Hi doctor,

Recently, I got into the polyamorous lifestyle and joined an app called fetlife for gangbang meetings. I met this woman at a motel through this app for a gangbang. Her partner just sat there looking at his phone. Apparently, no one else came, so I just had protected vaginal sex and an unprotected blowjob. During the protected vaginal sex, I heard a pop and in a second or two took out my penis from her vagina and the condom was broken. I put on a new condom and continued. I went to a doctor and though he was against it as he believed it to be low risk, I asked for PEP. My 1st  dose was around 5 hrs post exposure. Just to put my mind at ease and make sure I didn't have HIV from before, I tested one week after I started taking the medication using oraquick. Not sure if it is effective to detect earlier infections while I am on PEP. I asked her about STDs and she seemed to have shrugged it off. But it felt as if she was secretive. Since then, I noticed that she is now organizing a bareback gangbang. This got me scared. She follows unsafe practices. She might have hiv. I messaged her from a different account to test her and for bareback she is charging money. So I think she might have been a SW. She doesn't seem to follow safe sex practices. Her behavior made me worry and I am posting this.

1. How much of a risk for HIV am I on? Can I expect to be HIV negative?

2. Since I am on PEP(2 pills: Tivicay;  Emtricitabane and tenofovir disoproxil fumarate tablets) and if I complete my 28 days, will I be safe?

3. How long after PEP should I wait for an HIV test? I think Planned parenthood gives third gen tests in Los Angeles. 

4. My doctor prescribed the PEP pills for 28 days, but the pharmacy gave me 30 days worth of pills. Should I take it for 30 days instead?

5 I take the pills at the same time every day. However 1 day, I took it 15 mins later. Is that fine?

1. How much of a risk for HIV am I on? Can I expect to be HIV negative?

If your partner had untreated HIV (effective treatment eliminates risk of HIV transmission), your statistical risk for acquistion of HIV is less than 1 infection per 2000 encounters on average.  PEP makes that risk still low.  In other words there is more than 99.9% chance you would not be infected, IF she has HIV

Minor variation in when you take your pills will not reduce the efficacy of your PEP.

I hope this information is helpful.  Your risk of HIV is low.  EWH

PEP is a personal choice based on perceived risk.  I agree with you that the partner you describe does not sound as though she practices good sexual health.  EWH

Closing the thread now.  EWH

Your risk for HIV is low.

The sooner PEP is started the better but standard recommdations are to start it with 72 hours at most.

Closing the thread now. EWH