Risky Exposure with Transexual Sex Worker

[PEC123]

Hi everyone, looking for some medical professionals/HIV experts to weigh in here.

I am a 34 year old heterosexual male living in NYC and am in a committed relationship with a heterosexual woman. With that said after a night of heavy drinking and MDMA usage I obviously wasn't thinking clearly and went online to solicit sex. I came across an ad posted by a pre-op Asian transsexual (MTF) who is not from America and had what I believe to be a Filipino accent and was curious. I reached out and arranged for her to come to my apartment. This was in the very early morning hours of Friday November 25th. She arrived at 6am and admitted that she too was on a substance "GHB". I was not thinking clearly at all and stupidly didn't even think to ask about her HIV status and she never mentioned anything about it either so I do not know whether or not she is HIV positive.

After arriving at my apartment she proceeded to give me unprotected oral sex for a while before I put on a latex condom and had anal sex with her for about 5-10 minutes. I had not ejaculated so pulled out and removed the condom, it was still intact. She went back to giving me unprotected oral sex for another few minutes and we then decided to again try anal so I put on a new latex condom and proceeded to again have protected anal sex. After another few minutes it was apparent I was not going to ejaculate so I stopped, removed the condom which was also intact and put a stop to whole thing. After she left my apartment I actually filled both condoms with water to make sure they hadn't broken, and neither had any leak.

Something worth noting is that I had unprotected anal sex with my girlfriend about 4 days before and had a bit of a rash on the left side of the shaft of my penis (I believe from friction), it was very red and appeared to look like little dots/bumps that weren't very raised - but no open wounds. I noticed before the Trans sex worker arrived that the rash looked very dry and the skin on the shaft of my penis was flaking.

Anyway, after the Trans woman left my apartment I was so ashamed I immediately deleted her phone number and any trace of our communication. After thinking about things and starting to freak out I looked for her ad online that I had found her through and saw she had deleted that as well, as I wanted to ask her status. So unfortunately I have no way of getting in touch with her to ask. So given all that background I have a few questions.

1. How likely is it that she was HIV positive? Again, she is not from the USA and I believe to be Filipino or of a similar Asian decent. Obviously given her profession and the fact that she had admitted the usage of "club drugs" I am very concerned.

2. Even though we used a condom for the anal sex given the rash on my shaft, which definitely wasn't fully covered how likely is it that I would have contracted HIV through that if she was positive?

3. The whole experience with her lasted from 6am to 7am on November 25th, it's now 3pm on November 26th so well within the 72 hours, do you recommend that I try to get PEP?

4. In regards to testing, I have been reading about the HIV RNA test that can be given about 10 days after exposure. Would you recommend that?

5. Finally my girlfriend got a new job and is traveling for a month so I will not see her until December 28th. I plan to get an antibody test at the four week mark, on December 23rd. I will be praying that comes back negative and if it does can I deem that conclusive and resume unprotected sex with my girlfriend?

Needless to say I am really struggling with everything and morality of what I have done and being unfaithful but I am also very scared. I have never done something like this and am really fearing he worst. Please let me know what you'd recommend and how best to try and move forward! Thank you so much for all your help!

[AnxiousNoMore]

You can't get it from protected sex. You can't get it from oral because saliva kills it pretty good or else there would be a lot of unhappy kissers in the US. You can't get it from guilt either, so time to forget it and get back to enjoying your life since you had no HIV risk.

I carefully read all your activities, so there is nothing left for me to say or for you to worry about. You will be wasting your time getting an HIV test.

If you do go through with the useless testing, you could always pretend you have a cold if she arrives back earlier than you want and also lie that you read that it is communicated by sex so you need to wear a condom for a while to buy time.

[PEC123]

Thank you, I really appreciate your help!