I am worried about a gonorrhea infection and/or epididimytis caused by gonorrhea. I don’t mind getting tested, but I am afraid of the authorities being contacted and/or contact tracing. That is truly a headache I do not need. Thus, I don’t feel comfortable getting tested at this moment. 

Any thoughts on this. I’ve read the forum my takeaway is that oral sex is safer (not safe) but i can’t decide if this is all in my head. 

You are correct, receipt of unprotected oral sex is a less risky exposure for STI acquisition than genital-genital or vaginal-genital contact. As you also point out however it is not a no risk event.  The most common STIs acquired through receipt of oral sex are nonchlamydial NGU or gonorrhea. There are no no instances in which HIV has been proven to be acquired from receipt of oral sex. Your symptoms however, are not suggestive of an STI. The symptoms of STI‘s do not come and go in the manner you describe.  Rather, the infections acquired by receipt of oral sex typically present as consistent burning on urination or an abnormal/increased amount of urethral discharge. Epididymitis a relatively uncommon complication of these infections however for it to occur in the absence of penile symptoms would be most uncommon. Even if epididymitis  were to occur, it would present primarily as testicular pain and discomfort, not left-sided abdominal pain. I am confident that your left-sided abdominal pain is unrelated to the exposure you described. 

Finally, to address your stated concern, at least here in North America evaluation, reporting and contact notification related to STI’s is done with an emphasis on  confidentiality. You were concerns about being discovered through these mechanisms are unlikely.

I hope this information is helpful to you. If any part of my response is unclear were there further questions, please don’t hesitate to use your up to two follow-ups for clarification. EWH

The discomfort I am feeling is actually less in the abdomen and more in the left pelvis/groin area with occasional pain in my left testicle. This “pain” is not sharp, but a dull ache and there is tenderness in my left testicle but still no swelling. Hurts more actually when I reach down or bend over. Still no discharge, burning or issues urinating or ejaculating. The feeling comes and goes but is more often there. 

I have researched your sit thoroughly and by all accounts it would be unlikely that I have an STI (including in your initial response). The encounter was unprotected oral, protected vaginal. As you have mentioned in many other threads chlamydia is not efficiently spread through oral sex and per below you didn’t seem to think Gonorrhea would be likely in the absence of discharge.  I have ruled out NGU also on a response to another thread I read by HHH as there is no discharge

I’m toying with the idea of seeing an urgent care doc, but I know he’ll just prescribe an antibiotic, which would probably clear any infection, sexually transmitted or otherwise. However, this would render STI testing in a week’s time pointless. Thus the real reason for my question. Since my encounter I have had unprotected oral sex three times with my partner and unprotected vaginal sex once. No ejaculation from vaginal sex, three times ejaculation outside the mouth with the oral. If I did have an STI what would be the risk that I would transfer something to my partner, orally but particularly with vaginal sex?

Since I have asked multiple questions I understand if you need to close this thread. I appreciate your help until I can get tested. The amount of bad information on the internet is astounding and frightening. 

Thank you. 

I would urge you not to go to an urgent care center. You have experienced your symptoms for a week without treatment and treatment without proper testing and evaluation both may not resolve your problem and would obscure  future evaluation.  Additional information regarding the location of your discomfort does not help me or change my assessment. The presentation you described is certainly not typical of epididymitis. As to what it might be I cannot say but I would feel strongly that testing is an important starting point. I anticipate that testing for STI‘s would be negative.

It is most unlikely that your recent oral and vaginal sex placed your partner at risk. Once again, negative test for STI’s with confirm that and, I suspect ease your mind considerably.

I hope this perspective is helpful.