Good Afternoon Doctor,
I was hoping I could get a bit of perspective from you before I decide to visit my local clinic about specific STD and HIV risk. As a quick background, I am a married, straight professional American in his mid-30s. I have visited several "escorts" and had casual hook-ups outside of marriage over the past 3 years, involving protected intercourse - the few times it was unprotected, I tested negative via my annual physical required for my job.
In the past few months, I have made several trips down to Tijuana, Mexico for what can best be described as "sex tourism". These have uniformly involved condoms (except for oral sex) with CSWs. Approximately 3.5 weeks ago, I had two "noteworthy" encounters - one was unprotected sex with a CSW that led to me ejaculating inside of her. The second was a protected sex episode with a woman who, unbeknownst to me, was starting her menustural period.
In this second encounter, I had protected vaginal sex and had oral sex performed on me - and I also "fingered" her quite extensively. Approximately 3 hours later, when arriving home, I noticed dried blood around the nail of my middle finger and the knuckle area of my index finger, and no cut or "hangnail". I washed the fingers thoroughly, applied some peroxide, and in a bit of paranoia, really pulled back the area next to my nail to see if there was a cut there. There was not, but this post-wash picking led to a infected fingernail (paronychia) on the side where I had been picking. Within 5 days, I saw a doctor, and was given a week of antibiotics that healed it.
Since late Saturday, I have had a rather persistent "pressure" headache somewhat behind my eyes. I had what I assume was an undercooked seafood meal on Friday, and my lower intestines still fell "bad". Is there anything particularly noteworthy about any of this you can give advice on?