In preparing to reply, I reviewed your previous question a few months ago, and Dr. Hook's reply. I'm happy to confirm that this new exposure was also very low risk. First, escorts -- expensive female sex workers by appointment -- are generally considered low risk partners, regardless of how many clients they have. Most are health conscious, are tested frequently, and have safe sex with most or all clients (as you experienced). Also, their clients tend to be low risk for STIs -- men like you!

That said, there may have been small risk -- more from the unprotected oral exposure than from the body rubbing or genital-genital contact (without penetration). I would not advise any testing at all in the absence of symptoms (discharge from the penis, painful urination, or penile blisters or sores). However, if you would like the reassurance of negative test results, I would suggest only a urine gonorrhea test (which also will include chlamydia, although you were not at risk for it). That test is valid any time more than 3-4 days after exposures, so you could do that now. For additional reassurance, you could have blood tests for HIV and syphilis in a few weeks, although the chance of either of these is zero for HIV and nearly zero for syphilis. In theory, you could be at risk for herpes (HSV1 from the oral exposure, HSV2 from genital-genital contact). However, in absence of symptoms, the HSV blood tests are not always reliable. If somehow I were in your situation, I wouldn't be tested for anything at all.

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

HHH, MD