Today I went to a massage parlor and the lady gave me oral sex for a while then I took it out of her mouth and used my hand to finish. It was around 2 minutes each. After that she just gave me a massage with oil with no sexual intercourse. She said she got tested but I’m scared and don’t trust her. How risky am I from getting hiv from her? In addition I’m sure that she doesn’t have huge cuts in her mouth but she might have small ones Becuase I shone a flashlight to check. I then went to city MD and asked if I need PEP. The doctor decided to prescribe me some. She said anything is possible and made me really scared. I searched online however and found out that pep usually don’t get prescribed for just oral? And also there are no cases of hiv just from oral? I’m super confused and scared.

I'm sorry you're so worried -- this was a zero risk exposure for HIV, or very close to zero. I'm sorry your own doctor so seriously misunderstands HIV risks and mis-led you with her advice bout PEP.

You are correct that oral sex is very low risk -- there has never been a proved case of HIV transmitted oral to penis. In addition, female sex workers very rarely have HIV anyway:  I would bet nobody in the world ever caught HIV from a circumstance like you describe. Your doctor should have known that. In addition, sex workers usually do not lie about HIV or STD status:  you can trust that she has been tested for HIV with negative results.  If you had come to my clinic, we would not have prescribed PEP, even if you insisted on it. (Your doctor's "anything is possible" statement is technically true. It's also possible you'll be struck by a meteorite tomorrow, but would you take precautions to prevent it?)

My advice is that you don't even need HIV testing. You should speak again with your doctor and tell her what I have said. And consider not taking the PEP drugs.

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

HHH, MD

Thank you so much for the reply. I will make sure not to take the PEP. I have one last question to ask. Is it really true that sex workers don’t have much HIV? Why is that I thought they’d be exposed to it the most. And also why would they not lie about their status? 

"About the PEP...?" There are no official guidelines about when PEP is or is not justified. I've already mentioned my suspicion that the doctor doesn't understand how low your risk of HIV was from the exposure described.

"...is it possible to take a quick test...?" There is no test to tell someone has been infected ("virus inside of me") until ~10 days after exposure. That's the PCR for HIV RNA. If infection occurs, this test usually positive by 10-11 days after exposure.

As I said above, your risk was low enough that any testing is optional. If somehow I were in your situation, personally I would not be tested at all. But if you feel you need the reassurance of the negative test result, you could have a PCR test at 11-12 days and/or an AgAb (4th generation) blood test 6 weeks after the event. If you get tested, you can expect negative results.

Or contact your massage partner and offer to pay for her to be tested at this time. If negative, you will know you were not exposed and don't need any testing yourself.