Hi Dr, thanks again for the all hard work you do, you helped me 6 months ago and I need your help once again . 

On 6/9/19 I received a massage for a man, during the massage he began to lick my anus with his tongue. This is the first time I have had an encounter with a man.  He preformed analingus on me for 5 minutes and did lick and poke with his tongue. Nothing to rough but he did lick aggressively . There was no contact with my penis or any sort of sexual interaction outside of that. I’m married to a female and trying to have a child This has been the only male male interaction I have had. I’m a  wm in 30’s and was just Tested in May for all stds and came back clear. I asked the guy if he has been tested and he said yes and he was clean of all and was tested in April . 3 weeks later I’m sure it’s my anxiety but I have had a consistent headache for 3 days and I feel tingling on my inner legs, buttocks and penis.  I know HIV has never been passed by this interaction based on other threads and I haven’t had any discharge so i assume I’m clear for most ghonnaria and chlymidia . Is reviving analigus risky for syphilis ? I know it’s spread by contact  with a sore and I’m worried since it was a male interaction this is more prevalent in the male community with other males. I asked the guy if he experienced any mouth issues, sores etc and he said no and he hasn’t experienced any issues.  Is syhlisis of the month hard to see or feel, not sure if he noticed anything ? He said he’s doesn’t do risky sex with other males. Should I be concerned and tested ? Is syphilis passed easy by receiving analingus ?   Should I be worried about herpes based on this event? Is that passed easily as well to the anus? I read other post and I see almost month std live in the throat, could it be passed by the tongue ? Also, since it was only at the anus, would any std pass to the penis and could I infect my wife ?

You insight would be appreciated , thanks in advance..

Hi Dr. Thanks for your comments, I have no one to blame but myself, I put myself in these situations and my body language did indicate I wanted these actions and I allowed it, it just took me time to realize this. This past encounter was not forced.  Based on your comments and other replies and situations, I feel better about my situation but have some educational questions in case I experience any future situations like others have gone through. I believe the guy about his status.

For this situation with respect to analingus, I assume when you say some "Experts don’t agree with the recent research findings about Oral to anal gonorrhea transmission, are you one of those experts that don’t agree?

For anal herpes, how soon would one that acquired anal herpes experience symptoms? 

As for Syphilis, I noticed that wasn’t a concern in your response, I read about anal syphilis by oral sex as very rare, even with M to M, is that right ? in the event he did have a syphilis sore in his mouth, could it be easily passed by the tongue to the anus? If I did catch it, how soon should I  see a sore?

I saw a comment by Dr hook in a older response regarding Oral Sex and STD transmission, he said most of the comments about oral sex and STD are fallatio (Penis to mouth) and not cunninguls and anal oral, is that right?

Lastly, can you explain why syphilis is more prevalent or early passed by MSM and rare with W to M sex, is it because of more anal sex with male to male? i wasn't sure if there was a difference when it came to transmitting syphilis by way of oral  and if it was the same risk for both types?

Again, thanks fo your kind words and feedback.