are different hepatitis viruses, but mainly Hepatitis B (HBV) and hepatitis C (HCV) are sexually transmitted. The course of the disease may vary greatly from one individual to another, from symptom-freeness to severe liver infection, leading to death in some cases. In most cases of hepatitis, chronic infection of the liver occurs, leading to liver cirrhosis and eventually liver cancer. Hepatitis B and C carry the high risk that some patients are virus-carriers throughout their lives without producing symptoms and thus infecting others, and therefore escorts are potential carriers of this infection. Hepatitis B and C virus is also dangerous because they can spread through body fluid contact, e.g. through towels in the bathroom where the guest’s and the escort’s towel may touch. But luckily, hepatitis B is the only sexually transmitted disease that can be avoided by vaccination, so it is worth for escort considering vaccination.
Genital herpes
This common viral infection is akin to the common lips herpes, with the difference that the symptoms appear in the vicinity of the genitals in the form of small, itchy, infectious genital vesicles. Occasionally, the patient may become feverish with swollen lymph nodes. Unfortunately, the virus is very stubborn and can continue living on despite medical treatment causing another disease with milder course in years, which is why it is very important for sex workers to avoid infection, but when the problem has already happened, complete and successful treatment is essential for both the escort and the client. In infected pregnant women, the herpes virus may spread to the new-born who may develop meningitis.
HPV
Human papilloma is a dreaded pathogenic virus family, but not because it directly causes painful symptoms, but because it can indirectly cause abnormal cell proliferation and the risk of cancer can be high at many points in the body, so not only for escorts but also for non-sex workers should pay close attention to the symptoms. Its appearance is mainly related to the core of the epithelial cells. Women are mainly exposed to the degenerative changes in the cervix due to the viral infection, but their presence on the genitals and the rectum also becomes apparent in cauliflower-like outbreaks, but may appear on other areas of the skin (e.g. hands). The most typical pathological changes are genital and non-genital warts, cervical cancer, inflammation with flu symptoms, and a benign, though extremely obnoxious, external condition called Condiloma. In the case of women, a systematic cancer screening test has been introduced due to increased risk.
Sexually transmitted bacteria
In addition to the viruses, bacteria can spread through sexual contact, causing many inconveniences to both the escort and the guest. Inconvenience is a good term because bacterial infections are not as fatal as some viruses such as HIV or Herpes.
Chlamydia
Chlamydia is a bacterial infection in the urethra with itchy feeling. It reacts to antibacterial treatment well, but if it is not treated, it can lead to infertility, so it is important for sex workers to pay close attention to their health.
Gonorrhoea
The symptoms of gonorrhoeal bacterial infection are distinctive: within 2-7 days of sexual activity, purulent discharge begins in the genital organs and pain accompanies urination (women may be symptomless, so escorts can easily pass the disease to their sex clients). Treatment with antibiotics can be effectively solved, but if it is left untreated because of the absence of symptoms, it can cause infertility or the disease may attack the joints and liver, which is a serious and difficult complication of the infection. Since it is a common bacterium passed through sexual contact, especially in the Far East, local escorts prefer to use antibiotics on a daily basis to prevent the infection, resulting in more and more bacteria strains resistant to antibiotics.
Syphilis
Although syphilis is an old, serious and painful, but indolent genital disorder, it caused a lot of problems in the past for sex workers and their clients, and somehow it has raised its head again, though fortunately it is not yet epidemic. The disease has four different types of syndrome. The first phase, like serious sexually transmitted diseases, is not a cause for concern because just an ulcer-like outgrowth is produced on the skin, which is painless, but in the next stage of the disease, rashes typically occur on the palm and foot, but the symptoms may be varied and very ugly. The third stage is the latent period when the patient is relatively symptom-free, which can be a major threat because it can take up to 30 years and the sex client does not notice that the sexual provider is struggling with some kind of ailment. In the last phase of the disease nervous and cardiac problems occur due to small, inflammatory gummas appearing in the liver and in the heart. Nowadays, the disease can be quickly and easily diagnosed and treated well before deformities, ulcers and other horror distortions appear.
Fungal and parasitic infections
In addition to the pathogenic bacteria and viruses that cause sexually transmitted diseases, there may be some fungal or even parasitic single-celled organism to cause venereal disease.
Trichomonas
This single-celled parasite primarily causes complaint (flux and itch) in the urinary tract and vagina. The pathogen is detected by means of a microscope and treated with special drugs.
Candida fungus
The yeast, the so-called Candida albicans, is the most common cause of sexually transmitted fungal infections among escorts and their sex clients. This infection, seeming innocuous at first, calls the attention with its rather unpleasant consequences: inflammation flux of the glans and vagina with itching, burning, stinging sensation in the organs. The disease can be treated with the so-called antimiotics (anti-fungal drugs) and prevented by following proper hygiene.
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