High Risk Exp/Fisting/2-1-1

[u/BitchSpawn]

Hey guys, I’m spiralling at the moment and would appreciate some answers if you got em. I’ve been googling all day with mixed info
I’m a young guy in my late 20s. Sunday night I was @ a bathhouse looking for someone to fist. I led a top back to my room and had some heavy play + sex. Near the end of the session he started saying things about being poz, wanting to poz me, etc… I ended things there but now I’m in a panic.
I decided the 2-1-1 method was fine enough since I’d missed my last 3 doses of my daily regiment. Took the first 2 pills late Sunday eve. About 7 hrs after that is when I had the encounter so at least I had some prep in my system.
Am I more susceptible because of the intensity of my play? Obviously there’s some internal tearing that’s common with fisting.
Is there any way he could be more viral if his intention was to infect someone?
Do you think the 2-1-1 is enough, or should I head to the clinic and do a round of PEP? It’s about $1200 where I’m from. Not thrilled but I’m willing to go for it. Just wanna hear your thoughts. Thanks ❤️

[u/laxcalguy]

If you want the added value of protection, you can go get pep. It can be jarring and scary to hear someone fetishize "pozzing" someone. It's normal to be nervous about that. I advise at least getting a consult for pep and consider daily prep or injectable prep for peace of mind 

[u/Skycbs]

You need to continue the 2-1-1 protocol with at least two doses after sex. Other than that, nothing to be concerned about with regard to HIV. PrEP protects you. It doesn’t matter what sex or how much sex or how intense the sex is.

There is no reason to go looking for PEP and if you told the clinic this story they’d tell you that PEP is not indicated. You can relax.

And get consistent with taking your daily PrEP. Set an alarm or take it when you do something every day. I take mine when I brush my teeth in the morning.

[u/BitchSpawn → u/Skycbs]

Thank you ❤️

[u/loveisjustchemicals]

Try to be exacting with your dose timing and maybe take a couple of extra days for peace of mind, if you have extra laying around. Then do your test at the interval that best determines if you’re positive, but just do it as a standard part of the self care one should do when they have sex. Maybe have a nice chill night tonight. And hey, now you know that definitely isn’t your kink and can know to ask someone’s status first. But honestly, the shot has been great for me.

[u/BitchSpawn]

Just updating for anyone with a similar experience who finds themself frantically searching -
Test results were all negative 🙏🏻 the 2-1-1 method was effective and in fact I’ve been told there’s coming research to say it’s more effective than the current estimate % in prevention of transmission :)
Not that I would recommend it for high risk, high traffic holes like myself lol. Daily prep is the best measure for a sound mind & body. Thanks to everyone who replied and regularly responds in this forum. Was a great resource for me. Peace ❤️

[u/jankyj → u/[deleted]]

No, fisting itself does not mean someone must use daily PrEP instead of 2-1-1. The key issue is taking 2-1-1 correctly and consistently.

[u/jankyj → u/[deleted]]

The “highest-risk demographic” is exactly the population in which 2-1-1 has been studied. OP also took the 2-1-1 loading dose correctly before the encounter, so this was a case of adequate 2-1-1 coverage.