[Question #14149] Very Worried and Risks

 
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1 hours ago
Hello Drs - unfortunately I am back on this forum and I thank you for your continued help and service you do for the wider community.
Encounter with a high-end escort. Unprotected oral — she performed on me only. I'm uncircumcised; she pulled the foreskin down fast over a dry glans, causing discomfort and a light stinging during oral. Vaginal sex with a condom: she was very dry, and after ~30 seconds I felt warmth, pulled out immediately, and saw the condom had broken — max ~30 seconds of exposure, likely less. Both of us were shocked; I rinsed off right away. She said she's clean, tested ~2 months ago. Now, ~12 hours later, the stinging/soreness persists. Large East Coast US metro. She's Venezuelan, lived in Mexico 8 years, here 4–6 months; limited English, so we used a translator. Adding to our anxiety: we noticed blood on the side of the bed — dried-looking but wet to the touch — away from where we'd had sex. We both checked our genitals thoroughly; it wasn't from either of us, and we never found the source. 
  • 1.I'm very worried — I have a family. Do I need to start PEP for HIV?
  • 2. Could the foreskin overstretching have caused micro-tears? The stinging persists today, and with the condom break I'm heavily worried about HIV. Note: I saw no blood on my penis after washing, and none on the condom.
  • 3.I'm able to visit a clinic today for PEP or testing — should I go today? What STDs am I at risk for overall?