Dear MD,
Circumcised Male (31)Traveling in Dominican Republic I hired a russian escort and proceeded to:
Deep French kiss
Gave oral and fingered her, I noticed peeled cuticle on the finger the next day but not a major cut. I received 20+min of unprotected oral.
Protected vaginal sex. I wore a condom. It did not slip. My tumescense was 6.5/10. At one point I pulled out to see if it had broken because it felt different. But it was not broken.
I pulled out and ejaculated over her. I checked condom to make sure it didn't break. Didn't seem to have.
I immediately took a shower and washed my face and mouth and applied some alcohol to all exposed areas.
I asked the provider her status. She was not very clear other than having had a pap a month prior. I asked if I could pay for tests for her but she only got mad and shut off communication. I checked for lesions and sores on her mouth lips and also her vagina though the light wasn't too bright, but I dddidnt see anything, or anything obvious at least. No foul smell or taste either from her vagina.
I have been in monogamous relationship for 3 years and had been tested negative to all STDs prior to starting.
If it wasn't a sex worker in DR I might not be so concerned, But the fact she refused or had no idea of her status concerned me even more.
I have spent the day reading a ton of research. Probabilities on CSW vs. regular population, low income vs high, circumcised vs. not, transmission rates etc.
I have about a week until I see my gf and first thing she will want is sex. If I pull put a condom, that will be the end of it.
What are my risks of having caught anything?
Should I do and RNA on day 10?
Should I do PrEP just to be safe?
Any other post encounter countermeasures?
How quickly can I get tested for my highest infectivity STD?
I just want to maximize my safety and that if my gf and to make sure our relationship continues.
Thank you.
Sincerely,
Thrice a Fool