Activities include French kissing, her performing condom covered Fellatio on me  and me performing cunnilingus on her for a couple of minutes. 

My assessment is this is a no risk event for HIV. With HIV, kissing and condom protected insertive fellatio are no risk and performing cunnilingus is negligible with no (or very very few?) documented cases. Plus she attested to very frequent and recent testing, though we didn’t discuss which specific tests she got. I am thinking it’s likely 4th Gen Ab/Ag HIV testing would be included, though I suppose I don’t know for sure. Also I understand HIV prevalence in Japan is very very low. 

I am thinking there no medical need for testing for and I should not in the least be concerned about HIV based on this one encounter.

Is my assessment correct?

Thank you.

You correctly understand that the exposures described carried no risk for HIV. The virus has never been known to be transmitted by kissing, and there has never been a case of HIV proved to have been transmitted oral to penis, even without a condom. With a condom. the risk is nil. It also is true that there has never been a proved case of HIV transmitted by cunnilingus. These facts do not prove such transmission cannot occur, but obviously the chance is exceedingly low. You also correctly understand the other aspects that make this exposure near zero risk:  heterosexually transmitted HIV indeed is rare in Japan, and your partner's history indicates there is no realistic chance she has HIV. I agree you do not need HIV testing on account of this exposure.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD