Adult Work in Moscow: How to Access Confidential Healthcare and Support

Key takeaways

• You can get STI/HIV testing in Moscow anonymously by law. Ask for “анонимно” and you’ll be given a code instead of using your name.
• Best options: dermatovenerologic dispensaries (KVD), state AIDS centers, private labs, and reputable private clinics.
• PEP is time-sensitive (ideally within 2 hours, up to 72 hours). PrEP access exists mainly via private clinics and specialists.
• Cash payment, code-based testing, and choosing private labs help keep your visit confidential.
• Vaccines that matter: Hepatitis B (and A), HPV. Routine screening every 3 months is a solid baseline if you see multiple clients.

Adult Work in Moscow is about earning a living in a city where healthcare options are broad, but rules and privacy can feel confusing. Workers can legally access confidential testing, treatment, and counseling without sharing full identity details, using code-based (anonymous) services in public and private clinics. Also known as sex work in Moscow, the reality on the ground is that you have choices-if you know where to look and how to ask.

Here’s the simple truth: you can get tested and treated in Moscow without putting your name on file. State clinics and private labs both offer anonymous options, and medical privacy is protected by federal law. Your main job is picking the right place for your needs-speed, price, anonymity, and comfort-and knowing what to ask at reception.

What the law says and what that means for your healthcare

Moscow is Russia’s largest city and has a dense network of state and private healthcare providers, including specialized STI clinics. Selling sex in Russia is an administrative offense (a fine), but getting healthcare is legal and confidential. You are entitled to medical secrecy under federal law.

Federal Law 323-FZ protects medical secrecy and regulates health services; providers cannot disclose your health data without your consent except in specific legal cases. Law on the Basics of Protecting Citizens’ Health applies across Russia, including Moscow. In practice, that means you can request anonymous tests and pay cash to keep your details minimal.

Key point: healthcare staff aren’t interested in your work. They focus on your symptoms, risk profile, and the right tests. The safest script is short and factual: what happened, when, and what you need (for example, “I need an anonymous STI screen” or “I need PEP”).

Where to go: your main options

You have five common routes in Moscow. Each has its perks and trade-offs.

• Dermatovenerologic dispensaries (KVD): State STI clinics. Offer anonymous testing for a modest fee. You can use a code number instead of your name. Good for swabs, blood tests, and treatment.
• State AIDS Center: HIV testing, counseling, PEP guidance. Some services free, anonymous options available. Best if you need HIV-specific support.
• Public polyclinics: If you have an OMS policy (state insurance), many services are free but usually not anonymous. Good for general care, vaccines, and referrals.
• Private labs: Fast, discreet, code-based testing. Results usually in 1-2 days; some offer same-day PCR/NAAT. You can often skip naming a clinic doctor and see a specialist later if needed.
• Private clinics: One-stop visits-consultation, tests, treatment, follow-up. Discreet, quicker appointments, but pricier.

How to get anonymous testing step-by-step

Anonymous testing in Moscow isn’t a trick-it’s routine. Here’s a simple flow.

1. Search in Russian for: “анонимное тестирование ВИЧ Москва”, “КВД анонимно”, or “анонимный анализ ПЦР ИППП Москва”. This narrows to clinics and labs that accept code-based testing.
2. At reception, say “анонимно, пожалуйста”. You’ll be assigned a code or asked to choose initials. No passport needed for anonymous services.
3. Choose tests: HIV (4th gen), syphilis (RPR/TPPA), gonorrhea/chlamydia (PCR/NAAT for throat, rectum, urine/cervix), trichomonas, hepatitis B and C. If you do oral and anal services, request multi-site swabs.
4. Pay cash if you want to minimize data. Cards are fine, but cash avoids linking payment data to your name.
5. Get results: pick up with your code, or ask for email with only your code in the subject. If you plan to stay anonymous, avoid attaching results to public insurance records.

Turnaround is often 1-2 days for labs, same-day for some rapid HIV tests. Sexually transmitted infections such as gonorrhea, chlamydia, and syphilis are common and often silent. Testing every 3 months keeps you ahead of surprises.

HIV, PEP, and PrEP: what matters now

HIV is a viral infection that weakens the immune system; modern treatment prevents AIDS and eliminates transmission risk when viral load is undetectable. Human Immunodeficiency Virus Testing is simple: a 4th-gen lab test detects p24 antigen and antibodies roughly 2 weeks post-exposure. Rapid tests can catch many infections by 3-4 weeks.

PEP post-exposure prophylaxis, a 28-day antiretroviral course started within 72 hours to prevent HIV after a high-risk exposure is time-sensitive. Go the same day if you can. State AIDS centers and some emergency departments can evaluate and start PEP. Be clear at triage: “нужно ПЭП, был риск сегодня/вчера”.

PrEP pre-exposure prophylaxis, a daily or on-demand antiretroviral regimen that lowers HIV risk by ~99% with good adherence access in Russia exists mostly through private specialists and clinics. You’ll need baseline labs (HIV test, kidney function, hepatitis B status) and regular follow-up. Expect monthly costs for medication plus periodic lab work if sourced privately.

Rule of thumb timelines: PEP-start within hours, no later than 72 hours. PrEP-start after a negative HIV test, continue with 3-month check-ins.

Vaccines and preventive care that pay off

Prevention saves money, stress, and time off work.

• Hepatitis B vaccine a 3-dose series at 0, 1, and 6 months that protects against HBV (check if you’re already immune). Many private clinics stock it; public clinics may provide with OMS but not always on-demand.
• Hepatitis A vaccine: 2-dose series; handy if you travel or share close contact. Outbreaks hit food service and nightlife workers occasionally.
• HPV vaccine: especially for younger adults and anyone with multiple partners. Reduces risk of genital warts and certain cancers.
• Tetanus-diphtheria booster: every 10 years. Good general upkeep.

Screening cadence for workers seeing multiple clients:

• Every 3 months: HIV; gonorrhea/chlamydia (multi-site if applicable); syphilis.
• Every 6-12 months: hepatitis B/C screens if not immune; Pap/cervical screening per age guidelines; pregnancy testing as needed.
• Immediately: PEP assessment after high-risk exposures; emergency contraception within 72 hours if needed.

What to say at the clinic (without over-sharing)

You don’t have to explain your work. Focus on services:

• “Анонимно, пожалуйста. Нужны анализы на ВИЧ и ИППП.” (Anonymous please. I need HIV and STI tests.)
• “Есть жалобы: выделения/жжение/боль. Нужен ПЦР гонорея/хламидии.” (Symptoms: discharge/burning/pain. Need PCR gonorrhea/chlamydia.)
• “Был риск сегодня, нужен ПЭП.” (There was a risk today, I need PEP.)
• “Нужна вакцинация от гепатита B.” (I need a hepatitis B vaccine.)

Short, clear, and specific gets you better care, faster.

Costs in Moscow (2025 ballpark)

Prices vary by clinic and district, but these ranges are realistic for Moscow this year:

• HIV test (lab 4th-gen): 700-1,400 RUB; rapid test: 500-1,000 RUB
• Gonorrhea/chlamydia PCR per site (throat/rectum/urine/cervix): 1,200-2,500 RUB
• Syphilis (RPR/TPPA): 400-1,200 RUB
• Hepatitis B surface antigen/antibody panel: 600-1,800 RUB
• Comprehensive STI panel (bundle): 3,000-6,000 RUB
• Specialist consult (private): 2,000-5,000 RUB
• Hepatitis B vaccine (per dose): 1,500-3,500 RUB
• Emergency contraception (levonorgestrel): 300-1,000 RUB

Pro tip: if you want discretion and speed, a private lab plus a focused private consult often costs less and moves faster than a full clinic pathway.

Insurance and documents: OMS, cash, and staying discreet

OMS Russia’s mandatory medical insurance system that covers state-provided healthcare Обязательное медицинское страхование helps if you have a policy and don’t need anonymity. For anonymous services, state clinics and private labs accept cash without ID.

Foreign nationals usually pay out of pocket or use private insurance. Either way, anonymous testing is still possible at many sites by paying cash and using a code.

Privacy and data basics you should know

Russia’s medical secrecy rules are strong on paper and generally respected in practice. Clinics can’t share your results without consent except in limited cases (court order, direct threats to others, or public health reporting-usually aggregated, not name-specific when anonymous).

• Ask for anonymous or code-based testing at the start.
• Pay cash if you want to avoid linking your name to payment records.
• Pick up results in person using your code if you’d rather avoid email.
• Confirm how long the lab stores records and whether anonymous results are archived separately.

Emergency and aftercare

If a condom breaks during a high-risk service, treat it as time-sensitive.

• HIV: seek PEP within hours (max 72 hours). The sooner, the better.
• STIs: ask about empiric antibiotics if symptoms start (discharge, pain, sores) and follow up with PCR/NAAT confirmations.
• Hepatitis B: if unvaccinated, ask about starting the vaccine series now.
• Pregnancy: emergency contraception works best within 24 hours, up to 72 hours.

Aftercare matters: retest 2-4 weeks after treatment for bacterial STIs, and again at 3 months if a recent HIV exposure worries you.

Mental health, violence, and legal support

Healthcare is more than lab results. If you’ve faced violence or coercion, you can get medical care without filing a police report. Tell the clinician you want treatment and documentation; stick to facts if you’re not ready for next steps. For counseling, look for “анонимный психолог онлайн” or “кризисный центр для женщин Москва”. For legal questions, search “бесплатная юридическая консультация Москва онлайн”. These services often offer chat or email if you prefer not to call.

Special notes for different workers

• Oral-only services: add routine throat swabs for gonorrhea/chlamydia. Many infections live in the throat without symptoms.
• Anal services: include rectal swabs; urine-only testing can miss rectal infections.
• Trans workers: seek clinics with experience in gender-affirming care if possible. If you’re on hormones, ask for kidney/liver checks during STI panels.
• Migrant workers: prioritize private labs/clinics if you want to avoid ID; look for English-speaking staff in central districts.

How to find services fast (search phrases that work)

Use Russian search terms for better results:

• “анонимное тестирование ВИЧ Москва” (anonymous HIV testing Moscow)
• “КВД анонимно анализы” (KVD anonymous tests)
• “платная лаборатория ИППП Москва” (private lab STI Moscow)
• “ПЭП ВИЧ Москва где получить” (PEP HIV Moscow where to get)
• “вакцина гепатит B платно Москва” (hepatitis B vaccine paid Moscow)
• “гинеколог анонимно Москва” / “уролог анонимно Москва” (gynecologist/urologist anonymously Moscow)

These terms usually surface providers that understand anonymity and move quickly.

Quick checklist you can save

• Testing rhythm: every 3 months (HIV, GC/CT multi-site, syphilis).
• Vaccines: HBV series; consider HAV and HPV.
• Condoms and lube: restock monthly; choose latex or polyurethane; use water- or silicone-based lube.
• PEP plan: know where you’d go the same day; note clinic hours.
• Anonymous setup: code-based tests, cash ready, keep your code slip safe.
• Results: pick up in person; file them in a private folder if you keep copies.

Credible concepts and why they matter

Anonymous HIV testing testing without identifying information, using codes so results aren’t tied to your legal name keeps your health care separate from other paperwork. Dermatovenerologic dispensary a specialized STI clinic network in Russia offering diagnostics and treatment, often with anonymous options is a high-value stop for symptoms and routine screens.

Add in the city-wide network of private labs and the result is a flexible system: fast if you need fast, low-cost if you need low-cost, anonymous if you need privacy.

If you search for adult work Moscow guidance, most results talk about work itself. This guide keeps you focused on health: concrete steps, plain language, and choices that match your privacy comfort level.

Next steps and troubleshooting

• If you need care today: pick a private lab near your route, do PCR/NAAT for GC/CT multi-site, add HIV 4th-gen, and schedule a same-day or next-day private consult.
• If you had a high-risk exposure: go for PEP evaluation first, then add lab work. Time matters more than picking the perfect clinic.
• If you want long-term protection: start HBV vaccine; consider PrEP if your client volume or condom use patterns put you at higher risk.
• If you’re worried about data: ask for anonymous/code-based services and pay cash. Pick up results in person.
• If you hit a language wall: central private clinics are likelier to have English-speaking staff; bring written notes in Russian for what you need.