Hope you are doing well.

Met a man, we both engaged in naked cuddling with me jerking him off with a tiny pin prick (this happened a few weeks before the encounter) which was almost healed. Not sure what I was thinking but I touched the shaft of his penis with the tip of my tongue for a second. Just touched it like a quick lick at only one small sport at little lower than middle part of the shaft. There was no semen on it but could have been a pre-ejaculation there which touched my tongue. I had smoked cigarettes so had very dry mouth, barely any saliva. Apart from that, I got bleeding gums after brushing also, I have a deep cavity on the last tooth near the back almost reaching to the gum which i have a habit of touching with my tongue tip.

I got extremely worried maybe because of the guilt and everything and got PEP at around 19 hours mark. I am 21 days away after last dose of PEP. I had lots of gas during entire course of it. and wanted to know these things:

1.  If I do get tested at a month from PEP, how accurate in numbers would it be? Also, are those side effects normal for entire course?  

2. What are my risk with the following exposure?

The encounter you described, was very, very low risk for acquisition of any STI, including HIV. There are several factors which consider contribute to this assessment:

1.  You do not know that your partner had HIV or any other STI. As a generalization most people do not.

2.  if your partner did have an STI, there is no virtually no risk for acquisition of any STI from masturbation, even when you get your partner’sm genital secretions on you in the process.

3.  Your brief contact or contact with your partner’s penile shaft does not represent a meaningful risk for STI, including HIV

4. Regarding your oral contact, the fact that you may have problems including gum disease in no way changes this assessment.

I would have no concerns whatsoever about this encounter. Had you approached me in my clinic asking for PEP, I would have declined to prescribe it for you..  I anticipate that when you test using a fourth generation, combination HIV, antigen/antibody test four weeks following completion of PEP, your results will be negative and you should consider these results conclusive and proof that you did not require HIV from the exposure who described

I hope this information is helpful. Please don’t worry. EWH.