My advice is to stick with places that screen and test their chicas regularly... and keep records as well.
I've only been to SPAV in Juan Dolio, and after my first trip there, I don't see any need to explore further. Neither do any of the old timers/regulars (who have explored other places) that I've met there.
At SPAV safe sex is mandatory. The only bedroom activity (or chickie-chickie) where a condom is not required is a HJ. The chicas that work there also live there and are not allowed off the property unless they are accompanying a guest, or when they go on vacation (usually when their Auntie Flo shows up). When they come back they are screened and tested before they are allowed to work.
This place is NOT a 5 star party resort like you'd find in Punta Cana, Sosua, or any of the tourist trap cities. But is it clean, comfortable, and inviting. The owners will will do everything in their power to make sure you have a great time. There are also plenty of activities to partake in with your chicas in the area... from ATV riding, golfing, shopping, tours of Santo Domingo, day cruises to one of the islands, etc.
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