Trans escorts are at risk, but he may hire Bio-Female escorts too,
in which case the following warning is of note.

Introduction
Client requested Anal B.B for next visit; stated he was free of STI's
and he could product certificates. He would take me on trust
"or you can bring along your certs too" 
He then broke down and said it was difficult to get close to people
or to get them to stay, when he told them something important.
He then broke down crying, and stated that he is HIV+

Location
Outcall, 01:00   01/01/2014.
High Wycombe Flat above shops opposite a Shell petrol station
& adjacent to another petrol station.
He moved in 4 to 6 weeks ago, from Cambridge.

Description
Italian man, Name of A................,
Phone number: 075321420**
From conversation age 42 years old (He gave me his exact DoB, for unknown reason)
Difficult to understand due to thick Italian accent. Medium build. Height 5' 8" 'ish.
He also crossdresses. He likes to do coke and crack when crossdressing combined
with seeing Trans-escorts. He was not crossdressing during my visit
and no evidence of drug paraphernalia on my visit.
Crossdressing names used: Brenda, Andrea, Mariana
Tattoo on right shoulder: An angel leaning over a boy


Event
Unpredictable behaviour: Jerky, moving from one part of your body
to another. Grabs head and forcefully tries to aggressively French kiss.
{Which I mainly swerved away from}
He requested Oral bothways, without condoms. I ignored this and used them throughout.
Lots and lots of precum.
He repeated request but then accepted O was going to be "covered-only".
After a while he rapidly moved his head down and without warning, bit my neck.
I immediately left for bathroom and checked: Fortunately skin not punctured.

I came back in and he started talking:
He requested "our next meeting to be special as we now trust each other".
He asked for us to meet again and to do Bareback anal sex.
{This put him on my vetoed for life list, so was not not an immediate issue}
I chatted to him and asked about the tattoo.
Tattoo symbolised all his friends in the late 1980's onwards who had died
from AIDS related illness and how his angel had protected him.
He talked about doing intravenous drugs in the ...1980's?
He said how difficult it was to get close to people.
He then broke down crying and said he is HIV+.

For what it's worth
I asked if he was on anti-retroviral drugs and he said he was.
I asked about his viral load and he said it was down to undetectable levels.
(But Coke & Crack accelerate immune system breakdown...)
Given that he said he was STI free with certs to back this up,
then a minute later he told me he is HIV+, 
the anti-retroviral drugs & undetectable level statements are meaningless.