I apologize to be back here asking another question, maybe I am starting to ask out of anxiety. I made a mistake, and went back to a previously seen trans csw.  was the top for condom protected anal.  There was some mutual masturbation, but I don’t recall much of any other sexual contact, giving anal seemed to be the main thing.  I am trying to convince myself that I don’t need pep.  It seems harsh on organs, and probably unwarranted.  I stress some because usually I came in condom so I could see it wasn’t broken.  But this time, I pulled out, she removed the condom and I manually finished so I can’t confirm the condom state. given this exposure and frequency that this has happened, should I worry? Should I take pep, I spoke to a Dr that would recommend it, but it just seems that might be anxiety driven.  As of a few weeks ago I did test negative for hiv, gon/chlam.

sorry, meant to say “a Dr that prescribed it, but it just seems that might be anxiety driven.”  

I'm saddened to see you back with rather repetitive questions.  The encounter that you describe is virtually no risk.  I would not recommend PEP for this exposure.  Let me explain why- ---