Hello.
I made a very stupid mistake and had sex with a transsexual sex worker. A big issue I have is that I am married and I'm terrified of giving something to my wife, as well as obviously worried about getting 'for life' infections such as herpes and HIV. I am still in touch with the SW, and she says that she has tests for STDs every 2 months, with the most recent a month before we met. She says she is clean.
Firstly there was lots of kissing, some mutual masturbation, some anal sex and oral sex. The anal sex was only given by me to her, it lasted about 10 minutes and I used a condom that did not break. We also rubbed our penises together in mutual masturbation with no condom and ejaculated on each other (away from the genital area and mouth) The oral sex, however, was performed on her and on on me with no condom... hence this is the part I am most worried about. I have been obsessively checking under my foreskin every day for the last 3 weeks and attempting to masturbate normally (once or twice a day). For most of the time since, the glans has looked pretty normal but I have had what I can only describe as a 'weird' feeling in the penis, sort of like an ache, which has shown itself on and off since that night. Now, in the last day or so I have noticed a red, blotchy pattern appear on the glans under the foreskin. There is no discharge, pain, itchiness or swelling... just this blotchiness (which seems to come and go - as I type this it can't really be seen) and the 'weird' feeling. My sex drive is also well down and morning/involuntary erections don't seem to come so often.
A bit of medical background. I was recently taking antibiotics for a chest infection, and that stopped around a week ago. I am generally in good health, but I was feeling run down for a while with the chest infection and have probably been drinking too much in the last month or two. I am also uncircumcised.
The final twist is that I live in another Asian country in a city where there are no English-speaking doctors and where sexual diseases are not well understood or talked about. I am pretty sure I can have the tests and stuff but the fact I can't talk about it with a knowledgeable doctor in my own language makes things even scarier.
I have managed to hold off sex with my wife for a few weeks by giving an excuse, but it won't wash forever. I am freaking out and would really like some advice. I'm not sure even what advice, but just needed to talk to somebody. I feel so stupid and guilty right now, and I'm finding it difficult to focus on work or anything else. I know a definitive HIV test can't be done for a few months, but can I test reliably for other things? Thanks for listening.