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I was the bottom, Penis tip entered twice for few seconds.

Question: 

I was on the bottom and other guy was playing and rubbing his penis on my anus, my anus was lubed with spit and had lot of his pre-cum around my anus. I am extremely worried about this incident, we stopped immediately after him inserting his penis tip into me twice.

Please let me know what should i do ? PEP warranted ?
He said he is safe HIV neg. but i don't if i should trust.

extremely worried, please help! Thanks

Answer: 

Hi there,

Thank you for your inquiry. From what we gather from the question you were asking about the possibility of HIV acquisition through the brief insertion of the tip of an unprotected penis.

From the information given, this scenario is determined to be High Risk: (Evidence of transmission through these activities and is the majority of cases of transmission). Anal sex without a condom is considered to be an act of High Risk. The tissue lining in and around the anus is very thin, and due to this, can provide foreign bodily fluids more opportunity to enter the bloodstream.

If you are continuously engaging in high risk activity there are biomedical approaches such as PrEP and PEP that help lower your risk of acquiring HIV. Refer to your physicians for further information.

Recommendation: Refer to Physician for HIV test, and ask about alternative protection methods such as PEP if your exposure was within the past 72 hours.

All the best, AIDS Vancouver Helpline/Online, Cody