Hi, just last night I visited a friend of mine and we ended up fooling around. He claims to be disease free but I can't trust just his word. I told him I didn't want sex and we were fine with that except he jokingly inserted the tip of his penis into me after he wiped some of his saliva onto the head. I can't say for certain if there was or wasn't pre-ejaculate on the head, but it seems very unlikely. I yelped and jumped off immediately and woke up this morning with blood in my stool likely due to a potential tear in my rectum due to the unwanted intruder. I was wondering where that puts me risk wise and what I can do to help. Is PEP a plausible route, or is it not even advised? Just interested in hearing your thoughts.
Thanks for your question, though I'm not sure how someone can jokingly insert his penis into you.
But the answer to your question is the risk is incredible low but because of the insertion that was unprotected and there is HIV present in pre cum there is a risk. Not just for HIV but for all of the sexually transmitted infections that can be transmit, and those much easier than HIV.
HIV transmission can only occur when there is a direct and prolonged exposure to body fluids, semen, vaginal fluid, blood or mother to child through breast feeding. This most commonly occurs through unprotected vaginal or anal sex and sharing of needles. Casual contact, sharing utensils, drinking after someone, etc are not way for HIV transmission to occur. If you go to this link HIV101 it will take you to our page that talks about the ways in which HIV is and is not transmitted.
Because your exposure was brief this decreases your risk. But again not completely and not from the other STI's.
I would recommend that you follow up with your health care provider to receive testing which should HIV as everyone should know their status.
The next time you are with someone I would have a condom available in case things lead to a more intimate encounter.
Be well and stay safe, Shannon