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std from one quick exposure (oral)

i was on vacation and i had an encounter with a sex worker here (miami, florida)....had protected penetration but she gave me oral for about 40 sec...i'm a bit nervous feeling some tingling on my penis after 4 days.  perhaps nerves?  no discharge or anything.  What is my risk exposure/odds of getting an std from a 40 sec fellatio?  is the time of exposure irrelevant?  what sign should i be worried for the next few days.....bit worried....thanks, would love to continue my vacation with peace of mind.  
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Avatar universal
A related discussion, pain after intercourse was started.
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300980 tn?1194929400
MEDICAL PROFESSIONAL
No, the discomfort associate with gonorrhea and NGU can be mild.  As I said however, it is also most notable during urination and often there is a discharge associated with it.  EWH
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Avatar universal
thanks i will go back to cycling and running.....honestly, your reponse and web site is a lot of relief for a lot of people.  if i see you somewhere, i will definetely offer you a drink ;-)  Last question to resume...are you saying the gonorrhea and NGU will definetely cause symptoms in which most of the time are severe in pain?  out of 10, 10 being very painful....what would you evalute the pain of gonnorhea and NGU.  thanks you're helpful.

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300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome back to our Forum.  You have little to worry about.  I hope that the comments I am about to make will help you to enjoy your vacation.

The only risk you have is form receipt of unprotected oral sex and that exposure was apparently quite brief.  As it turns out, oral sex is an inefficient way to transmit STDs.  Of the bacterial STDs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through oral sex; chlamydia is not and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise tiny.   If you had gotten gonorrhea or NGU you would have most likely developed symptoms of urethritis (penile infection).  Your "tingling" could conceivably be such a symptoms but this is unlikely - the discomfort which accompanies urethritis is typically noted only during urination.  Rather, I would point out that sometimes after an exposure that, in retrospect, one wishes they had not had, persons tend to examine themselves and be far more attuned to genital sensations than in periods when they are not concerned.  This in turns leads to noticing what turn out to be normal sensations that might have been not noticed or ignored at other times.  Perhaps this is a contributor to your situation.    

I would ad that, even if your partner had an STD (any STD and it is likely she did not), most exposures do not lead to infection.  In your case, your exposure was brief, further reducing your risk; I would urge you not to worry. If you must or if you note a visible discharge (most likely to be present on awakening in the morning), you could go to the local STD clinic (there are a number of good ones in Miami, you can find them by calling the local Health Department) or health care provider to be tested at this time.  

Take care.  EWH
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