Isla Moon has built her OnlyFans brand around transparency. About her finances, her production company, and now her sexual health routine. In a pair of Instagram Reels that have racked up more than 4.2 million combined views, Moon walked followers through her entire testing process, from pre-appointment prep to the actual cost breakdown, giving an unusually candid look at a part of adult content work that rarely gets discussed openly.

The video documents real steps: "First gotta clean and hydrate lots," she says before heading to the clinic. Once there, she shows the full panel she and her partner test for, including HIV, chlamydia, gonorrhea, and hepatitis. It’s a routine she says both of them repeat every two weeks. After getting blood drawn, she reacts with a simple "Ouchy," followed by a bigger one once she reveals the price tag: $258 for her testing alone, not counting her partner's panel, with results back within 48 hours.

That partner, Andrew, isn't just her romantic partner. He also works as her assistant and what Moon calls her "stunt dick," earning a reported $16,000 monthly salary for a role that, by her account, covers far more than his on-camera work. He also cooks, handles accounting, serves as her cameraman, and even works as a backup dancer. Requiring him to test on the same two-week schedule she follows herself is simply part of the job description. It’s a non-negotiable condition of working together, not an optional courtesy.

Moon isn't the only creator who's used her platform to normalize this kind of conversation. Other adult performers have periodically shared their own testing frequency and costs publicly, part of a broader, slow shift within the industry toward treating sexual health transparency as a selling point rather than something to hide. For an industry that's spent years fighting assumptions about recklessness or exploitation, creators documenting their actual testing routines, including the clinics, the panels, the price tags, and the wait for results, shows receipts.

And those receipts include the actual dollar values of these kinds of tests. At $258 every two weeks for Moon alone, her annual testing expense runs north of $6,000 before factoring in her partner's panel. Those are significant operating costs that are rarely factored into conversations about how adult creators spend their income. Moon and others are showing that testing is not an occasional precaution but a recurring line item, built into the business the same way a production budget or a studio rental would be.

These are the unglamorous mechanics of running a business responsibly, and showing them publicly does more to push back against stigma than any statement ever could. For an industry still fighting to be taken seriously as legitimate work, a creator willingly showing her blood draw and her receipt might be doing more credibility-building than she gets credit for.