Thank you all for this amazing forum. I had a lapse in judgement and went to a bath house in Spain about 10 days ago. I am a homosexual male with recent known HIV negativity. After a few drinks, I wandered down to the darker area and had a few interactions (no anal sex, just fondling/kissing) with some of the clientele. At the end of the night, I met a man with whom I had insertive anal sex (I was the "top"). He placed a condom on me and took it off at the end. I am relatively sure it did not break, but I cannot be 100% certain. Since then, he and I had talked (exchanged numbers), and he assured me he was HIV negative and had not had a partner since a negative test a few months prior. Due to my guilt and anxiety, I searched for PEP in Europe, which was IMPOSSIBLE. I eventually was able to obtain Truvada, which I started about 55hr after "exposure". I plan to take for the full 28 days. I called the national PEP hotline who told me that 2- versus 3-drug PEP has never been compared and that continuing Truvada would be OK. Other doctors had told me PEP wasn't indicated.
Could you provide me with your assessment of my need for PEP, follow-up testing, and risk?