Question: Hello Doctor
Sir I went to a pub where i sat with comfort woman. 1. No sex oral, vaginal or anal 2. Sucked woman breasts multiple times, she was lactating and i ingested liitle milk 3. The woman licked my penis over my jeans, no direct contact. 4. We engaged in foreplay and kissing, we licked each others tongue. What is the scope of STI and HIV especially from ingesting milk

Hello Doctor
Sir I went to a pub where i sat with comfort woman. 1. No sex oral, vaginal or anal 2. Sucked woman breasts multiple times, she was lactating and i ingested liitle milk 3. The woman licked my penis over my jeans, no direct contact. 4. We engaged in foreplay and kissing, we licked each others tongue. What is the scope of STI and HIV especially from ingesting milk

Sir, thank you. In your experience does this episode warrant PEP as I am in the window.
Based on my reading, I understand that breast milk is more of a risk for infants. I have understood that adults are not at risk. Is your understanding the same. I also read that if you have mouth ulcers or sores (which I do not) it is a risk due to the breast milk.

Request you to clarify.

Sir, thank you. In your experience does this episode warrant PEP as I am in the window.
Based on my reading, I understand that breast milk is more of a risk for infants. I have understood that adults are not at risk. Is your understanding the same. I also read that if you have mouth ulcers or sores (which I do not) it is a risk due to the breast milk.

Request you to clarify.

Dear Dr XXXXXXX
Thank You for the reassuring advice. Currently where I reside, the cost of PEP is very much and I believe it has side effects. I consulted a local GP here
He mentioned as below

Thankfully the risk of HIV or STDs here is negligible. Although possible to spread HIV through breast milk it is usually from mother to baby because of the baby's immature immune system. Adult spread has not been reported. In this case I would recommend just screening for peace of mind in a month. However, if you are still very anxious then I will still dispense PEP for this but you have to consider if you feel it is worth the $2000+.

I responded as

Sir thank you. I trust you and would happily go by your recommendation. The money ,I can arrange but I understand there is lot of side effects which I wanted to avoid. In all fairness if there is in your experience anything to worry about then pls do let me know. Have a good day

He responded

Not a problem. I would recommend just screening in a month for this incident. Medically It doesn't warrant PEP

Based on your valuable suggestion and feedback from GP, I was thinking of avoiding the medication. Trust the decision is fine. I will do a P24 in 3 weeks time.

Regards XXXXXXX

Dear Dr XXXXXXX
Thank You for the reassuring advice. Currently where I reside, the cost of PEP is very much and I believe it has side effects. I consulted a local GP here
He mentioned as below

Thankfully the risk of HIV or STDs here is negligible. Although possible to spread HIV through breast milk it is usually from mother to baby because of the baby's immature immune system. Adult spread has not been reported. In this case I would recommend just screening for peace of mind in a month. However, if you are still very anxious then I will still dispense PEP for this but you have to consider if you feel it is worth the $2000+.

I responded as

Sir thank you. I trust you and would happily go by your recommendation. The money ,I can arrange but I understand there is lot of side effects which I wanted to avoid. In all fairness if there is in your experience anything to worry about then pls do let me know. Have a good day

He responded

Not a problem. I would recommend just screening in a month for this incident. Medically It doesn't warrant PEP

Based on your valuable suggestion and feedback from GP, I was thinking of avoiding the medication. Trust the decision is fine. I will do a P24 in 3 weeks time.

Regards XXXXXXX

Dear Sir
Thank You for being patient and answering all the queries. Based on the recommendations, I did not take the PEP. I hope I can put it past me and move on. Just wanted to appreciate the great work that you do in helping people answer their questions and this is a great platform where we can engage experts like you.

My GP recommended that I can do a P24 with relative accuracy in 2 weeks time for peace of mind.

Thank You
Regards
SBT

Dear Sir
Thank You for being patient and answering all the queries. Based on the recommendations, I did not take the PEP. I hope I can put it past me and move on. Just wanted to appreciate the great work that you do in helping people answer their questions and this is a great platform where we can engage experts like you.

My GP recommended that I can do a P24 with relative accuracy in 2 weeks time for peace of mind.

Thank You
Regards
SBT