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Unprotected oral STD risk

Dear Dr, I received about 4 days ago unprotected oral from a CSW. We had light protected vaginal sex...which only half the shaft was inserted and I was extremely careful not to allow any other skin to touch. I am paranoid about this encounter and do not want to infect my wife with any STD. Do you consider this a very low risk encounter, and how long should I abstain from sex with my wife? This was a regrettable decision and something that will never happen again. Also, I did masturbate and accidentally broke the skin on my penis, so I'm paranoid now that if I did develop a lesion I would not know the difference, although the minor abrasion does not hurt. From reading the online posts, I have gathered I should not worry about this transgression and move on, but I am really just needing reassurance. Are there any reasons I should be overly worried or paranoid? I am especially worried about the risk of Herpes. Obviously any STD would be bad, but I do know that HIV transmission by unprotected oral (I am the insertive partner) is virtually nil. Thank so much in advance for your kindness, consideration, and the service you provide.
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to the Forum.  I'll provide confirmation of the information you have already received from our community sites.  Your vaginal sex was both brief and condom protected and your receipt of oral sex was low risk. There is no known risk for HIV at all from this encounter.  As you have been told, most CSWs do not have STI as well and most exposures to infected partners do not lead to infection.  

Of the bacterial STIs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through oral sex; for all practical purposes, chlamydia is not and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise tiny.   If you had gotten gonorrhea or NGU you would have most likely developed symptoms of urethritis (penile infection).  Having gone four days without symptoms, your risk becomes lower with each passing day (most of these STIs would develop symptoms).  That your exposure was brief is also in your favor- while there are no formal studies of this issue, common sense tells us that the longer the exposure, the more likely transmission would be to occur.  ; I would urge you not to worry. If you think you would benefit from a negative test, you could go to your local STD clinic or health care provider to be tested at this time.  If you do this, I anticipate that the test will be negative.

Personally, I would not be worried at this time.  EWH
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Avatar universal
Additional information:

The CSW did not have any visible cold sores or bleeding of the mouth. I did not have any cuts or abrasions during the encounter, but the lighting was low and I did not inspect the interior of the mouth. The abrasion from masturbating occurred on me today. She did have some rashes/scars under the armpits and around the buttocks and thighs, and a couple on the labia that appeared they could very well be from mole or ingrown hair removal. She mentioned she had scarring from radiation treatment for uteran cancer, which was surprising since she was somewhat attractive. At no point was vaginal sex unprotected, the only unprotected encounter was my receiving felatio. Thank you.
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