How risky???

[Ultrarob79]

Big mistake. Last week, after 12 years of monogamy, I had sex with an escort, oral (she on me) and vaginal. I used a condom (she provided) and there were no slip or break issues at all. There was some contact with her saliva and my penis prior to putting the condom on but only a very small amount (she spit into her hand and then touched my penis). There were no visible lacerations on my penis although I had recently shaved my shaft near the base. I have no symptoms so far.

How much risk is there that I contacted an STD from this encounter? Should I be tested? When? Is it safe to have unprotected sex with my longtime partner?

Thanks for your help.

[Edward W Hook, MD]

Welcome to the Forum. As I understand it, both your oral and vaginal contact were condom protected. If so, there is no meaningful risk for STD and no need for testing.  Condoms are highly effective ifor STD prevention.  Further, contact with her saliva in the ways you describe do not put you at risk for STD of any sort.

I would not worry.

I hope my comments are helpful. EWH

[Ultrarob79]

Final question. Thanks for your patience and help. I now have started noticing a dull ache in my groin area but the irritation at the tip of my penis has lessened day by day. Still no sores, no painful urination, no discharge. But now I'm quite worried.

I never had unprotected contact with the csw in her vagina or mouth so I don't see how I could have anything. I contacted her and she had negative tests in January and has agreed to update me when she has new tests this week.

Could anxiety be causing these symptoms? Does the new achy feeling raise any red flags? I'm so tired of paying this much attention to my penis!

Thanks again for your help. This will be my last follow-up.

[Edward W Hook, MD]

If you and your partner are otherwise monogomous (other than the condom-protected encounter you mention above), I would not worry. EWH

[Ultrarob79]

A follow-up Doctor. I had vaginal sex with my longtime partner a couple of nights ago. The next day I noticed some irritation on the head of my penis (pink, slight burning feeling). This has happened before when we resume sex after a couple of weeks of abstainance. In this case we hadn't been together or 2-3 weeks. I still have no other STD symptoms that I know of and it's been over a week since my encounter with the escort. The irritation has me a little nervous though.

Should I be concerned? I keep telling myself that I was well protected with the escort and this type of irritation has happened before.  What are your thoughts?

Thanks.

[Edward W Hook, MD]

Glad to help.  EWH

[Ultrarob79]

Thanks for your reply. I appreciate the reassurance.