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CSW's blood in my mouth during cunnilingus. Should I get a test or PEP?

About 36 hours ago slept with a CSW of unknown HIV status - she was an escort who came to my hotel room. It was my first time doing this as, I was drunk. I made a stupid mistake, but now I'm worrying a lot about possible infection. During the time we were together we showered together then I performed cunnilingus on her, mainly on her clitoris, though occasionally on her labia, but didn't put my tongue inside her vagina. After that I fingered her for around 3-4 minutes and then moved back to performing oral on her clitoris for a while. I then started fingering her again, but more vigorously.

After 5 minutes of fingering I noticed blood all over my two fingers and on the outside of her vagina and some on the inside of her thighs. we were using a lubrication (Durex I think) so I didn't notice the blood to begin with. I thought it was blood from menstruation, but she said it wasn't and indicated that I had cut her or caused bleeding inside from fingering too vigorously.

She checked my fingers over and over and seemed worried about my finger nails or cuts - she couldn't speak English well, so I'm not sure. There was a lot of blood and she wiped it off with tissue and then showered again. I also washed my hands immediately with soap and water.

When we moved back to the bedroom, she wanted to give me a BJ but indicated that she couldn't without a condom, as she had something on/in her mouth, like a mouth ulcer or coldsore. She did put my unprotected penis in her mouth around 3 times for 5 seconds at a time, before finally stopping and indicating that she couldn't. She kept pointing to her lip and mouth and saying no. She also refused to kiss all the way through the session for the same reason. After that we had protected sex. I couldn't get the first condom on as it unrolled incorrectly. She then put a new condom on me. Before entering her she kept checking it over and over to make sure it was on properly and rolled down to the base of my penis. I was not fully erect when I entered her vagina, but the condom was on properly.

We had sex for around 5-10 minutes and then I finished (not sure exactly how long as I was drunk). When I pulled out the condom was still intact and my sperm was in the end of the condom, but there was blood all over the outside of condom from top to bottom and all over my pubic area and scrotum. There was also blood all over the pillow that was under her and on the outside of her vagina. She inspected the condom when I pulled out and it was still on my penis. I'm guessing that she also wanted to know that it was still intact.

I wiped off the blood on the very base of my penis and scrotum using tissues and then removed the condom into a new piece of tissue. I then thoroughly washed my genitals with soap and water. I didn't fill the condom with water to test it, but I could see that it was still intact with my sperm in the end. After that she left and I fell asleep. When I woke up a few hours later I really started to freak out and worry about this episode. I have a long term partner and aside from feeling guilty, I'm really anxious that I've put myself and my partner at risk due to this really stupid decision.


1. I might have got some of her blood from the cut inside her vagina in my mouth during oral sex (it definitely wasn't menstrual blood) - there was a lot of blood on my fingers and I was drunk and we were using lube so I can't remember if I tasted any blood, but I'm worried as there was so much blood. I didn't have any cuts/sores in my mouth and my gums are in good condition though I am a smoker. I'm really, really worried about contacting HIV or other blood borne diseases this way. I also known that it's a small chance from cunnilingus, but I'm very concerned about the amount of blood.

2. My penis was not fully erect when I entered her, but became more erect during sex. I'm worried that her blood/vaginal secretions may have gotten inside the condom from the base of my penis during sex. I didn't see any blood inside the condom, but I can't be 100% sure. She also checked the condom when it was on my penis, both before and after, and she seemed worried too. The condom remained intact throughout, but this is still a concern for me.

3. I'm starting to really worry about this a lot. As I said I have a longterm partner and we regularly have unprotected sex. She is clean and up until this point I have been too. I'm very concerned. Should I get a PEP as I'm still in the time frame to do this? I'm really worried about the blood and the fact that I have no idea if the CSW has any STI's or HIV.

Thank you for any replies.
  

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Avatar universal
PEP is a decision made by you and your Dr, not online. Saliva would make the virus inactive, you had no risk.
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thank you for the reply, Vance.
Avatar universal
If you had blood from oral sex you would have seen it on your face. You had no risk.
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Thank you for the answer, Vance. I don't recall having any blood on my face, though I was also drunk and have facial hair, so maybe there was some. If I did get any of her blood in my mouth would this be a cause for concern and if so should I get tested? As I said, I was drunk and we were using lube so i can't be sure if any of the blood got into my mouth. I'm still really worried about this. I'd like to know so that I can proceed with PEP while still in the time frame. Thank you once again for your answer.
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