Healthy 27 year old , last Friday (about 5 days ago) I messed up really badly and got drunk and went to see an escort. She gave me unprotected oral for 1-2 minutes. Then we engaged in protected vaginal intercourse and STUPIDLY the last 1-2 minutes were unprotected vaginal. (I couldn’t finish with condom so she told me I could take it off). 1) she is sex worker so chances are she can have something and 2) she was African woman which I know means higher risk of HIV. I drank a lot of alcohol that same night and following night. Sunday (2 days after exposure) I woke up with a sore throat (hurts when I swallow.) this has persisted until now (Wednesday morning). I haven’t noticed anything on my penis. As soon as I left the woman’s house there was already another man waiting outside (makes me even more nervous because she has so much sex) so the sore throat has me really nervous. I have STD tests in 7 hours and honestly I know it’s high chance that I have something given how high risk this was…tonsils look fine, only thing I notice is the sore throat…this is probably oral gonorrhea ? It has been 5 days since I saw her so my tests later today should confirm if I have it or not right? I had sex with my partner earlier today and I feel terrible thinking that I might have spread something to her…

I would assume that I probably have Gonorrhea since it’s pretty easily passed on from what I read. 

——even if this sore throat is something else, when do gonorrhea symptoms usually show? Technically any of these days I can begin to see symptoms, right? It’s stressing me out so much I want to just begin antibiotics before I even get test results back 

The news is good:  you are at much lower risk of STD than you think. It is unlikely you have been infected at all. First, at any point in time, most female sex workers have no transmissible STD; and your symptoms are not typical of any STD, and your sore throat started too soon. That's not to say the risk is zero; of course not using a condom raised your risk, but not by as much as you might assume. Addressing your specific comments and questions:

Most sex workers are not infected, and HIV is especially uncommon in female sex workers in the US (regardless of African origin). And when HIV is present, the average risk from a single episode of unprotected vaginal sex is 1 in 2,500. Alcohol is not known to increase the risk of HIV or any STD (not counting its obvious effect on judgment, condom use, etc). Sore throat is NOT a common STD symptoms, and two days is much too soon for HIV; and the large majority of oral gonorrhea causes no symptoms at all. And you don't report performing oral sex on your partner, so you can't have oral gonorrhea anyway. Absence of penile discharge or painful urination after 5 days is good evidence you did not acquire gonorrhea.

I think those comments address your main questions. Presumably your gonorrhea/chlamydia test is on urine or perhaps a urethral swabs; you can expect negative results, which will be conclusive. Any blood tests -- such as HIV and syphilis -- are much too soon, so these also will be negative. You'll probably want to be tested again in a few weeks, but both HIV and syphilis are nearly zero risk from such an exposure.  You should not take any antibiotics until and unless your test results indicate a need. As for your partner's risk, the only infections you conceivably could have transmitted to her are gonorrhea or chlamydia:  syphilis and HIV are not transmissible to partners for at least a week or two after exposure.

I hope these comments are helpful. Let me know if anything isn't clear. And I'll be happy to comment again when your test results are available. But stay mellow in the meantime -- probably all is OK!

My only other question is: the sore throat is my only real symptom right now and I know you said it is not common but I just wanted to follow up: 

Is it more common to see symptoms on the penis than it is for a sore throat?  I had a runny nose and sore throat about 36 hours after exposure and both the runny nose and sore throat feel better now but the nerves are killing me. How rare is it for someone to only get a sore throat a day or two after exposure of gonorrhea? Thanks for your time, Doctor. 

Your mouth and throat were not exposed to gonorrhea which therefore is not a possible cause of your sore throat. And as I said above, the large majority of oral gonorrhea causes no symptoms at all. If only the penis is exposed, that's the only possible site of symptoms. 

Let's hold off on any further discussion until you have your gon/chl test results. I remain confident they will be negative. In the meantime, do your best to separate your anxieties about a sexual decision you regret and the possible health consequences from it. They aren't the same!

That concludes this thread. I hope the discussion has been helpful.