Honestly, if you remember or re-read your two earlier threads -- especially the last two, several months ago -- you probably would already understand the near zero risks here and our response. Condoms are highly effective in preventing HIV and other STIs; and oral sex is essentially zero risk for HIV and some STIs (like chlamydia and HSV2) and very low risk for othereven when unprotected. And people rarely lie about HIV/STI status when asked directly, so your CSW partner probably doesn't have anything to worry about. If somehow I were in your situation, I would not feel a need for testing and would be continuing unprotected sex with my wife with no worry about infecting her with anything.

So I don't advise avoiding sex with your partner and from a medical/risk perspective, no testing. However, we understand that test results often are more reassuring than professional opinion, no matter how expert. (We don't take it personally!) If that applies to you, then after 3-4 days you could have a urine gonorrhea/chlamydia test; after 11 days an HIV RNA PCR test; and after 6 weeks a syphilis blood test. I would expect all these to be negative.

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

HHH, MD

2. No.

1. It’s been 2 weeks.  I now notice maybe 2 small bumps on scrotum that resemble ingrowns.  I did exercise/sweat more lately but is there a way to tell if this is HSV?  This area likely came in contact with the inner thigh/ anal area of csw.  They aren’t painful yet, but what should I watch for? 

2.  Does trich ever infect anal area?

Trichomonas is not known to infect the anus or rectum.