On one hand, you have had a fairly active sex life, with several sex partners, which implies moderately high STD risk. OTOH, most exposures were condom protected for vaginal or anal sex, markedly lowering your risk, especially for the more serious and consequential STDs. Also, you don't mention diagnosis of any STDs, which is good. However, it really isn't possible to quantify the risk, i.e. to provide numberical estimates. Among other things, you say nothing about the nature of your partners, such as where and how you met them:  commercial sex workers? bar pick-ups? people you met at work or introduced by friends? These are important determinants of risk. And of course the risk varies for each of the many STDs -- but no numerical risk estimates are availble for most. Finally, absence of symptoms is good evidence against some STDs. For example, having had no urethral discharge or painful urination is strong evidence you never had urethral gonorrhea.

So rather than trying to estimate risk, my advice is that you be tested. Visit a local health department STD clinic, or a Planned Parenthood clinic, or your personal physicians and have a urine test for gonorrhea and chlamydia and blood tests for HIV and syphilis. You could also have a throat swab test for oral gonorrhea and rectal testing for gonorrhea and chlamydia -- although the chance of either of these, from a single episode of condom-protected receptive anal sex, is very low. I would expect all these tests to be negative, but better safe than sorry.

I hope this information is helpful. Let me know if anything isn't clear. Best wishes and stay safe--  HHH, MD

Thanks for your help

Under the circumstances described, there will never be certainty that you won't catch one or more STDs. You would be at low risk for all STDs transmitted by genital fluids (HIV, gonorrhea, chlamydia, hepatitis B) but would remain at moderate risk of those transmitted primarily by skin-to-skin contact, i.e. herpes, HPV, and syphilis). And for sure you have already acquired HPV and will probably have new infections as well. But everybody gets HPV and you are at no higher risk than average. I would still recommend roughly annual testing for HIV, syphilis, and (just to be extra safe) a urine gonorrhea/chlamydia test.

Now that I am waiting for my results my mind is playing tricks on me...I think.  Do symptoms tend to come and go when it comes to Urethra discomfort?  As I said earlier I have not experienced any symptoms that I am aware of before now.  Also, to add another point, I have not had a sexual encounter in two or more months.  The one I had at that time was protected but with unprotected oral.....which If I am not mistaken is a poor method for infection.  With gonorrhea cases being still fairly rare, I am assuming that oral transmission is extremely rare....am I correct in assuming that?  One last thing, if you get infected in the anus with chlamydia or gonorrhea can you pass it on through the penis to someone else?

Gonorrhea certainly can be transmitted by oral sex. Inefficiently, in that even when the oral partner has gonorrhea of the throat, probably there is less than a 10% chance of tranmission for any single exposure. If we guess that a maximum of 10% of your partner had oral gonorrhea at the time, that would make a 1% risk for each exposure. 99% of penile gonorrhea causes obvious symptoms within a few days (pus dripping from the penis, often substantial pain on urination). Thus in the absence of symptoms, the likelihood of gonorrhea would be something like 1 chance in 10,000 (0.1 x 0.1 x 0.01 = 0.0001).

Gonorrhea does not travel through the body to infect sites other than the original one. Rectal gonorrhea can only be transmitted by receiving rectal sex. For the same reason, it can be diagnosed only with a rectal swab specimen; urine testing says nothing about oral or rectal infeciton.

We are beyond the two follow-up comments and replies included with each forum question, and so this concludes this thread, which will now be closed. Best wishes and stay safe.