I met a CSW on 28/10/2024 in Toronto. I had protected oral and vaginal sex. However, after ejaculation and pulled out, I noticed that condom was not on my penis. It stuck to her vagina with the opening of the condom is outside the vagina and visible. I took out just by draging it with no effort. I found that the fluid is inside the condom. Also i found a drop of fluid fell on the bed sheet after withdrwal. I want to know

1) Risk of HIV and other STI

2) is it considered as unprotected sex

3) As I am in window period for PEP. Based on my incident Do I need to consider PEP?

Also I know her from quiet some time and she told she gets tested every month or two. She mentioend her last testing was on 21/10/2024. Also she mentioned she got all the doeses of HPV vaccine recently. I think she is very health consious. But I keep worrying because of the condom slip otherwise I would have ignored it considering it as a protected sex.

First, congratulations on your attention to sexual safety for your commercial sex events, i.e. consistent condom use. And once again you describe a very safe partner. If your partners classify as escorts -- expensive, working by appointment -- such women generally are believed to have low likelihood of active infection. They are health conscious, test frequently, use condoms, and generally have low risk clients -- men like you.

1) Zero risk or close to it.

2) No, I would consider it well protected sex.

3) I would strongly advise against PEP in this situation. I don't even recommend testing for anything.

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

HHH, MD

Thankyou for your promt response.

Based on your advice I didnot go for testing due to the last incident which I understood it as the protected one. I thought it as the protected one intially, but I was not able to covince myself , so I posted the question here. I had one follow up question. Based on the description I gave Do you think the condom has slipped during the withdrwal only or during the intercourse.

Based on logic, I think it slipped during the withdrwal as the condom opening was outside and fluid was inside. Otherwise , if it had slipped during the intercourse condom should have ended up inside the vagina. Am I correct in this aspect.

Once again, thankyou for the response. It has eased my mind.