(2) would you seek PEP in this situation?

(3) Am I at risk for any other STDs?

(4) If the answer is low/minimal risk, is it safe for me to resume sex with my partner?

My sincere thanks for your time and attention to this.

This was a zero risk event for all practical purposes, primarily because of the correct and proper condom use. In the event of similar exposures in the future, I would suggest asking your partner about HIV status before having sex. But even if he was infected, there is no cause for worry. HSV2 (but not HSV1) increases the risk of HIV if sexually exposed. But it make no difference, given the condom use.

1) Those comments pretty well answer  your first question. From a medical/risk standpoint, no testing is needed. Of course you are free to be tested if you wish.

2) For sure I would not recommend PEP and would not seek it if somehow I were in your situation.

3) Because of condom use for both oral and anal sex, the risk of other STDs also was near zero.

4) The risk is low enough that I would consider it safe to continue sex with your regular partner. Once again, that's what I would do in this situaiton.

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

HHH, MD

Thank you very much for your response! I had neglected to mention that the profile of the person I hooked up with stated that they had been tested in June 2019 and it came back HIV negative. Not sure how much you can trust statements like that.

One additional question from a curiosity standpoint- does HSV2 add risk of HIV acquisition only in situations where the urethra is exposed, or also where sores are present? All I’ve seen online is that Herpes adds risk, but not clear on circumstances. Thanks again for your time and helpful responses!

The increased risk due to HSV2 does not depend on presence of visible outbreaks or sores. Just having the virus does it (e.g. positive blood test for HSV2), whether or not symptoms are present during exposure -- and even in people who never have herpes symptoms at all. On the other hand, the average increased risk is double what it would be without herpes. And doubling is usually meaningless. For example, for an exposure with 1 chance in a million of catching HIV (your risk was even lower), with HSV2 a double chance means 1 in 500,000. Still low enough to be ignored. Increased risk from HSV2 comes into play only with especially high risk exposures, such as traumatic unprotected sex with a partner known to have HIV with a high viral load. Without such circumstances, this isn't something that should worry you.