I am in a 20 year monogomois relationship. 10 days ago I made a poor decision and I am full of guilt and anxiety.  I attended a bachelor party at an all nude strip club and had several lap dances from a dancer.  During the lap dances she pulled out my penis and performed portions of the dances while rubbing her genitals on mine .  There was absolutely no vaginal or anal penetration at all. 

Approx 3-4 hours earlier that day I had used some new clippers on my upper/inner thighs and sustained several cuts.  I cleaned the cuts, applied antibacterial ointment and covered the cuts with a clear dressing.  The friction from the dances moved the dressings around a little but I am pretty sure that that part of my thihs did not come out of my pants. 

My question is what if any tests do you recommend for this type of incident? 

You are at little or no risk of any STD from these events, regardless of your recent shaving/clipper wounds. For sure there was zero risk for any infections transmitted primarily through fluids (HIV, gonorrhea, chlamydia). In theory, there could be risk for those transmitted skin to skin (syphilis, HPV, herpes), but in practice we never see it -- that is, even the busiest STD clinics virtually never see patients with these infections following exposures like yours. As for your symptoms, there are no STDs that cause lower back pain. (And whenever someone suggests his or her own symptoms have a psychological origin, usually s/he is exactly right!)

Therefore, I do not recommend any tests at all, and would recommend that you continue your normal sexual practices with your regular partner. That's what I would do if somehow I were in your situation.

I hope this information has been helpful. Let me know if anything isn't clear.

HHH, MD

Your expert opinion and recommendations are helpful.  However, this feeling of guilt coupled with fear is pretty difficult to bear. 

Since your answer I have experienced some coughing (that seems to be related to a post nasal drop ( (no fever) and also some urinary urgency and a feeling  of being unable to empty my bladder completely (this is comparable to symptoms I have had in the past of prostatitis)

Do any of these symptoms  change your opinion? 

Having said no testing is necessary, you might want to consider seeing a health professional for genital exam and a urine gonorrhea/chlamydia test. Not because you are at risk, but because the negative results might be more reassuring than my advice from this distance. Putting this in personal terms, if I were in your situation i definitely would not do that. But I'm not you, and perhaps the negative results would help you move along without worry. Up to you.

Threads are closed after two follow-up replies, so you have one more coming. If you decide to be tested, I suggest you wait until the results are available if you'd like my comment about them. There's nothing more I'll be able to say based only on your exposure and these symptoms. In the meantime, stay mellow. For sure you have nothing to be worried about.

Thank you for being available and helping me get through this difficult time. 

I'm really glad you feel ready to move on with your life, and happy to have contributed to that. Thanks for the thanks about our services.