Does a 29-year-old need PEP after unprotected oral sex?

Question

Hi doctor,

I am a 29-year-old male who got an unprotected blowjob from a sex worker at a massage parlor. I do not know her HIV (human immunodeficiency virus) status. I did oral sex only one time, and I did not ejaculate in her mouth. Then she cleaned all with a towel and I washed my penis with soap and water.

Later, I got an HIV 1/2 combo with the p24 antigen test, which came back negative. Please help me, should I go for PEP (post-exposure Prophylaxis)?

I am not able to sleep. What should I do?

Answer 1

Hi,

Welcome to icliniq.com.

The chances of transmission of HIV (human immunodeficiency virus) by a single unprotected oral sex are almost nil unless there are bleeding wounds in the oral cavity. If the person is HIV-negative, then there is no chance of transmission of HIV. The HIV antibody test results suggest a negative status as of now, but are not conclusive for this episode.

PEP (post-exposure prophylaxis) may not be needed if the act is limited only to this. Please consult your doctor for further risk assessment and the need for PEP. PEP, if needed, has to be initiated as early as possible, not later than 72 hours of exposure.

I hope this helps you.

Thank you.