Worried!!! Unprotected insertion.

[jpb678]

I am male and was receiving a massage from a male acquaintance.  I was lying on my back and had my eyes closed.   I knew he was standing over me at one point but suddenly realized he had my penis and it was going in his anus...and with no condom.  I reacted quickly and separated but...there was penetration regardless.  In a routine test I was HIV negative about eight months ago; he when asked said he's never tested positive but couldn't remember when he last tested.  I would have used a condom for sex but in no way was I anticipating what happened.  Has been one day and I am upset over the unwanted risk.  As for PEP, benefit worth risk?  I am guessing I'd likely be turned away at the ER as I was insertive and not receptive...partner not known to have HIV.

Pls advise.  Many thanks!

[Jim Allen]

Hiya.

Insertive or not it's an HIV risk, you could consider PEP. PEP is a course of medication that aims to prevent HIV from taking hold, it's highly effective when started within 72 hours post-exposure, although, some clinics and hospitals will not prescribe it after 48 hours.

If you do start PEP then test to confirm your HIV status six weeks after finishing PEP with a blood draw (lab) HIV antibody test. A non-reactive result at that time would rarely change, and retesting at three months is generally unnecessary.

when asked said he's never tested positive but couldn't remember when he last tested

Nothing he claimed would have been relevant. Even if he had claimed to have tested yesterday with a non-reactive result it would be meaningless to you for several reasons including the window period.

Here's what you need to know to reduce your HIV risks:
Use condoms for anal or vaginal intercourse correctly and consistently, with no exceptions. Consider talking to your healthcare provider about PrEP as an additional layer of protection against HIV

Keep in mind that some sexual practices described as safe in terms of acquiring HIV still pose a risk for other easier-acquired STIs. So please do get tested at least yearly for STIs, including but not limited to HIV, and more frequently if condomless intercourse occurs.

Also, note that it is possible to have an STI and show no signs or symptoms; testing is the only way to know.

Kind regards

Jim

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