STI Care for Sex Workers and Adult-Industry Performers#

• Judgment-free. We don't ask you to justify your testing pattern. If you want to test every 2 weeks, every week, or every time you wrap a shoot, we'll support that.
• Asynchronous, messaging-based. No waiting rooms, no in-person clinic visits, no awkward conversations. Submit your intake from anywhere; the clinician responds by secure message - almost always within a few hours.
• Self-serve future consultations on a subscription. Once you're enrolled in the STI Testing Subscription, you start each new consultation from your portal's Billing tab. No need to message us first.
• Same accredited Canadian labs your family doctor would use. Results are processed by the same provincial lab infrastructure (LifeLabs, Dynacare, Alpha Labs in Ontario; LifeLabs BC and hospital outpatient labs in BC). Not mail-order home kits.
• Privacy by default. Results never go to your family doctor unless you ask us to. Semi-anonymous testing is available if you don't want results linked to your provincial health card.

There's no one-size-fits-all answer, but a pattern that works well for many sex workers and adult-industry performers:

• Urine STI screening every 2 weeks (chlamydia, gonorrhea, trichomoniasis - all picked up on urine PCR).
• Site-specific swabs (oral and anal) - every 2-4 weeks if you have oral or anal contact at work. Often added on the same schedule as the urine.
• Bloodwork (HIV, syphilis, hepatitis B/C) less frequently - every 1-3 months, depending on how aggressively you screen. Most patients in this audience do bloodwork every month or every 3 months alongside their routine urine testing.

You can adjust either direction. After a confirmed exposure, do urgent testing now and again after the window period closes - regardless of your usual schedule.

The window period for urine PCR detection of chlamydia, gonorrhea, and trichomoniasis is about 7-14 days after exposure. Testing every 2 weeks means that any infection acquired during that window has had enough time to become detectable - so your testing is keeping pace with your exposures.

For HIV and syphilis, the window periods are longer (weeks for HIV, weeks-to-months for syphilis), so monthly bloodwork is usually plenty.

The STI Testing Subscription is built for patients who test on a regular cadence:

• One monthly fee covers unlimited STI consultations - no per-visit consultation charge while your subscription is active.
• Each visit happens through your patient portal - log in, click Use under your active subscription in the Billing section, complete an updated intake, submit. A clinician reviews and responds by secure message.
• Self-serve start to each new consultation - no need to message us between visits.
• Lab work is the same as a one-off TeleTest visit. Standard STI testing is covered by provincial health plans; out-of-pocket tests (Mgen, for example) are billed by the lab directly when applicable.

See Subscriptions for plan tiers (Unlimited, 3-Month, 6-Month) and how to cancel any time from your portal.

The Talent Panel is a TeleTest test panel designed specifically for the screening needs of adult-industry performers and sex workers. It bundles the standard STI screen plus Mycoplasma genitalium (Mgen) PCR testing - which isn't part of the standard STI panel but is clinically relevant for higher-frequency-exposure populations.

Bloodwork:

• HIV (4th-generation antigen / antibody combination test)
• Hepatitis B surface antigen
• Hepatitis C antibody
• Syphilis (reverse-algorithm screening)

Urine (PCR / NAAT):

• Chlamydia
• Gonorrhea
• Trichomoniasis
• Mycoplasma genitalium - included in the Talent Panel (not in the standard STI panel).

Site-specific swabs (optional add-on):

• Pharyngeal (throat) chlamydia and gonorrhea
• Rectal chlamydia and gonorrhea

Three Talent Panel configurations are available: no swabs, with swab kit standard shipping, or with swab kit expedited shipping. Choose the option that fits your testing visit on teletest.ca.

No - TeleTest is not PASS-certified. PASS (Performer Availability Screening Service) is a US-based industry certification, and TeleTest does not currently participate in that program.

If a production requires PASS certification specifically, you'll need to use a PASS-certified provider for that work. If a production accepts general clinical STI screening results (many do), TeleTest results provided as a PDF from your portal are usually accepted - confirm with the production coordinator in advance.

Strongly worth considering. PrEP (HIV pre-exposure prevention medication) substantially reduces the risk of acquiring HIV through sex - even with the precautions standard in the adult industry, exposure risk is elevated, and PrEP is a sensible additional layer.

TeleTest prescribes PrEP - see our PrEP page for details on how it works, eligibility, and how to get started.

Doxy-PEP is a single oral antibiotic dose taken after a sexual exposure that reduces the risk of acquiring chlamydia, gonorrhea, and syphilis. It's a useful additional layer of bacterial-STI prevention.

For sex workers and performers, Doxy-PEP works well alongside PrEP and routine screening - the three combined cover most of what regular STI screening picks up.

Standard urine PCR detects chlamydia, gonorrhea, and trichomoniasis in the urinary or vaginal tract only. To screen for infection at oral or anal sites, you need site-specific swabs.

• In Ontario: TeleTest mails the swab kit to your home in plain Amazon-style packaging. Self-collect, drop off at any lab in Ontario.
• In BC: mailed kits are not currently available; you'll need to source the swab from a hospital outpatient lab, sexual-health clinic, or public-health unit STI clinic, then mention this in your intake so the clinician adds it to your requisition.

For full detail on the swab flow including collection technique, see Rectal and Oral Gonorrhea / Chlamydia.

For chlamydia, gonorrhea, or trichomoniasis, a follow-up link opens in your portal immediately at no additional fee. A clinician issues treatment (prescription faxed to your pharmacy) and walks you through partner-notification options.

For HIV or syphilis, the clinician refers you to in-person specialist care - HIV to an infectious-disease clinic, syphilis to a public-health unit / sexual-health clinic / walk-in clinic for the in-person injectable treatment.

See the full Positive results - what happens next section for treatment specifics.

Yes - this is "treatment based on exposure" and it's a standard approach for chlamydia, gonorrhea, and trichomoniasis. Submit a consultation, note in the intake that your partner tested positive, and the clinician will issue treatment if appropriate. Testing should still happen alongside to confirm what you have and rule out co-infections.

See the Treatment without waiting for results section for details.

If your STI test is positive, sexual partners from the relevant exposure window should be notified, tested, and treated. Options:

• Tell partners yourself - most direct.
• Anonymous partner-notification services can send a message to your partner(s) on your behalf without revealing your identity. A web search for "anonymous STI partner notification" will surface current Canadian options.
• Partners can submit their own TeleTest consultation to get tested and treated.

TeleTest does not offer expedited partner therapy (treating your partner without them completing their own intake) - each partner needs their own consultation so the clinician can review their specific allergies, medications, and any health conditions that affect what's safe to prescribe.

No. TeleTest does not forward results to family doctors, employers, productions, or anyone else - not even on request. Your results stay in your patient portal, accessible only to you.

If you want to share a result with a production or another clinician, download a PDF copy from your portal and forward it yourself. This keeps you in control of which results are shared with whom.

For full detail on TeleTest's privacy practices and the semi-anonymous testing flow (test results not linked to your provincial health card), see Anonymous Testing & Privacy.

Two practical things:

• Ask the lab technician not to add any external CC. Lab technicians sometimes, out of habit, CC your family doctor on the requisition at the time of collection. TeleTest doesn't add an external CC to our requisitions and doesn't know who your family doctor is. Ask the tech to confirm no CC was added.
• Don't bundle requisitions from different clinicians at the same visit. If you bring a TeleTest requisition and a separate requisition from another clinic on the same visit, the lab may merge the orders and send all results to only one clinician. Make a separate visit for each requisition if you want them routed separately.

Yes - by sharing it yourself. Once results are released:

1. Open the relevant order in your patient portal.
2. Download a PDF copy of the results.
3. Send the PDF to the production coordinator (or whoever requires the documentation).

TeleTest does not send results directly to productions or any third party. You stay in control of who sees what.

Yes - results are labelled with your name and date of birth because that's how the lab identifies your sample. If you need testing that doesn't link to your real identity at all, an in-person anonymous STI clinic (run by your local public-health unit) is the right route - TeleTest is not fully anonymous. See Anonymous Testing & Privacy.

• TeleTest consultation fee: covered by your subscription if you're enrolled in the STI Testing Subscription; otherwise paid per-visit.
• Standard STI screening at the lab (chlamydia, gonorrhea, trichomoniasis, HIV, syphilis): covered under your provincial health plan when you have a valid health card - regardless of how often you test.
• Mycoplasma genitalium PCR: not covered by any provincial health plan - the lab will bill you directly (typically around $80 in Ontario; check with the lab for current pricing).
• Without provincial coverage (e.g., out-of-province, US visitors, no health card): approximately $50-$70 for urine STI screening, $100-$120 for urine + bloodwork.

See Using TeleTest Without Provincial Coverage for reimbursement options.