I didn't misread anything. Monkeyflower is exactly right when she says the risks are low with intact condoms, but "annual testing isn't a big deal and it just ensures that everything is okay". Anybody with 300 lifetime sex partners, of whom most are likely to be at high risk (I'm more concerned about the 2/3 he described as "semi-pros" and "normal girls" than the sex workers), is at high risk for STD. Condoms sometimes fail unknowingly and oral sex is low but not zero risk; even though Pelon's individual exposure events are mostly low risk, his cumulative risk probably is substantial. And of course condoms do not prevent all skin-to-skin contact that can transmit herpes, HPV, and syphilis.
HHH, MD
I think the Dr. may have misread this question.
Dr HHH
He said he used condoms for Vaginal Sex but sometimes not for Oral Sex, then why would you consider him to be in high risk?
I was thinking that if he is using condoms all the time, then getting tested once a year would be more than enough. I understand if there was an incidence where the condom broke that he should go get tested, but otherwise I think he would be pretty safe and would not need to be tested that often.
Are you asking if testing once a year is too little or too much? I also always use condoms except for oral, but because my sex life would probably be considered relatively high risk and I have herpes, I get tested for everything once a year. I guess I'd probably also get tested if I had a particularly risky encounter and something happened to the condom, but I think once a year is plenty otherwise. And while I never expect to contract anything with an intact condom, annual testing isn't a big deal and it just ensures that everything is okay :-)
Dr. HHH
He said he "always" uses condoms for sex except sometimes oral. You believe STD testing once a year is required if this is actually the case?
Your pattern of sexual partnerships indicates a high risk of STD/HIV exposure. However, there is no reason to suspect any particular exposure is riskier than the next, and the blood exposure you describe was not particularly risky. Given your overall sexual history, undoubtedly you have been exposed to similar or greater amounts of blood many times over the years, regardless of whether you knew it of not. To answer your specific questions:
1) Even if your partner had HIV, the chance you were infected with HIV probably was around 1 in 1000; it would be the same with or without the blood exposure.
2) Given your overall sexual behavior, in my opinion you should be tested once a year for gonorrhea and chlamydia. You also should consider being tested at least once for HSV-2, the cause of genital herpes. The odds are pretty good you are infected. There is no particular need for hepatitis C testing; that virus generally is not sexually transmitted, despite common beliefs to the contrary.
3) I cannot predict your odds of acquiring an STD; too much depends on where and how you choose your partners, what their risks are (multiple partners? drug use?). But in general, I rate your risk as high for most STDs (but not necessarily for HIV), even though you have been lucky so far.
4) I cannot estimate your precise HIV risk. Higher than for most heterosexual men, but probably not all that high overall. But I suggest you start using condoms consistently.
Good luck-- HHH, MD