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You can talk to your local sexual health clinic about PEP, and refer to the HIV & AIDS page for more information.

If the condom breaks or slips off while receiving vaginal sex:

• Stop the service immediately
• Remove excess semen by squatting and squeezing it out with your muscles
• Urinate to flush away any bodily fluids that may be near your urethra
• You may need to use your fingers to scoop out any remaining semen or broken condom, but be aware not to scratch yourself with your fingernails
• Wash the genital area thoroughly
• Douching is not recommended, as it may irritate the lining of the vaginal wall, or push semen further into the vagina, causing infection or (where possible) ectopic pregnancy
• If pregnancy is a possibility, arrange emergency contraception within 72 hours. Spermicide is not recommended
• Have an STI check in seven days, earlier if symptoms develop
• Seek PEP immediately (within 72 hours of exposure) if there is a risk of HIV exposure, you can talk to your local sexual health clinic about PEP

If a condom breaks or slips off while receiving anal sex:

• Stop the service immediately.
• Sit on the toilet and bear down to remove as much semen as possible.
• Wash the genital area thoroughly.
• Douching is not recommended, as it may push semen further inside, causing infection
• Spermicide use is not recommended.
• Have an STI check at seven days, earlier if symptoms develop.
• Seek PEP immediately (within 72 hours of exposure) if there is a risk of HIV exposure. You can talk to your local sexual health clinic about PEP.

If a condom breaks or slips off while giving vaginal or anal sex:

• Urinate and wash the genital area thoroughly, particularly under the foreskin.
• Seek out emergency contraception if that is applicable.
• Have an STI check at seven days, earlier if symptoms develop.
• Seek PEP immediately (within 72 hours of exposure) if there is a risk of HIV exposure. You can talk to your local sexual health clinic about PEP.

If a condom breaks or slips off while giving oral sex (giving head):

• Whether you spit or swallow is up to you. Swallowing is recommended over spitting for HIV prevention as the mouth is more likely to contain entry points for HIV to enter your bloodstream than the throat and tube to your stomach, and once pre-cum and ejaculate is in your stomach, stomach acid will kill any bacteria present in the bodily fluids. However, chlamydia and gonorrhoea of the throat is transmitted via bodily fluids in the mouth, and the risk of contracting these STIs are the same whether you spit or swallow. Syphilis can affect any area of the mouth, and the risk remains the same whether you spit or swallow.
• Rinse mouth out with water several times.
• Do not brush, floss the teeth or eat for at least one hour after the service.
• Next time you have an STI test, ask for a throat swab.

If a condom breaks or slips off while receiving oral sex:

• Urinate and wash the genital area thoroughly, particularly under the foreskin.
• Have an STI check at seven days, earlier if symptoms develop.

If a condom breaks or slips off during trick sex (non-penetrative sex that involves the client rubbing his penis on the inside of the sex worker’s thighs or butt cheeks):

• Wash the area that the penis has touched and where semen is present with warm soapy water.

Additionally:

• Use condoms with all sexual partners, including lovers and spouses, until you get your test results back.