Heterosexual Exposure Female to Male Risk?

[Terrified11]

White male. Today, I had a "one night stand" consisting of

1. unprotected insertive vaginal sex, and
2. unprotected cunnilingus

with a white female of unknown status.

She reports having no sexual infections, but I have no independent verification of that. I am aware that she was (indeed as reckless as I was in) willing to have unprotected sex, and I reckon she's had other such one night stand encounters before.

She is, by her own reporting, not an IV drug user although she uses other "light" drugs recreationally (marijuana, etc.), and had several tattoos. Not that one can ever know status or stage by appearance alone, but she appeared "robust" and healthy.

I am circumcised and have no visible cuts or wounds on my penis, although I did shave several days earlier.

I am aware that the reported risk of F-M transmission is estimated at 1 in 2000. But I am also of the understand that this figure may be somewhat speculative (to the extent that some homosexual encounters and IV drug users are not comfortable reporting as such).

Based on this data, would you advise PEP? I plan to test beginning at 4 weeks and continue to 3 months, but to moderate my anxiety in the mean time, I was hoping for some guidance tailored to my facts.

Thank you in advance for any help you can provide.

All the best.

[John2014]

Im not a doctor, so i can't give this advice to you to take, or not take PEP. If you feel more confortable, you can go to a doctor and speak with him, my guess is that the doctor will not recommend PEP. Your risk is very low, and be circumcused reduce your minimal risk... . What you could do now is call the woman to go test with you, it wiil be good for you and for her. If you can't do this, you should do a test at six weeks, and a last test at three month. The result of the six week test will not change, believe it. If you are very concerned you could have a COMBO test at four weeks and an ordinary antibody test at three months. Again, the 4 weeks COMoI test will not change at three months, believe it. I am sure you are ok, and that you are well and do not get HIV from this encounter. I would like to sugest you to make a test for hepatitis and syphilis also. These tests will be conclusive at 3 months also. From today, use condoms in all your sexual relations! Be safe, Be happy!

[Terrified11]

Thank you for your rapid reply John.

Is the Combo test the same as the DUO? Where can I find those tests; are they available only through clinics, or can I purchase one at a pharmacy?

Thank you again for your assurances! Take care.

[stressedandnervous]

go and have a duo test at 4 weeks if you can't wait 3 months and it was not really high risk anyway

[John2014]

Sometimes is a little bit dificult to find the COMBO/DUO test (they are the same), they are avaliable only through clinics.

[ran1234]

You had a risk...risk is risk and cannot differentiate its high or low...
Those who who had unprotected sex need to take conclusive test at 3 months post exposure. ..
Have duo/ combo at end of week 4 relax and have one at 12 weeks.
Have in mind next time to use that Rubber..
Remember Unprotected sex enjoyment is for 5 minutes. ..but HIV is forever..