2. Then I washed my hands before and after fingering her. I fingered her deeply for 15 minutes. With fingering what are the chances. I don't see any wounds on my finger. The we cuddled and kissed, no french kissing, just kissed her neck. There is no anal or vaginal sex involved. Fingering and blow job with a condoms on.  


3. I am under immune suppression for kidney transplant. So is it okay to use doxycycline 200 mg within 72hrs o prevent any STD. What are the chances of catching HIV/STD 

4 What kind of blood test and urine test that  I need to take. 

5.  am having headache and server heart beat. Is this a side effect of this one ?

Also what are the chances of other STD

First, being immunosuppressed -- even with potent drugs, including the usual regimens following renal transplant -- has little if any effect on the risk of catching infections. You should discuss this with your transplant medicine team and/or an infectious diseases expert to be sure it applies in your case. But it is unlikely you are any more likely than anyone else to become infected if exposed to influenza, covid, STDs, HIV, or any other infection you can name. The infection risk with immunosuppression is twofold:  1) if you DO become infected, the symptoms can be worse and the chance of serious outcomes is higher. But catching infection in the first place isn't much of a problem. 2) You are more susceptible to infections that originate with your body's natural bacteria or viruses that many people carry. You've probably heard about things like CMV, a good example of a normally benign chronic infection that can turn serious with immunosuppression; or if you happen to have latent TB, it is more likely to dangerously reactivate. But you're not at elevated risk of catching either CMV or TB. Or STDs or HIV. 

Second, STD risks:  HIV and STD bacteria and viruses evolved to required particularly intensive or intimate exposure for transmission. With rare exceptions, that means intercourse -- i.e. a penis penetrating a partner's vagina or rectum (or mouth, but only rarely). Kissing, hand-genital contact, or fingering are risk free, even if genital fluids are used for lubrication. And as implied above, you at no increased risk for any of these on account of your immunosuppression.

Those comments are a good start on your specific questions, but to be explicit:

1) There is only very low risk even with entirely unprotected oral sex. With a condom, zero risk for practical purposes -- regardless of how the condom was applied.

2) These events were entirely risk free for HIV and other STDs. Of course common colds and various skin-to-skin infection are possible; given your immune status, it would be smart to be sure sex partners don't have colds or things like oral herpes. But no STD risk.

3) Doxycycline as post exposure prophylaxis (doxy-PEP) is highly effective in preventing syphilis and chlamydia, and reduces the risk of gonorrhea by about half. It should work fine regardless of immune suppressive treatment. However, doxy-PEP has no effect on the many other STDs or HIV, and it is not recommended except in especially high risk situations -- so far, advised only for men having high risk (unprotected anal) sex with other men. And certainly not in a zero risk situation like you have described. You don't need and shouldn't take it.

4) I recommend against any testing at all on account of the events described. You were not at risk for HIV or any STD.

5) Those are not symptoms of HIV or any STD. Most likely the are just the result of your worry/anxiety about your sexual choice.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

I am having non-stop sever headache. 

Is it possible to have some STD's. Would you recommend any test we can do to eliminate the possibilities of STD 

One more thing I forget to mention she licked my testicles ? But the condoms were on during that time when she give blow job. Again there is no intercourse involved.  It has been 10 days from the incident happened. 

Your symptoms do not fit with any STD and I have no suggestions for further testing. Something else is the cause -- and in any case, your symptoms do not sound at all serious. But if you remain concerned, you'll need to get medical care in person.