Hello Doctor.I apologize for my bad english.I am Italian. So, I live in Tokyo and this morning I decided to meet an escort:Japanese girl, 40 y.o. She told me she started this job 5 years go. We took a shower together and we started our intercourse:kissing, mutual mastubation, oral sex (I performed to her and she performed to me), then I wear a condom for vaginal sex. After the 1th round we laied on the bed and start to talking and she said to me that sometimes she perform UNPROTECTED SEXwith repeated customers. I PANICKED and immediately I say to her to go way, probably I was rude but inthat moment I was like a crazy.Anyway, I am calm now and these are my questions: condom worked, no cuts. but oral sex was unprotected as kissing of course. Do I need to test for this exposure?I am in a relationship can I continue to have sex with my partner?I usually test 2 times per year, last time I tested in February and all (Chlamydia,Ghonorrea,Syphillis,HIV)was negative. Thank you

Welcome to the Forum.  I'll be pleased to comment.  We tend to recommend testing more often for clients of commercial sex workers in Japan than anywhere else because the occurrence of antibiotic resistant gonorrhea following oral sex is higher in Japan than anywhere else.  Generally oral sex is low risk and condom protected sex like the vaginal sex you report is safe sex.  My advice is for you to have a throat swab and urine test done for gonorrhea.  The risk for all other STIs is so low that I would not worry about them.  If your gonorrhea tests are negative from those two sites then you do not need to worry further and no further testing is recommended.---

Good, I am glad that you will be tested.  I anticipate that the results will show that you were not infected but best to be sure with testing.  ---

Good day Doctor,today I went to clinic for the test.I explained the situation to the Doctor and he suggested me to test for Chlamidya and Oral Chlamidya too and in 2 weeks for HIV. He was not a specialist STD Doctor but generic (maybe very conservative).Anyway as you suggested to me I tested for Oral Gonorrhea and urine test too. I will receive results in 3 days. I will let you know. Still thank you!

Dear Doctor, as you anticipate, both test resulted negative. Thank you very much for your help!

Thanks for the followup information.  I trust you will now be able to move forward without concern.  Take care.  EWH---