We have both tested negatively  for HIV, her after 5 days, 2 months and 3 months with Rapid test and me 1 month after PEP completion with 4th gen lab test.  I am no longer worried about HIV due to us both being tested. (1) Am I correct to not be worried?

However, I became extremely worried when I realised that I hadn't been vaccinated against Hepatitis B (only Hep A).

I went to London and had an instant Hepatitis B test after 4 months of exposure, which was carried out by a GP, which was also negative, and a 4 month instant Hepatitis C test which was also negative.  I have also had a negative rapid syphilis test and negative lab gonorrhea and chlamydia tests.

I 

First, you are correct that you should no longer be worried about HIV. You were overtested and most experts probably would not have prescribed PEP in this situation, or would have stopped it once your partner had her negative HIV test at 5 days. But in any case, for sure you don't have it.

Bottom line:  All is well in regard to HIV, HBV, and HCV, and probably for all STDs. I hope these comments have been helpful. Best wishes and stay safe!

HHH, MD

Thanks so much for your helpful reply, which is certainly reassuring. My huge anxiety was because I was lead to believe that the risk of transmission of HBV was 1 in 20 for Hepatitis B for the male from vaginal sex from looking on the internet. Are you saying that this is definitely not the case and the odds are much much higher? Also the prevalence of HBV is high (5%) in the country where I had my exposure. Why is it that they say HBV is 50 to 100 times more infectious that HIV if there is still only a 1 in 1000+ chance from sexual intercourse? 

Unfortunately because it was all done at a distance through a third party I didn't get any info on her HBV testing and now there's not enough time to find out.

Yes I have twice tested for chlamydia & gonorrhea and had a rapid test for syphilis so they were no longer a concern so I didnt mention them

http://www.webmd.com/hepatitis/hepatitis-and-sex-frequently-asked-questions

The transmissibility of HBV varies widely with the stage of infection and other aspects. Certainly the overall risk is nowhere near 5% (1 in 20), and I don't see that figure in the WebMD link you provided. I imagine it could be that high if the infected partner had acute hepatitis B. But the large majority of chronic carriers have much lower levels of virus in their blood. In fact, the higher the prevalence of HBV in a country (and 5% is certainly on the high side), the higher the proportion of those with non-acute chronic carrier states, i.e. relatively low blood levels. My guesstimate of under 1 chance in a thousand (actually, I said one in several thousand) might be too conservative. OTOH, you also have the negative test result 4 months later. From that alone, I would say there is no realistic chance you caught HBV, even if the risk had been far higher than it probably was.

Glad to hear you were tested for gonorrhea, chlamydia, and syphilis. I would have put hepatitis B as also "no longer a concern".

My final advice is that since you're obviously concerned about HBV, you get immunized against it. Even if you plan on no further sexual events like the one describe, such plans often disappear in a puff of blue smoke when temptations arise. Why not protect yourself in the most reliable way available?

Apologies again for the delay in responding. Best wishes and stay safe.