Hope you can help. I have literally just left a encounter that I’m not sure is no risk or low risk. 

I am bisexual but married to a woman I have kept my gay side at bay for the whole marriage but recently got curious. Anyway long story short arrange what I thought was a safe meet with someone of unknown status. On an app

We agreed to just wank together watching porn which of course is safe. 

It escalated! But I still think it was low risk (hoping no risk) 

I ended up using my mouth on his feet sucking his toes (I’m happy this is no risk, I think)

What is confusing me is we then also touched each other’s penis (low risk?)

He then cummed on my face. I tried to keep my mouth closed and my eyes but some definitely got in my mouth as I could taste it. 

So with this in mind. And with the obvious issue that I need to protect my wife.

1) what STI / HIV risk is there here.

2) what’s my testing plan

3) when’s green lite to resume sex with wife we are trying for a baby so I don’t think I can hang on for a while. 

4) with this in mind is doxy and prep an option?

Hope I made sense.

Just to be frank 

Touching each other penis 

Licking his feet 

Cum on my face some in mouth. 

There definitely was little or no risk of any STI from the events described. In theory, direct penis-penis contact might risk transmission of a skin-to-skin infection (herpes, syphilis, HPV); or if your two meatuses (urethral openings) were in direct contact, conceivably a minuscule risk for gonorrhea or chlamydia. And maybe HPV from this contact -- but you can assume you and your wife already have had and may be carrying HPV, since it's more or less universal, and this event would not have increased that risk. But in my 45 years in the STI business, I have never had an apparent case, or even rumors of any STI from contacts of the sorts you described, and suggestion from my colleagues "war stories". Certainly oral contact with skin anywhere on the body, including feet, is entirely risk free. The risk of HIV was entirely zero. Ejaculate in the mouth also is little or no risk:  indeed, even oral sex to completion, with full ejaculation in the mouth, rarely transmits infection.

Accordingly, I would not advise testing for anything and see no need to avoid or delay resuming sex with your wife. From a personal standpoint, it somehow I were in your situation, and knowing what I know, I wouldn't be tested and would continue sex at home without worry.

That said, I'm not you, and on this forum we fully understand that anxious persons often may be more reassured by negative test results than by professional opinion, no matter how expert. (We don't take it personally!) If that applies to you, consider a urine test for gonorrhea and chlamydia and a throat swab to check for gonorrhea (these are valid any time more than a few days after exposure); and maybe blood tests for HIV and syphilis (which would be valid after 6 weeks. But as I said, if I were you, I wouldn't be tested at all.

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

HHH, MD

I tried my best to keep it as risk free as possible so my penis and his penis never touched or was anywhere near each other. I’m sure of it. 

The only contact was his sperm on my face of which a little leaked into my mouth and lips. Which if I’m reading it right is not a cause for concern. 

I’ll move on then. Resume sex with wife and not worry about this. Way I see it I don’t test for other things I’m not at risk for so don’t see need to test for STI after this event. I don’t even want to plan to because I can’t bare 6 week wait for syphillis etc.

Anyway thanks doctor. 

Just one last follow up and close this thread then no reason to keep a no risk encounter up. 

I do have a small ulcer on my inner lip it’s just the run of a mill ulcer I get regularly. If seamen directly touched this does that pose a risk for HIV. 

And no, semen contact with your small oral ulcer (presumably a canker sore) would not significantly raise the risk of any STI.

Another final consideration -- if you find yourself still worried -- is to speak with your partner and consider both of you being tested for common STIs. Maybe you would find he is just as worried about his risk from you, and negative results would prove neither of you was at risk from the other. Just a thought if it would ease your mind, not a specific recommendation.

Just a little confused

If it’s very low I’ll test if it’s zero I won’t. 

If I can ask for specific advice on the following so I can plan what I need to do next. Maybe these are discussed above but like I said confusion arising from the miss understanding. 

Don’t know why my biggest worry is Syphallis so can you explain to me how that’s spread. 

My hand touching his penis is that a risk? And sperm on my face does that spread it, is it transmitted in sperm or is it just the sores or rash?

Or if my penis or mouth didn’t touch his penis or mouth am I safe to say no risk. 

Chlymidia and Ghonnaria is rare after oral so the sperm splash on mouth not a risk. And even if I was the unluckiest man alive it clears on its own. I’ll just not use my mouth on my wife for a few months. Is that safe?

HIV absolutely no risk. You said that in your original reply so absolutely no need to test for that. 

Herpies again that’s contact isn’t it not the sperm? So no risk here or is the hand genital contact a way that this can move?

Hpv who knows and everyone has it at some point so no worries.

Anything else I should know.

Thanks for your advice and support. I hope you don’t think I’m repeating my self here I see so many anxious repetitive questions I really didn’t want to fall into that. I just want to increase my knowledge so I don’t fall into the trap that others seem to so regularly on here.

I’ll eagerly anticipate your reply. Thanks once more. You have been a big help.

Syphilis spread requires direct contact with moist syphilitic sores or wet syphilitic rash, and typically those lesions must be massaged into exposed tissues. That's why the initial syphilitic sore (called a chancre) typically occurs at sites that receive the maximum friction during sex, like head of the penis, vaginal opening in women, etc.

Please re-read my initial reply. In my 45+ years in the STD business, I've never seen or heard of a patient with HIV, syphilis, or other STI whose only exposure had been similar to yours. You won't be the first.

That concludes this thread. Do your best to move on without worry. Get tested if you will find the negative results reassuring, and also be assured that advice does not mean I believe you caught anything.