When you're doing adult work in Moscow, harm reduction, practical strategies to minimize risks without demanding abstinence. Also known as risk management for sex workers, it’s not about politics—it’s about staying alive, healthy, and in control. In a city where legal protections are thin and stigma runs deep, harm reduction is the quiet lifeline that keeps people working safely. It’s the friend who shares a safe address. The clinic that tests for STIs without asking for your passport. The WhatsApp group where someone warns you about a client before you even meet.
It’s not just about avoiding violence—it’s about managing the everyday dangers: confidential healthcare in Russia, access to anonymous HIV testing, PrEP, and emergency care without fear of reporting. It’s knowing where to get clean needles or how to spot a fake police officer. It’s peer support Moscow, trusted networks built on silence, not social media, where advice is passed in coded messages and help comes without paperwork. These aren’t luxuries—they’re survival tools, and they’re the reason people keep working without ending up in jail, hospital, or worse.
What you won’t find in official brochures are the real tactics: how to text a friend before a meet, which pharmacies sell PEP without questions, how to use a burner phone so your real number stays hidden. These are the things people learn the hard way—and then pass on. The posts below aren’t theoretical. They’re from people who’ve been there: the woman who got tested for HIV at a mobile van near Kurskaya, the escort who built a safety network using Telegram aliases, the worker who left adult work in Moscow without losing her identity. You won’t find grand promises here. Just what works when the system doesn’t.
What follows is a collection of real stories, real tools, and real steps taken by people doing adult work in Moscow—whether they’re still in it, transitioning out, or helping others stay safe. No fluff. No slogans. Just the facts, the fixes, and the quiet strength it takes to keep going.
NGOs and clinics in Moscow are saving lives by offering free healthcare, legal aid, and mental health support to adult workers-without judgment. Their work is reducing HIV rates and giving people dignity in a hostile system.
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