I had a lapse recently. I am quite convinced I do not need testing but would like your advice all the same as I deem it necessary.

2 nights ago, I was in a very intoxicated state.  Staggering back from a party, I was approached by a street prostitute offering massage. I accepted and she took me to a dingy room. Basically, nothing happened. She massages me. Tried to give me a handjob and I refused.  She did not take off her clothes. Her friend then entered. Again, nothing really happened, I refused handjob advances and I am almost certain they did not even touch my penis. They did massage my back chest and legs though. I also stupidly kissed the friend who came in and sucked her breasts several times. In addition, the second woman was naked and raped her legs around me when I was dozing and semi asleep. I never removed my boxer shorts. Anyway, been here before and trying to logically dismiss this. However, they were high risk women. Older too. Over 50 I would guess. I am in Vietnam.  Questions are, given there high risk - assume both were infected with hsv 2, syphillis, hiv, did I do anything to put myself at risk? Would you recommend testing? Again, hsv 2 or syphilis are my main minor concerns. Could there be a risk from kissing and sucking breasts? I am certain I did not touch her orifices but stroked inner thighs, buttocks. I was also there for about 6 hours, but mainly slept. Could my non genital skin, back, chest, leg be a risk for skin on skin? Does the kissing pose any risk? I do not believe I kissed or sucked breasts for too long. Possibly a few minutes maximum? Any advice? Should I simply forget and move on? Appreciate your advice.

I'm smiling as I write this. Such a great example of an analytical, objective, thinking analysis ("I am quite convinced I do not need test") at the same time as a conflicting emotional reaction (the rest of your comments and questions). When it comes to sexual exposures and STI risk (and probably for life in general), when the thinking/objective analysis conflicts with the emotional, go with the thinking! Usually it will serve you best.

OK, I'm done with the philosophy. You describe events that are entirely free of any risk of STI transmission. Some infecstions are called sexually transmitted for good reason:  the bacteria and viruses that cause them evolved to require the intimate contact of sex itself for transmission. Not just skin to skin contact, not by kissing, and certainly not by oral contact with skin, including breasts, nipples, etc. It doesn't matter how "high risk" your partners might have been. Even if actively infected with all known STIs, you could not have been infected from the events you have described. You were no more at risk than you would have been had these women been clerks at a store where you exchanged money, waitresses serving you at a restaurant, or friends you met on the street.

Those comments pretty well cover your specific questions, but to be explicit:

"Assume both were infected with hsv 2, syphillis, hiv, did I do anything to put myself at risk?"  Nope. "Would you recommend testing?" No.  "Could there be a risk from kissing and sucking breasts?" No, none. "Could my non genital skin, back, chest, leg be a risk for skin on skin?" No, for sure not. "Does the kissing pose any risk?" Nope. "Any advice? [or] Should I simply forget and move on?" That's it exactly!

I hope these responses have helped. Let me know if anything isn't clear.

HHH, MD

Doxycycline (100 mg twice daily for 7 days), started within a week of exposure would prevent syphilis or abort early infection. Your risk probably is too low to warrant it, but if you insist, I imagine it's readily available in Thai pharmacies. 

That completes the two follow-up exchanges included with each question and so ends this thread. Thanks for your kind words about our services. Happy new year and stay safe.