Anonymous
Dear,

I have had mutual masturbation with a guy I don't know about his HIV status.
We kissed each other, licked the nipples and jerked off without oral sex, or penetration.
He rubbed his penis on mine. We are both uncircumcised. He ended up cum on my penis head. I thought his semen might contact my urethra hole and the body of my penis where the foreskin was pulled out.
I am concerning if I am at risk of HIV in this circumstance? It has happened 6 hours ago, should I consider PEP in this case?
I am looking forward to hearing from you.
Thank you so much!
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Anonymous
Thank you for your inquiry. From what we gather from the question, you were asking about risk of HIV transmission through mutual masturbation with a person of unknown HIV status, where he ejaculated on the head of your penis.

From the information given, this scenario is determined to be. Low Risk: (Evidence of transmission occurs through these activities when certain conditions are met). This scenario is consider to be of Low Risk because of the presence of bodily fluid, with a potential direct access to your blood stream through your urethra. Pre-cum and semen are both adequate bodily fluids for the transmission of HIV.

Please consider our HIV [Transmission Equation](https://www.aidswindsor.org/healthy-me/hiv-transmission/) for additional HIV transmission related questions.

If either you or your partner are of unknown HIV status, we recommend talking to your local physician or community clinic about additional HIV prevention methods such as PEP (post-exposure prophylaxis). PEP must be started within 72 hours after a recent possible exposure to HIV (1). Since your partners HIV status is unknown, discuss with your physician about your risk and assess whether or not PEP is the most viable option for you.

Recommendation: Refer to Physician for access to biomedical protection options such as PEP, and subsequent HIV testing.

Regards,
AIDS Vancouver Helpline/Online, Chelsea

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