STD risk after partially unprotected encounter with sex worker

[hello_3344]

Hello,

I really hope someone can help me.

I made a bad mistake three days ago - I visited a prostitute for the first time in my life (in Krabi town, Thailand).

I would like to know what the risks are in terms of STDs.

I can tell you exactly what happened:

I was taken to a small brothel - the girls each had a very small room, with a mattress on the floor (a place I regret supporting). This is where everything happened.

I took a shower to get clean. Then she took a shower to get clean.
She gave me oral sex for about 1 minute (maximum - maybe less time) with no condom.
She then put the condom onto my penis.
I penetrated her for maybe three minutes in total. However, the penetration was very gentle.
I felt very uncomfortable with the situation, so I took my penis out of her and lost my erection.
She took off the old condom.
She put a new condom on my penis. (I cannot remember for sure, but she might have given me more oral sex with no condom for another 1 minute maximum just before this).
I penetrated her again, maybe for two more minutes.
Then I took my penis out of her again.
That was the end. I did not ejaculate.
I kissed her mouth several times while I was with her (lips and tongue). I did not give her any oral sex.
After that, I took a shower. I removed the condom and washed my penis thoroughly. There is a chance I would have touched my penis after removing the condom in the shower.

I am 100% sure that my penis did not make any direct contact with her vagina without a condom.

I did touch her vagina with my fingers - only on the outside. It is possible that I may have touched my penis after this without the condom on (if so, only for one second. Not for an extended amount of time. And I do not believe I touched the head of my penis at all, only the shaft if anything). However, I did not touch my penis while I still had any kind of wet bodily fluid on my fingers at this time. My hands would have been dry at the time (any vaginal fluid was already dry on my fingers). I only touched her vagina for a very short time.

This took place on 20/06/2012. Since then I've been very anxious, and urinating a lot. Also, as of 24/06/12 (4 days later) I have had a faint tingling / burning that seems to be inside the urinary passage near the tip of my penis. Is this a symptom, or just an effect of my own anxiety and extra attention on my genitals?

I should also say that on 23/06/2012 I had unprotected sex with my long term monogamous partner. I have previously experienced the tingling / burning on occasion after sex with her, and through solo masturbation. I don't think it's persisted for this long before though.

I hope that gives you all the information that you need.

Please can you tell me what my risks are?

Thank you for your help and for your time. I am sorry to have to ask you such a question.

I look forward to any replies.

Kind regards,

Mr. E.

P.S. I feel deep, deep regret for these actions. I know they are unbelievably stupid.

[hello_3344]

Hello again everyone. A quick update. A couple more questions.

I have still been feeling the tingling near the tip of my penis, although it has been less frequent and less noticeable. However, since 26/5 (5 days after potential exposure) I've also started to feel occasional itching just inside my anus. It is mild, but it does seem unusual.

Finally, on the night of 25/6 I started to get flu-like symptoms. Stiff / sore neck and back, aching body. Slightly sore throat. Pressure in sinuses. These symptoms have almost disappeared now, (sinuses still a little uncomfortable as well as throat - but mild now).

Strangely, my long-term partner also developed the flu-like symptoms (not so much the stiff / sore neck and back, but aching body mainly) on the same day. This was two days after I had unprotected sex with her, which was 2 days after my (low risk of exposure) encounter with the sex worker.

So, my questions:

1) Are my symptoms indicative of any std I could have been exposed to? (discomfort during urination, though that seems to have alleviated a lot and may be almost gone, slight itching of anus occasionally during the day, flu-like symptoms)?

2) Is there any suggestion that the shared flu-like symptoms that my partner and I experienced are related to a possible STD? I should mention that she also developed a mild rash all over her upper body (no bumps, just red marks) - a doctor here diagnosed her symptoms as measles, but made no enquiries about sexual health for his diagnosis. The rash has now gone (it developed on 30/6).

3) When is the best time to get tests for those STDs I may be at risk of? I think I may go to a clinic today for tests (11 days after exposure).

Thanks for your help!

[hello_3344]

Thank you Vance. I'll stop worrying and get on with my life as usual.

Guilt does not equal risk is a great expression. It's the guilt that's eating me alive, not any disease! (Not both I'll assume!). It's even stressed me out to the point of making me under  the weather, with mild weakness and aches and pains yesterday and a little today.

Tonight, at last, I should be able to get a reasonable sleep for the first time in a week - thanks to the answers on this thread.

Thank you Vance, thank you again Jessy. You can't imagine how helpful this has been!

[Vance2335]

No reason to look out for symptoms. Nothing is ever 100% but it is not something to worry about.

Overall no reason reason for testing unless you can't get over it. Guilt does not equal risk.

[hello_3344]

Dear Jessy,

I am truly thankful for your reply. I see you work in the medical profession so I do feel reassured by your professional opinion.

Sorry to be a pain, but is it a sure thing that I need not worry?

Should I still be on the lookout for any symptoms that might develop? (If so, what would they be?)

Also, is it ok to go back to regular unprotected sex with my monogamous long-term partner?

Can I just put this behind me and move on (without testing)?

Thank you for your hard work helping both me and other people through these challenging times.