Looking back at your two previous questions as well as this one, it is apparent you overestimate the risks of STIs in general and also to over-analyze the details of your sexual exposures, as well as symptoms and the need for testing. All things considered, this was a very low risk exposure despite the condom slippage. When the penis withdraws from a condom that remains in the vagina, protection is considered complete; and partial slippage on the penis also is common and protection is good as long as the head of the penis remains covered; your own description suggests you know this. Also, the large majority of CSWs do not have active, transmissible infections at any point in time (except HPV, discussed below).

As for your symptoms, they are not consistent with any STD. No STDs cause genital itching, "red spots" in the pubic area, or abdominal pain in males. I would have recommended against any need for testing. To your specific questions:

1) You should expect all your test panel results to be negative. 

2) As noted above, no STIs cause the symptoms you describe. I certainly have never seen such a patient.

3,4) Also discussed above. I would consider this event well protected if not quite perfect. You probably were at some risk of STIs transmitted by skin-to-skin contact, i.e. syphilis, herpes and HPV. The first two are exceedingly unlikely already, in absence of typical symptoms; and your likely negative blood tests will confirm you have neither one. HPV is universal in all sexually active people. Undoubtedly have been infected and may carry silent HPV. No single sexual exposure significantly raises the risk of HPV or of any potentially serious outcome from it (like warts or cancer).

You really shouldn't be worried at this point. I'll be happy to comment further if you'd like to report your test results, but let's hold off on further questions or discussion until then. In the meantime, I hope is reply is reassuring.

HHH, MD

03. I cannot judge the chance of warts from any single exposure. Probably under one chance in hundreds. For cancer, almost zero, since penile cancer from HPV is so rare.

04. In general, oral sex is a lot safer than genital intercourse for all STIs.

05. No STI causes the sort of rash you describe. I already told you that your test results are reliable and prove you do not have any of the infections you were tested for, with the very unlikely possibility of HSV2

Try to believe the reasoned, science based advice I have given. You have no STI from the events described.

You don't need to tell me about the stigma associated with STIs!

02. Trichomonas also is too unlikely to warrant testing, but at least the standard nucleic acid test works well.

03. That's exactly what I was referring to in my intial reply "When the penis withdraws from a condom that remains in the vagina, protection is considered complete."

04 and 06. Following vaginal sex, there is no such thing as truly zero risk for STI. Condoms are not perfect. I'm glad to see you understnad that you cannot have intercourse without taking at least a small risk of infection.

05. Yes, there is a difference between "biological effectiveness" and "use efectiveness". Biological means perfectly used condoms that don't break, close to 100% for some infections (e.g. gonorrhea, chlamydia, HIV) and ~90% for those transmitted skin to skin (e.g. HPV, HSV, syphilis). Use effectiveness is quite a bit lower and, as you suggest, takes human error and breakage into account. Couples who use condoms as their only contraceptives have about a 90% reduction in pregnancy rate, not 100% -- even though condoms have close to 100% biological effectiveness against pregnancy.

I'm glad you're recovering from RSV. But there was no need to wait for your STI test panel. RSV is not known to interfere with any of htose tests.

That completes two follow-up exchanges and so ends this thread. I hope the discussion has been helpful. Best wishes and stay safe.