I am male I received an unprotected blowjob

[futuredoc47]

  I want to move on with my life but...I received unprotected insertive fellatio almost 40 days ago.  I have not had any symptoms except for headache, and a fear that I could be sick.  I had diarrhea for one day about 35 days post exposure and I had it for one day about a week post exposure.  So only two days of diarrhea a month apart.  I know the HIV risk is very low but I am engaged and this is the first time I have ever cheated.  I want to be sure before I am with my fiancee again that I am clean.  I got tested at about 7 days post exposure for syph, gon,chlamyd herpes 1 and 2 and hiv all came back negative.  I am now worried that I could pass HPV to her.  She is a great girl and I love her and want to move past this mistake.  The woman I was with had no visible sores I noticed no blood in her mouth.  My questions are.  What steps do I need to take before I have sex with my fiancee again to be completely sure I am clean?  Can I get HPV from getting a blowjob?  Could the diarrhea and headache be HIV?  How good would an HIV test be at 6 weeks?  If she gave me a ** and her mouth only touched half of my penis if I have a condom on could I really pass HPV to my fiancee?

[Edward W Hook, MD]

Having reviewed my earlier answer, it appears that you want me to repeat myself so I will - once.

No I have not seen gential warts transmitted through oral sex.  In your situation I would consider the HIV test definitive and I see no reason for additional syphilis testing.  You are worrying too much.  No further repetitive questions please; they will be deleted without response. EWH

[futuredoc47]

Have you ever seen a case of genital warts transmitted through oral sex?  I have a dark spot at the tip of my urethra and began to worry.  I had an HIV test at 6 weeks 3 days which was negative.  Should I now be tested for Syphilis.  Is the HIV test definitive?  I have a great deal of anxiety because I have only had intercourse with my fiancee.  

[Edward W Hook, MD]

If you are looking for encouragement to move on with your life, you have it from me.  The exposure that you describe was very, very low risk.  when you add that to the negative tests you have already had, you really have nothing to worry about.  Here are a few related comments:

1.  Of the bacterial STDs the only ones passed on by oral sex with any meaningful frequency are gonorrhea and NGU. You have been tested for them and do not have them.
2.  If you were going to get herpes, you would have had an outbreak by now.  
3.  HPV is not transmitted through oral sex.  Further, since about 85% of all adults have HPV, even if you were to find out you had it, you would really have no idea of where it came from   You and or your GF, as well as your casual partner most likely already have it.
4.  HIV is a  non-issue. We quote the odds of getting HIV from oral sex as being less than 1 in 10,0000.  We also however acknowledge that his is a conservative estimate. Some experts think there is no risk at all  from oral sex.

In my opinion, you are fine and can resume sex with your GF.  You do not need further testing.  Hope this helps.  EWH