I have been travelling and had a few encounters with a few sex workers. Had safe sexual intercourse, however i received BJ (oral) without condom. One sex worker had a cold sore that I saw after the encounter was finished. However, my concern now is more on  the risk gonorrhoea. I was reading a few posts on this forum and saw a doctor mentioning that this was the biggest risk of getting a BJ and that you have to look out for discharge from the penis and pain when urinating. I squeezed my penis and saw a tiny amount of white fluid come out. It could be anything from pre-cum to puss not sure at all. I have been also having a bit of a burning sensation that lasts 10 minutes after I pee. What do you advise I do and how easily can this be treated assuming i have caught the bacteria. I have no other symptoms.

And the risk of gonorrhea or other STIs was also very low. Oral sex should be viewed as safe sex:  not entirely free of STD risk, but a lot lower risk than unprotected vaginal or any sex. You also may have somewhat misinterpreted previous comments on the forum about gonorrhea being the highest risk in this situation. "Highest" doesn't necessarily mean an actual high risk. Probably the chance of urethral gonorrhea in your situation is no higher than one in a thousand. That's higher than other conditions, like syphilis, HIV, and others -- but I think you'll agree it's a low risk.

That said, your symptoms do indicate a need for in-person medical evaluation to check for gonorreha, chlamydia, and nongonococcal urethritis (NGU). You don't say the exact timing of your symptoms onset:  how long after the unprotected oral exposure? Gonorrhea symptoms typically start 2-3 days after exposure; and usually are a lot more severe than you describe. (In the book and TV miniseries Band of Brothers, a soldier with gonorrhea says "I'm pissing razorblades".) Not only is urinary pain typically severe, but the discharge usually is lots of yellow pus. Your symptoms are more consistent with NGU, which can be acquired by oral sex, often due to entirely normal oral bacteria and generally considered harmless, with onset 1-2 weeks after exposure. Or they could be nothing abnormal at all -- just too close self examination and heightened awareness due to anxiety over the exposure event.

Let me know more about the timing of your exposure and symptoms. And also see a doctor or clinic, ideally one with substantial STD experience. If your local health department has an STD clinic, that would be ideal. Otherwise a Planned Parenthood clinic would be good. Some but not all urgent care clinics typically are up to speed on STD evaluation. If initial evaluation confirms urethritis (urethral inflammation), treatment for gonorrhea and NGU would be reasonable while awaiting test results.

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

HHH, MD

I have had a few exposures over the last 2 weeks. There is definitely some discharge , not as bad as you describe though. I also have to milk my penis to see it so it is probably inside the urethra.

Assuming i caught Gonorrhoea, do I have to get on a course of antibiotics? What are NGUs?   How easily treatable are Gonorrhoea and NGUs?

Gonorrhea and NGU (whether or not due to chlamydia) are easily and effectively treated. The standard approach in this situation definitely requires in-person care by a clinic or doctor who well understands STDs. If the findings are as I predict, you would be treated with ceftriaxone for gonorrhea and doxycycline, the treatment of choice for NGU, and also would cure chlamydia. These treatments should be started before gonorrhea/chlamydia test results are available.

Let's hold off on further discussion until you have been professionally examined and treated. I'll be happy to comment again at that time.

I just saw a doctor today. They took a swab from the discharge (which was transparent in colour). The doctor did not prescribe any meds at all and said to them again when the results are ready. I really doubt that there was any lapse in the condom. I usually examine the condom after sex by filling it up with water to make sure there was no leak. If there was a leak in the condom, my concern will be more HIV than Gonorrhoea, Chlamydia or NGUs. My next question would be whether there was a chance that I contracted an NGU through the unprotected reception of BJ given that 30% of NGUs are caused by Chlamydia . Also, now that I am quite about HIV, what is the risk for me here. 

Thanks Doctor

Oral sex is a common cause of non-chlamydial NGU; you definitely could have it. NGU from oral sex is believed to commonly be caused by entirely normal oral bacteria and to be harmless. However, treatment is recommended. I'm glad to hear you were professionally examined. At this point, you should follow your doctor's advice. Almost certainly your gonorrhea/chlamydia tests will be negative.

That completes the two follow-up comments and replies included with each question and normally would end this thread. However, I'll leave it open for one more comment, if you'd like to report the results of your tests when available, and how your symptoms are doing at that time. But definitely will have nothing to say until then -- and will close the thread after your next comment.