Oral sex can be viewed as safe sex. It's not completely free of STD risk, but the risk of STDs is far lower than for unprotected vaginal or anal sex, with low chance of all STDs and zero risk for some. The main ones with low but signficant risk are gonorrhea, genital herpes due to HSV1 (the type that causes most oral herpes), and nongonococcal urethritis (NGU), which probably is often due to entirely normal bacteria from the mouth.

The symptoms you describe are not consistent with any of these problems. Gonorrhea would cause urethral discharge of pus, usually with painful urination; NGU would do the same, but milder; and most new herpes causes obvious blisters/sores at the sites of exposure.

The rather mild and vague testicular pain you describe is not an STD symptom. Probably the most comomon cause, especially in the context of a sexual exposure you may regret or that may be anxiety producing, probably is a version of the chronic pelvic pain syndrome (CPPS), which at one time was considered a form of prostatitis. (Uncertainty still exists about the relationship between CPPS and non-infectious prostatitis.) For more information, google CPPS (spell it out) and start reading with the excellent Wikipedia article and information from the Stanford University dept of Urology. I'm guessing you'll find a lot of overlap with your symptoms. Although your problem isn't "chronic" in that it began only recently, most STD experts have lots of experience with early onset problems like this, which I call genitally focused anxiety. That doesn't mean I think the symptoms are "in your head". They are real and have a physiologic explanation, namely tension in pelvic muscles (just like tension headaches result from increased tone in scalp and neck muscles). And by the way, CPPS or prostatitis carry no risk of transmission of any health problems to sex partners. If you have a regular partner, you can safely continue your normal sexual relationship without risk.

I'm not making a specific diagnosis, and if your symptoms continue, it would be wise to see a physician to assure nothing serious is going on. You could also be tested for urethral gonorrhea and NGU, although I am confident you have neither of these, nor herpes. Over time, most symptoms like this clear up spontaneously, especially once the person becomes convinced (emotionally as well as intellectually) that it's nothing serious.

Does that make sense? Let me know if anything isn't clear.

Regards--  HHH, MD

I cannot guarantee you have no STD from this event, but I've given you the reasons the chance is extremely low. If somehow I were in your circumstance, I would continue unprotected sex with my wife without fear of putting her at risk. And I'm confident her symptoms have nothing to do with your oral sex event.

If you remain concern, I would first advise you to re-read all my replies above, carefully. And of course you're always free to visit a doctor in person for exam and testing if you would like still further reassurance.

That ends this thread. I hope you're able to move on without further worry.