Scared and Need Advice

[Rock12206]

Doc - pls help, I am very nervous.
I have been married 15 years and never strayed.  

This wk in Las Vegas, I had a prostitute in my room.  We kissed a bit, including french kissing a few times - nothing extensive.
She performed oral sex on me with a condom on.  I then got on her and had about two minutes of vaginal sex with a condom - it did not break.

I laid on my back and she removed the condom w a wash cloth, holding the bottom of the condom as she drew it off.

I put on underwear and saw her out.  I then went to the bathroom and washed off my pubic hair and penis, hands with  soap and then rinsed off.

I went to sleep and woke up about an hour later and rinsed my mouth out with water and gargled, realizing that I had kissed her and that that might not be good.

I also put my finger in my nose to pick at it, but I doubt there was vaginal fluid on it.  I did notice some blood when I picked.

Doc, I am full of anxiety.  I am now home with my wife & kids and want to put this behind me.  I want to be back to my life and let this go.  And that, of course, includes having sex at some point with my wife.  I am concerned about whether I've contracted HIV and thus need to wait 6 weeks for a test - how will I ever explain 6 weeks with no sex!  Or for that matter, contracted another STD.  I have heard that vegas hookers have high rates of STD/HIV - so I am real nervous!

1) Please comment on the above.
2) what are the chances of STDs
3) what are that chances of HIV
4) is the nose pick something to worry about, I think my hands were clean put not 100% positive
5) what is the risk of kissing her
6) should I be tested for STDs? For HIV?
8) should I worry of just forget the whole thing? I want to get back to my wife & not be afraid to have sex w her?
9) do I need to make excuses and wait 6 wks and get tested w/o sex with my wife?
10) do vegas hookers have higher rates of STD/HIV?

I am basket case and need your advice.  Please advise.

[Edward W Hook, MD]

At this point there is no need for you ti discuss/disclose this to your doctor.  time to put this behind you.  EWH

[Rock12206]

Thank you for being there  - what a valuable service - and thank you for setting my mind at ease.  I will never do this stupid thing again - not worth it.

At this point I will forget it and not make this known now or in the future to my doctor.  I don't want to perpetuate this at all.  Do you agree?

[Edward W Hook, MD]

Thanks for the clarification.  With the protected oral sex, your risks of getting anything from that are, for all practical purposes, zero.  EWH

[Rock12206]

Dr. Hook -

Thank you so much.  I'm sorry that my first post was unclear.  The oral sex was protected.  If you would kindly adjust your response accordingly, I'd deeply appreciate it.  Sorry to beat a dead horse, but I'm sure you know the anxiety and importance of this and a full response in light of this clarified info would be much much appreciated.

[Edward W Hook, MD]

You made an error in judgement and are now worried about it.  Hopefully, I can help to reduce your concerns.  Your risk of getting anything from your exposures is tiny and not worth worrying about.  Let's work through your questions:

1.  No evidence to say the Las Vegas commercial sex workers have high STD/HIV rates.  In fact, if anything, I would expect them to be low.  
2.  STD Chances, very low.  No risk from kissing, vaginal exposure was protected.  You received unprotected oral sex which could lead to gonorrhea or nongonococcal urethritis but that is really about it. You could go to your local STD clinic and be tested for these confidentially at this time and be able to have great confidence in the results.
3.  Only exposure is oral - thus your chance of HIV infection, if she was infected and it is very unlikely that she was, is less than 1 in 10,000
4.  Nose picking - no risk
5.  Kissing - no risk
6.  See above.  personally, if you do not have symptoms, I do not feel that you need testing. If you need to, to alleviate anxiety, see above.
8.  I would urge you to just forget the entire thing and not do this again.
9. See above.  No reason to abstain from my perspective
10.  No

Hope this helps.  EWH