Thanks a lot

It is easy (and common) to assume that any commecial sex worker is at high risk for STIs. But there is wide variation in risk, with some being among the safest sex partners one could hope for; others not so much. Probably there is a correlation with price and style, with lower risk among escorts (expensive CSWs by appointment) and highest among streetwalker, brothel workers, etc. But all may be safer than, for example, a non-commercial bar or hotel pick-up. But in general, most escorts tend to understand the risks, choose low risk partners (e.g. mostly sexually inactive or monogamous men -- guys like you!). Many or most insist on consistent condom use and get tested regularly. Among such women, the frequency of HIV is believed to be very low.

The other main point is that you apparently are planning very safe sex. Even without a condom, oral sex can be considered safe sex:  extremely low or even zero risk for some STIs, and for all infections a lot lower risk than unprotected vaginal or anal sex. And with a condom, fellatio (oral-penile contact) is truly zero risk. And since you're apparently not planning on vaginal or anal sex at all, even condom protected, it sounds like you're on a path toward essentially no STI risk at all. Assuming you stick with these plans -- i.e. only condom-protected fellatio, no vaginal or anal exposure) you will be at no risk for any of the infections you mention, or for any of the STIs you don't mention. And if you select a high-end (expensive) CSW partner, then even in the event of condom rupture or other condom failure, or if you succumb to possible temtation and have vaginal or anal sex, you will be at low if any risk for most infections.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

But it sounds like you're planning on a partner at the low end of STI risk, as discussed above. You might wish to discuss it with her before proceeding. She might be expecting such questions anyway.