I made the mistake of having sex with a brothel worker in Santo Domingo, DR.  My spanish is not great, but i think she told me they get tested monthly, and do pap smears or something of that nature.  I am a married man, and yes i have regret.

I had a full STD scan back in February, because i needed it for life insurance.  everything was negative.

The sex was condom protected and i cannot remember if there was oral sex unprotected either way (i do not thing so either way), but i know for sure the sex was protected.  She put it on with her mouth.   I even tested the condom the next morning with the water test (after reading on here, i see that was pointless apparently).

Of course i am worried about HIV, and herpes.   I also kissed her i think, so i am not sure about oral gonorrhea (and maybe is she did give me unprotected fellatio).

How much should i be worried doctors?   I can test as soon as need be, i want this nightmare to be over.  It was been 3 Days, no symptoms of anything yet.

Thank You

Are the absence of signs or symptoms of infection at three days is a good time but not yet conclusive. Onset of symptoms for the most common infections, gonorrhea and chlamydia, typically occur between three and seven days following exposure.  Oh testing for these infections can be performed reliably at any time more than 3 to 5 days following exposure.  As mentioned above, your risk for acquiring HIV is vanishingly low, less than one chance and 1000 if your partner happened to be infected which is we’ve already said it’s unlikely.  Unfortunately, conclusive results for HIV test however take longer. 4 Weeks following an exposure HIV test will be 98 to 99% conclusive and entirely conclusive results will be available anytime more than six weeks after exposure.  Firstly however given the situation you described, I would have a little concern or fear of having acquired HIV, even before test or else results are available.

Oh I hope this information is helpful. If anything is unclear or there are further questions please use your updates to follow ups for that purpose. EWH

And, if I were in your situation, I would not worry. EWH 

Do you think HIV testing is warranted for the one off protected sex encounter?

With condom protection, do you think my chances are around 1 / 100,000?

(Get conflicting info on HIV rate in the DR.  She was not of Haitian decent)

Should I have seeked PEP?

Just trying to quell my emotions for that 6 week mark.

Thanks Doctor. 

If you had presented to me asking to receive postexposure prophylaxis, I would have declined to provide it. Your risk of side effects from the medication would have been far higher than your risk of HIV.

I hope this helps. Please don’t worry. EWH