<s>[INST] Hello doctor,I am a 31-year-old male with a history of hepatitis C on Harvoni. I was with a lady doing mutual masturbation. I then placed my fingers on her tits and played with them. I then sucked her tits. I have traumatic oral lesions. My concerns that if she has HIV and then I got it to my fingers then to her tits and then to my mouth. That happened two hours ago. Do I need to get PEP? [/INST] Hello. You had negligible to low-risk exposure in this scenario. Mutual masturbation and playing with tits involves no risk. I guess there was no discharge from tits. If there was no discharge, again this was a negligible risk. You had traumatic oral lesions, which was a source of risk to the other person.If you do not know her HIV status or if she is HIV infected, in both situations, your concern of HIV acquisition is unwarranted as HIV cannot be transmitted by touching. Because of no to negligible risk, PEP is not warranted in this scenario. In case, the act was more than that you had described, or there was also fresh cuts or oozing wound on the tits, or you had sucked secretions from the breast, kindly revert. Take precautions in the future. I hope your query is answered, but if you still have any other question, please revert. </s>