Recently visited an Asian Massage Parlor 8 days ago. Received protected oral and had protected vaginal sex. The lady seemed clean and upon ejaculation the condom had no visible holes, it never slipped off, and stayed intact the whole time. The condom was out of its packaging but i have read that these places tend to do that? It was unrolled and looked new when she pulled it out. 

I didn’t develop any visible symptoms but I did develop an ache at the base underside of my penis that sort’ve comes and goes, its almost like as if someone is pressing on my shaft. No burning while peeing or ejaculating, no discharge, no other symptoms other than that and the occasional testicle ache. 

Is there anything I should be worried about? I have read in here that there is virtually no risk for STI/STD’s for the encounter I just had, is the pain i’m experiencing related to a potential tight pelvic floor due to anxiety about the situation? Am i clear to resume unprotected sex with my wife?

Thanks! 

As you seem to understand already, this sexual event was free of any significant STI risk. And your symptoms don't fit with any STI. As for other possible causes, your own remarks about anxiety and "tight pelvic floor" probably are about right. We often refer to it as genitally focused anxiety. Whether a "tight pelvic floor" is part of the explanation isn't known, but the basic concept is that worry about a regretted or potentially risky sexual exposure results in increased awareness of trivial genital area symptoms or even normal body sensations that otherwise would not be bothersome and perhaps not even noticed.

I would advise against testing for STIs; and if you have a regular sex partner, you can safely continue your usual sexual practices without putting them at risk for anything. I would expect your symptoms to clear up on their own as soon as you become confident (emotionally as well as intellectually) that they aren't serious and nothing is wrong.

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

HHH, MD

One more series of questions if i may; is there a particular reason why this happens or at least it seems to happen only when i use condoms? The more i think about it the more i realize that right where the condom ends after being rolled down is there the pain is felt afterwards. Some sort of injury due to the tightness of it? 

Just to confirm, I may continue unprotected sexual acts with my wife as this exposure doesn’t warrant any need for testing correct? My main concern was chlamydia or any of the other bodily fluid transmitting ones. 

I see no reason you cannot continue unprotected sex with your wife. That's not a guarantee, of course, but I don't see how you could have been infected with anything.

To conclude and have the last reply. O did notice some redness on the left side of my scrotum/top of testicle where the base of penis is. Anything i should be concerned about there in regards to my encounter? I have applied Aquaphor to see if it goes away. No blisters or open sores just some redness and its now been 8 days since the event

As you anticipated, that completes the two follow-up comments and replies included with each question and so ends this thread. I hope the discussion has been helpful. Best wishes and stay safe.