1). Fellatio with a condom

2) brief insertion of penis in vagina with condom however I was flaccid and the condom was loose but covered 

3) I performed unprotected cullunigus on her for an extended period of time. I stayed mostly outside on the vulva and clitoris but possibly also insertion with my tongue. 

4) the session turned a little domenatric (spelling). Where she spit in my mouth a few times. 

I really want to know that severity of my exposure (all sti including oral)because my wife and I have unprotected sex and for me to avoid it would be suspicious.  I really don’t want my stupidity to effect her. The encounter was just over 48 hours from when I posted this. I experience geographic tongue which I think is happening now because anxiety has made it flare up before I just also have seen images that freak me out in oral STIs. Thank you very much for your response. 

I know you say most people including csw/strippers don’t have but I’m just so paranoid. 

 

It is true that most sex workers do not have active, transmissible STIs at any point in time; and most STIs are transmitted inefficiently, i.e. most exposures don't result in transmission. That's especially true for oral sex, condom protection, etc. Saliva is generally believed to be low risk for all infections; indeed it is toxic to many STI agents. (That said, there is some controversy about saliva as a source of gonorrhea transmission. Personally I'm of the traditional perspective that it carries little or no risk.) Cunnilingus is quite low risk -- probably the lowest risk of all common sexual practices other than kissing.

I agree your current geographic tongue isn't a cause for concern. It's not a symptom that raises suspicion for any STI.

Your main potential risk (but still very low) is for oral infection from the prolonged cunnilingus, most importantly (probably) with gonorrhea. Chlamydia does not readily infect the throat, and when it does appears to clear on its own very quickly and not be transmitted to partners, so that's not a concern. Oral herpes due to HSV2 is theoretically possible, but extremely rare. HPV is rarely transmitted by oral sex. Syphilis is uncommon in female sex workers, but it's always at least a slight possibility. HIV is exceedingly unlikely -- but given its importance, perhaps not to be ignored.

If I personalize my advice and if somehow I were in your situation, I would consider the risk low enough to continue unprotected sex with my wife and I would not be tested for anything. However, I'm not guaranteeing you couldn't have been infected. If you choose to pursue it, I would recommend visiting an STI-knowlegeable provider or urgent care clinic for a throat swab for gonorrhea, which would be valid any time more than 2-3 days after the event; and perhaps baseline blood tests of syphilis and HIV (no possibility of being positive this soon) -- planning on follow-up tests at 6 weeks. (The throat swab will include chlamydia testing, since it is nearly universal along with gonorrhea -- even though the actual risk is nearly zero.)

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

HHH, MD