Tonight I met up with someone online after some chatting. We engaged in oral sex. I did not intend to engage in anal because we did not have condoms. He states he is on PrEP, tested every 3 months, and very disciplined about taking it. After messing around, he wanted me to put insert it before I ejaculated. In the heat of moment (thinking with the wrong head) - i did it. It lasted about 5-7 seconds. I became very nervous afterwards and he assured me he was regularly tested and on prep and suggested I get on prep. I have not gotten on prep because I am in a relationship that up until this has been monogamous. This happened a few hours ago and I feel every tingle and sensation and think its some virus taking hold. (I know this is not the case as it is too soon.) I did take doxypep afterwards. (2X100mg.) Should I get PEP for hiv?  In the spectrum of risk where do I think I am? (I follow this group a lot, but for some reason posting this and having an answer makes me feel better) Thank you

Welcome back to the forum. However, having scanned your several previous questions, the answers to these should be pretty obvious to you. Therefore my comments are brief.---
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Thank you Dr. I wasn’t clear in my message that I sent very late last night. There was insertive unprotected anal for 5-10 seconds as I ejacualted. That’s what concerned me. I am completely clear on oral thanks to you. The lapse in judgement on the anal part is what has me worried. We did exchange numbers and I have no reason to think he was lying about prep. My body is tingly today. But likely anxiety and doxy. As always thank you! 

I knew there was brief unprotected topping. That's what I meant with "near zero [risk] given the brevity of the exposure." No change in my advice.---

Thank you Dr. One final question - If I use condoms regularly, should I get on Prep? I'm almost 50 and have always (with few exceptions) used condoms. Finally - today my penis is sore. no burning or discharge, just somewhat sore. I assume, edging, and sex, and multiple masturbation session in a day could cause such? (More activity than usual). I understand this was my last response. Thank you

PrEP choice is very personal. On one hand, if you indeed consistently use condoms for anal sex (both top and bottom), and also assure your partners are either HIV negative or on effective treatment with low viral load, you will be at nearly zero risk for HIV and PrEP probably wouldn't be worth the hassle. OTOH, intentions for condom use don't always hold up, and condoms sometimes fail. And all this also probably should take into account the frequency of sexual exposures with many different partners. It has to be your call, ideally with the advice of a personal health care provider and not this or any distant online resource.---