If the urethral burning is continuing and is as severe as you imply, or if you notice discharge, get examined professionally to make sure you don't have gonorrhea, chlmaydia, or nongonococcal urethritis (NGU), which could be a risk if the condom failed without your knowledge. If that symptom has subsided, however, it should be safe to wait until your scheduled appointment for STD/HIV testing. If you decide to have STD/HIV testing, be sure and tell your doctor about the exposure; most regular health work-ups don't include STD and often not HIV testing.
Thank you doctor for your quick and detailed response. I did not describe the burning part correctly. I meant that it felt as if the inside of my penis was on fire (urethra). Again, this could have just been my mind as I was totally freaked out about what I had done in the days that followed. I am not sure if my mind is telling something or not but I almost think I asked for anal sex as well, but I am almost 99.9% positive that act did not occur. Doctor, I believe I will not get tested if you feel that I do not need it. I have a complete physical coming up in 3 weeks (blood work and everything else) and I may just hold off until then before having any STD/HIV tests done. Do you feel that is okay to do? Thank you again. And I promise no more follow up questions as I know you are quite busy.
Welcome to the forum and thanks for your question -- and for reading the responses to other questions similar to yours.
In general, escorts (expensive female sex workers by appointment) are believed to have low rates of HIV, especially if they routinely have their clients wear condoms, as yours apparently does. That she is African American somewhat increases the odds she might have HIV, but not by much. Second, even without a condom, if a woman has HIV, the estimated average transmission risk for a single episode of vaginal sex has been calcuated to be around 1 in 2,000. Third, you used a condom. Fourth, your symptoms do not suggest a new HIV infection. (And any time someone suspects his or her own symptoms have a psychological origin, usually s/he is correct.)
I'm not sure what to make of the feeling that your penis felt "burnt", but that most suggests a chemical reaction or allergy, perhaps to the latex condom.
So all things considered, it's very unlikely you acquired HIV or any other STD, and from a medical or risk assessment standpoint, I see no need to be tested or to refrain from sex with your regular partner. However, most people with sufficient anxiety to come to this forum probably should be tested, for the additional reassuarnce from the negative test result. In that spirit, you probably should do it.
If you decide on HIV testing, you can do it accurately with a duo test (for HIV antibody plus p24 antigen) 4 weeks after the event, i.e. about a week from now. You could also have a urine test for gonorrhea and chlamydia. But the risk is sufficiently low that if I were in your situation, I would continue unprotected sex with my wife, without waiting for the test results and without fear of infecting her.
I hope this helps. Best wishes-- HHH, MD