Once again, thank you for the work you do. I had two protected encounters with the same CSW who worked in a massage parlour. The encounters are spaced more than 10 days apart and this is probably the 5th or 6th day from the second encounter. I was in control of the condom in both encounters, and used the condom from beginning till the end of the acts. Condom was intact in both cases.

No symptoms from the first encounter. On the second day after the second encounter, I have some irritation on my penile opening as the skin around need appears darker than the rest. No observable discharge, lesion or pain during urination. Just some mild discomfort or aching that persist till today.

My question is: Does any of the urethral STI manifest in such a way? I understand the risks from protected sex is low but I understand that some studies have stated that condom  protection for Chlamydia range from 50 to 90 percent. 

I also had some frottage in the second encounter (with condom), which I think may have caused some abrasion around my penile tip. I also notice my penis sometimes get irritated after using a condom.

I already have unprotected sex with my wife. Is there any cause of concern and should I go for testing?

Thank you once again. 

The information you received ab out condoms providing only 50-90% protection from chlamydia are overly conservative, particularly the lower estimates.  This sounds like the sort of misinformation from the internet that we spend much of our time trying to correct.  

I do not think you need testing at this time.  At the same time, I want to acknowledge that some of our clients choose to test for the comfort a negative test provides.  If you choose to test, I anticipate that test will show that you were not infected.  

I hope this information is helpful.  If anything is unclear, please use your up to 2 follow-ups for clarification.  EWH

Thanks for the response. You are right that the symptoms I am  experiencing is somewhat stabiliszed and improving. In that case, I would not be going for any testing. From my understanding, that is something you would agree from a medical point of view?

I have a side question. In your years of experience, have you come across CSWs who manage to stay clean from the urethral STD (HIV, Gornhonea, Chlyamdia) despite years of sex work? And if so, are they common?

Thanks again.

Your question about CSWs is a great one.  To my knowledge, here in North America there are not good data regarding STI incidence/occurrence rates in this group.  There are data from Africa, particularly focused on HIV but also addressing other STIs to a more limited fashion.  There is however a widespread sense that there is a hierarchy in terms of the likelihood that a CSW will have  STIs, the sense being that mower priced CSWs who are working to support a drug habit and do not work in an organized fashion (i.e. through on-line or escort services) tend to have higher rates.  Here on the Forum, it is our sense that exposure to more "professional" CSWs tends to be rather low risk as there persons are more careful and pursue preventative practices better than others who may engage in drug-related (and lower cost) commercial sex work or more casual :hook ups"

I hope this perspective is helpful,  EWH

Thanks for the prompt reply and perspective.

I understand I have one last question. I am in South east Asia. And where I am sex work from massage parlour is illegal or unlicensed. But I would not say it is cheap as compared to CSW from the streets nor are they high end escorts. Would that change your assessment 

Once again, thanks for the invite have a great day.

This completes this thread.  Please don’t worry.  EWH