Hello Doctors,  about 5 weeks I had brief unprotected oral (received and performed) and protected (condom was used all the time and had no noticeable breakage) vaginal sex with a  very high end western european escort. A few days ago, 4 weeks after the incident, I started having pain while urinating and noticed some scant whitish discharge. I also had some stains in my underwear for a day.  Nevertheless the symptoms kind of have been on and off for the past days (some times I see white substance inside my urethra, others I don’t).  I understand the main risks for oral sex are gonorrhea, herpes and ngu. FYI About 5 years ago I had an of ngu in which no pathogens where found but inflammation and discharge was present (WBC in urine and obvious discharge).  Also, for context, where I am from no urine tests are available for gonorrhea or chlamydia, and there a few doctors/labs familiar with std screening and treatment (today I went to get tested and tests cost about 200usd per std and took 20 days to give results!).  I always use condoms for vaginal sex and oral sex and this if the first time I received oral sex without a condom from someone who is not a regular girlfriend. I have taken the time to read most threads, yet I am still confused. Questions:

·       Given the incubation period of about a month I understand this is unlikely to be gonorrhea. Should I get treated for this anyway? Should I be tested with a culture (only test available)?

·       I understand chlamydia is very rarely transmitted orally, nevertheless should I be treated/tested (if I can) for this as well?

·       If it is not chlamydia or gonorrhea is it due to normal bacteria in mouth? Should I be treated for this? How? is this harmful for me? For any other sexual partner I could have?

·       Am  I at risk for any other pathogen such as Mycoplasma o ureaplasma?

·       Numerically, what was my risk for contracting oral gonorrhea from performing oral sex on the escort? What was  my risk for any other std?

·       If I was unlucky to get a throat infection could I have passed it to another woman via cunnilingus? How likely is this?

·       Finally, how worried should I be? How should I proceed?  When can I have sex again?

Thank you.

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Hi Dr Hook, thanks for your reply. I understand there is only so much you can do online. Today I actually visited an urologist who claims to be especialized in stds.  Yet, the appointment was truly frustrating. The doctor examined me and told me I had chlamydia for sure, that he could tell from the type of slight discharge that he saw when he told me to squezee my urethra. He then told I had to take 10 days of cipro twice per day and 500mg of azytrhomicin for 3 days but only after I finished the Cipro. Also he told me that chlamydia was very infectious and that even sharing a bathroom or a towel would put others in jeopardy. I tried to tell the doctor that from my research chalmydia was rarely transmitted via oral sex and that the antibiotics seemed strange. He got mad and told me to stop looking things online.  He also was trying to sell me an ultrasound treatmet for about 500 usd that he said would clean my prostate and allow me to have sex sooner (this sounds like BS to me). 

Hi Dr Hook, were you able to look at my reply and follow up questions? 

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Hi Doctor Hook, thanks for your reply. I received my tests back: negative for chlamydia but the culture and discharge analysis and urinalisis showed 8-10 wbc, 2-4 cells, 2-4 hematies and presence of Enterococcus faecalis.   Questions:

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Also, FYI, as this is my3rd response to your questions, as per Forum guidelines, this threa will be closed shortly.  There will be no further responses form me.  EWH
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