I am here because I made the mistake of engaging in sexual acts with 3 street sex workers during a 2 day period in Seattle, WA. It was my first time doing this and it was my first time cheating on my partner of 9 years. 2 days ago I hired a female street worker and received protected oral (~2 mins) and had protected sex (my penis in her vagina) with her (~6mins). Later on that same day I hired another street girl and she gave me protected oral (~8 mins). I was wearing a condom throughout both encounters from start to finish. Last night I got  drunk and went back to that street and picked up another girl. I had her perform unprotected oral on me and it lasted (~40-45 mins) because I was intoxicated and took me a long time to finish. I understand the gravity of the problem and will seek help to make sure this doesn’t happen again. For now, all I want to know is 1) what stds should I watch out for? 2) when should I get tested? 3) When can I continue to have unprotected sex with my partner? I love her and don’t want her to catch anything. I also don’t want her to suspect anything because I’m not ready to have this conversation yet. She is on a trip and will be back next Saturday the 21st.

Most commercial sex workers do not have STIs.  Among sex acts, receipt of oral sex is somewhat lower risk than vaginal sex.  Condom use for your vaginal sex makes those exposures close to no risk as long as the condom was worn throughout .  ( when condoms fail, they do not leak a little, they break wide ope.) Further most single exposures to an infected partner do not lead to infection.

There is no risk of HIV from receipt of oral sex and the major STI acquired from a receipt of oral sex is gonorrhea. When persons acquire gonorrhea over 90% of persons become symptomatic within 3 to 5 days following exposure.

Overall, I would consider these exposures relatively lower risk, but not no risk. If you wish to be 100% confident that you are not infected with bacterial STI’s such as gonorrhea, my advice would be to get tested at some point more than 3 to 5 days following your exposure. A urine test for gonorrhea and chlamydia will provide conclusive results. The risk of syphilis and HIV is negligible however, if you also wish to rule those infections out, you could get blood tests at six weeks following your exposure.

As I said, these exposures were relatively low risk, and many of our clients would not choose not to test in your situation.  However, if you wish to be entirely confident,testing can affirm that you did not acquire an infection

I hope this information is helpful. EWH.

I will go ahead and get a gonorrhea and chlamydia test in 4 days since that will be 5 days after last exposure. 

I will not get tested for any of the other STIs, since the risk of others is negligible.

I did notice that there is a small cut on the shaft of my penis. Pretty sure it happened either from shaving(before I saw the sex workers) or during unprotected oral with sex worker. Would that increase any risk? 

It sounds like it’s ok for me to resume unprotected sex with my long term partner regardless of testing or not, right? If you were in this situation, would you resume unprotected intercourse with long term partner? 

Is testing recommended mainly to ease anxiety in this situation? Sounds like if I don’t get any symptoms within the next 6-7 days, most people are fine right?

The risk if resuming unprotected sex with your regular partner is low.

As long as you remain asymptomatic, testing is primarily for reassurance.

One follow up remaining.  EWH