HIV PEP / risk

[User_999]

I’m wondering if I should contact urgent care or if it’s too late. Slept with a trans SW and was covered during inter course. I topped. Had trouble cumming with the condom so I was going to just finish by hand and ejaculate on her back, but she wanted to me to finish in her. Stupidly, I went with it, and came inside her ass, at which point, she pushed backwards so I’d go deeper (as I was barely in). I immediately pulled out upon finishing. I was probably in her unprotected for like 30 seconds. She said she’s clean but I worry about my HIV exposure. Would getting HIV PEP be warranted here? It’s a little hard to get to a dr and my 72 hour window is closing.

[CurfewX]

It's not a great sign that a sex worker allowed you to penetrate them without protection. That said, a one-time event is very low risk for contracting HIV. The decision about whether to take PEP or not in this circumstance is entirely up to you.

[User_999]

I agree that her willingness to do that doesn’t reflect well. I ended up getting a pep prescription from my doc (though a tad outside the 72 hour window — late by 3 hours). Ok be thing that concerns me a bit though is that the prescription is only for truvada, but CDC seems to recommend a third drug. I asked my doc and she seemed set on just the combo of two drugs in the one truvada pill. I’ll have to cross my fingers at this point. :/

[User_999]

One thing that concerns me a bit*