I received unprotected oral at a massage parlour 2 days before having unprotected oral mutual and vaginal sex with regular partner . Within a few hours my penis started to burn. 3 days after this I noticed a small bump on my lip and slight peeling of skin on hand between fingers both disappeared after couple of days. 9 days after the exposure I had a urine test for chlamydia/ghonnorea and blood for HIV and Syphilis. All negative although I did urinate an hour before test. Does this affect results? Penis is still painful although not all the time. Just wondering what my risks are as I do shave and may have had a cut on scrotum which was licked. I also have a white tongue with some white patches on back of throat near tonsils. My main fear is passing it to partner as she is now complaining about painful arthritis like symptoms in fingers 2 weeks post sex and also my symptoms which have not got any better . I also have slight rash on my arms. Prior to this the only other exposure I have had again is unprotected oral receiving on two occasions within the last 6 months. in the UK they advise 14days min from last exposure. Would you be able to asses my risks and partners and also any explanation for symptoms and further testing required. I have no discharge that I can see. Many thanks 

Your partners symptoms in the way, suggest any STI or HIV.

I would not worry about STI‘s from the exposure you report. If your symptoms are troublesome, I would suggest discussing them with your regular doctor. I see no reason for testing for HIV or for further testing for gonorrhea or chlamydia. I hope this assessment is helpful. EWH.

Also the burning 2 days post exposure is this too soon for all STI’s as the burning is pretty intense and came out of the blue and I still have 16 days from when it started. could there be any other reason for such burning without discharge my two previous exposures ?  Is STI burning continuous or can it come and go ? UTI test was clear. I have since visited my personal GP who has run another urine test and visually confirmed coated tongue and white patches on throat awaiting results this was 17 days post exposure and I held urine for just over 2 hours. The coated tongue and throat could this be thrush? I know a lot of my symptoms are anxiety led so omitted them but the burning and throat symptoms along with my partners painful fingers are the ones troubling me most . Value your time and work on this subject . 

Further, two days following exposure is on the very early site for the onset of symptoms due to a recently acquired STI.  To have burning due to an STI without other signs of information, such as a penile, discharge or white blood cells seen in your urine specimen, which you state you do not have ( with your clear test for a UTI) would be most unusual.

Discoloration of the tongue are quite common, and if you have had thrush, your position would have made the diagnosis and started treatment.

I am confident that you repeat test for gonorrhea and chlamydia will, once again, be negative. Having seen your own private physician is a good idea. I would continue to work with him or her to determine the cause of your symptoms, which are almost, certainly not due to an STI. EWH. 

Your hypothetical question betrays that you are not thinking clearly about this.  The odds of you becoming infected and two days later transmitting the infection to your wife on a single sexual encounter two days later is virtually zero.

The burning associated with urethral STIs is typically continuous and does not come and go.

As I said before, I really see no reason for further testing.

Please put your unwarranted fears aside and move forward without concern.  EWH