I have had sexual exposures sometime end of April 28 - 30 and beginning of June 7-11  with a few escorts - oral sex giving and receiving (without condom) and vaginal sex with condom. After both I had no issues or concerns - I also had sex with my wife sometime between June 24 - June 27 (oral and vaginal with no condom) 

Recently I have been traveling June 30 onwards and have been extremely dehydrated and also faced a lot of work anxiety until about July 3/4 (not sure if this could contribute) 

Questions I have: 

- Are these any STI indicative symptoms? I have not gotten tested yet  I am worried that I may have passed something along to my wife 

- What could this be if not STI? 

Thanks a ton for all that you do 

The symptoms you describe are nonspecific. That's medical speak meaning they do not point to any particular abnormal condition. To answer your two closing questions, the symptoms are not typical for any STI, nor for an infection of any kind. I have to wonder if they are the result of anxiety over your non-marital sexual exposures or regret about those sexual choices. Anxiety does not cause physical symptoms directly, but it can greatly magnify minor symptoms or even normal body sensations that otherwise would not be bothersome and maybe would not even be noticed.

As for the sexual exposures in April and June, they sound very safe. Escorts (expensive female sex workers by appointment, as opposed to brothel workers, bar pick-ups, etc) generally are at low risk:  mostly they know the risks, have only safe sex, get tested frequently, and generally have clients at low risk for STIs (men like you). Unprotected oral sex can transmit gonorrhea and some other STIs, but not very often. Is it possible you have an STI? Yes, but very unlikely. However, testing is the only way to know. For reassurance, you could consider urine and throat swab testing for gonorrhea and chlamydia, and blood tests for HIV and syphilis. If you decide to do this, you definitely can expect negative test results. 

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

HHH, MD

Secondly - based on your current and prior responses for unprotected Oral and STIs…actually contracting an STI via unprotected oral is very rare correct? And you are suggesting to get tested as means for mental satisfaction vs concern for an actual STI? I ask as I am thinking of not getting tested currently (due current logistical constraints) but will do so in the future next month probably. 

And in between this scenario can I also continue to have unprotected oral/vaginal sex with my current permanent partner? 

Thanks again 

"Very" rare is too strong a term. All STIs are less common following oral sex compared with vaginal or anal, and oral is near zero risk for some. 

Based on all you have said, I see no reason not to continue unprotected sex with your regular partner.

Just to clarify, you are suggesting to get tested as means for my mental satisfaction correct as opposed concern for an actual STI? I ask as I am thinking of not getting tested currently (due current logistical constraints) but will do so in the future next month probably