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There's the classic "Turns out the blonde you were doing admitted having herpes but needed the extra cash you offered her for bareback... sorry."
Or the "I am flattered by the offer but you know I'm not into guys."
"Dude that hemorrhoid that u showed me on yer ass look alot more like warts or a pic I googled of anal herpes. Prep H is just going to make it worse. Get it checked asafp."