Thank you so much for your wonderful service Doctor, your service is very much appreciated and respected. I moved to Canada few days back ( 9 months back) . I met a CSW through website escorts provider . I asked if she was free of STIs and she claimed so.  However CSW appeared to be clean and hygienic. I could barely see any sores/open sores on her genital ,since the room was dark. During my encounter , I put my condom myself before i engaged in any activity. Prior to my encounter( approx 72 hours ago)  my phone fell down and had the screen of the phone completely cracked and shattered. I wiped off my phone with my bare finger and glass chip stuck on the tip of the finger. (Finger location: Exactly where thumb impression are made where skin is thick on thumb). No active bleeding but I'm not sure if there is puss inside it. I fingered her with bare finger , rubbed her clitoris and inserted without realizing my finger incident and later involved in protected sex. When i was fingering i felt her Vagina to be very warm (hot) . I involved in protected penetrative sex until climax, not vigorously penetrated though. I'm about to apply for PR in Canada and worried about Syphilis or herpes infection. For Permanent Residency in Canada HIV and Syphilis are the mandatory tests to be undergone.  Q1 )I'm literally worried abut syphilis and other STI's. Am I at risk of this incident through fingering with puss built inside my thumb ?Q2) i did not see any active bleeding while fingering however , I feel the pain on my thumb  when pressed with another finger where glass chip is stuck. Concern is if there is puss already formed inside my thumb , what is the risk of Syphilis and Other STI infection.Q3) CSW used SKYN condom and it is said that SKYN is not latex. Is my penetrative sex considered safe with lube applied on it ?

Welcome to o Forum and thanks for your question.  The short answer to your question is that the encounter you describe did not put you at risk for any STI whatsoever. No testing is required because of this encounter and there is no reason that it will lead to an STI.  That you punctured your finger with a glass chip before the event in no way changes this.  These sorts of lesions heal VERY quickly and do not offer a site which is particularly vulnerable to next on.  In answer to your specific questions:---

Please go over my questions and please assess my risk for Syphilis and any STIs. I had 2 exposures including the one mentioned below.   First encounter was on 07/06.  It was a CSW Filipino (ethnicity) in Toronto,Canada. I had involved in bare fingering  in her vagina, and involved in deep kissing (licking tongue , whole lips), licking and chewing her nipples, followed by protected penetrative sex.  I was not able to find any active or open lesions on her lips. However I did not ask her or did not realize to check her inside of mouth for any sores or chancre, before the encounter.But her outside of her lips were clean enough in both of the CSW , the concern is that I did not check inside of her mouth. But she used some mouth cleansing before the encounter. Q1) Possibility of Syphilis & any STI transmission in this episode Q2) Assuming she had a lesion inside her mouth where it could be noticed , Can I still acquire from kissing even without coming in direct contact with lesion. Q3) Will the mouth wash liquid kill the bacteria?  My second encounter was on 07/12  with punctured finger with a glass chip . I had involved in the same activities as in my first encounter only difference is that I fingered with a punctured finger .She also appeared clean , the only suspicious thing is that she wanted the room to be dark and was not given any opportunity to check for any lesions. Q4) I developed sore throat , I have clear watery liquid oozing out ( like pre-cum watery and sticky) and burning sensation at the tip of the penis , joint pain on leg and back pain . I previously had prostate related issues. Is this sign of syphilis or STI ?Q5) Syphilis chancres, does they look similar to mouth ulcer and where are the locations they could appear inside their mouth? Q6) in the licking nipple event, assuming the client she was with before my encounter had played on her nipples like cumming on her nipples etc and later I licked them during my encounter. Will this be of any risk ? Q7)Similarly , these CSW involved in unprotected oral sex on other men, my fear is  since i kissed them prior to unprotected oral sex with other customers before my encounter Q8) I developed mosquito bites kind of rashes on my back on chest and lap , I'm worried about syphilis and not sure even all my events were considered safe sex ? Q9) After the episode I was little freaked and I had used the used soap in the hotel room ( hotel soaps are not great and not even branded ) washed my hands and genitals and will this be good enough to kill the bacteria or sharing soap is a risk event ?

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Thank you for advice doc. I visited the physician. They ran a quick test on my urine sample and was not told that there is a few white blood cells in my urine and apart from it nothing major. I’m prescribed with Doxycyclin 100mg. Urine samples are also sent for more tests to the lab. Awaiting results. Q1) With a quick test of WBC in my urine ,do you suspect it be an STI like gonorrhea or chlamydia , syphilis Q2) Will doxy 100 mg for 7 days likely enough to cure in case if I had caught gonorrhea or chlamydia? However the discharge i noticed the discharge for a couple of days and it stopped after that , i only have light burning sensation after i finish urinating. My encounter was a protected penetration and still wondering my chances of STI? Previously in my prostate diagnosis , I ended up in similar kind of discharge and burning sensation for a minute after urination.  Whenever my stress levels are high i always feel that i have this kind of prostate issue with discharge. Do you think with my higher stress levels , smoking , and way i masturbate is I lie down on my mattress and hump/rub on the floor to masturbate. Do you think , my penis abuse i practice for masturbation would have any impact on my burning sensation and penile discharge? Q3) Amoxicillin 500 mg would that treat STD like gonorrhea or chlamydia? Q4) White blood cells present in my urine , if my body is fighting an STI infection as well or it could be possible only during inflammation or urinary tract infection? Q5) Foruns suggest Cipro 500 over Doxy 100 mg  to clear any STIs like gonorrhea , chlamydia ? Do I have to get back to my physician for Cipro instead of Doxy? Q6) Could this be syphilis ?

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My gonorrhea and Chalmydia results were negative.   But my burning sensation have still not reduced.  It would kind of you to respond to one my last question asking it for one last time , since filled with guilt and fear. On hearing the negative results , I visited a CSW on 08/02 planning to engage myself in a safe sex. CSW appeared dirty and she was on her menstruation cycle ,and she started screaming while I was trying to leave the place, hence I decided to masturbate myself. My concern is she held the Condom using her thumb and middle finger right at the center of the condom where penis would rub upon wearing it. I put the condom myself and masturbated inside  it. I'm very well aware and educated by this forum that the hand-genital contact with genital secretions of the partners as lubricant is a low risk event. But as far skin to skin transmitting infections like Syphilis , HSV2 , I've read that the virus have to be massaged vigorously in your previous forums . I assume my masturbation event  could be one such activity where virus/bacteria is massaged into my urethra and mucous membrane of penis.  I was trying to put my mind at peace with the facts as stated . Fact 1 , even she had some vaginal fluid on her thumb and middle finger while holding the condom , the spermicide on the latex condom would have made it less infectious to me ? Fact 2 , I never had a skin to skin to contact with the infected person using my penis.  Can you please comment on both my facts .

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Thank you so much Doctor .  I've no words to Thank you and your wonderful service. Your assurance on this regard would definitely put my mind at ease. Thanks for your kindness act to answer my last question despite of meeting the form standards for not responding more than 3 follow up queries. You rock Dr Hook and Dr Hunter.