The spread of sexually transmitted diseases is growing at an alarming rate through commercial sex workers. A survey carried out in one of the hotels considered as the highest population for commercial sex workers in Lagos, Nigeria reveals that 70% commercial sex workers were infected with different severities of diseases ranging from HIV, Hepatitis B, N. gonorrhea, Staphyloccocus aureus, Candida albicans, etc. 20% accounted for microscopically low pus cell count levels which could not yield significant growth after 48 hours of incubation in the laboratory. However, 10% indicated no record of any form of sexually transmitted diseases. In addition, 70% of the heavily infected cases of the study suggest that ¾ accepted treatment and counseling while ¼ refused to submit themselves for medical treatment and counseling as a result of fear of exposure to the law enforcement agencies. ¾ of the 20% lower cases accepted counseling while 2/5 declined. All the patients with no record of sexually transmitted diseases accepted counseling and do not have any intent in quitting prostitution. The study reveals that the contributory factor the prevalence and intensity  are  poverty (41%), unemployment (35%), Education (10%), Government enforcement (9.5%), refusal of male counterpart to apply contraceptive e.g. Condom (4.5%) are responsible for prevalence and intensity of sexually transmitted diseases among commercial sex workers. Finally, recommendations were made on how to address these causes for a lasting solution. 315 commercial sex workers participated in the study.

Key: Sexually Transmitted Diseases, infection, Health, Sex.