Background The prevalence of sexually transmitted infections in Russia is high. Young sexually active individuals it is at highest risk to be infected, therefore increased access for consultations and testing is of great importance.

Methods .The data was collected during the site visit from the records of the Center in February, 2013.

Results The Regional Center for Prevention of the Reproductive Health of Teenagers and Youth “Your world.ru” (Твой мир.ru) was established in Tver, Russia in 2006. One of the multiple activities of the centre is prophylaxis and early detection of reproductive tract disorders, including STI and HIV infections. Medical and psychological help for the young population, aged from 15 to 24 years, of Tver city and region of Tver is provided free of charge by a team including young medical professionals, namely dermatovenereologists, gynaecologists, endocrinologists, urologists-andrologists and psychologists. In 2012, 2,000 young persons (more than 6,000 visits) attended the STI centre for testing and a genital tract infection was diagnosed in 15.3% of these. Chlamydia trachomatis was detected in 8.8% (71/805) and Neisseria gonorrhoeae in 4.0% (8/202) of the young persons tested. During the same year three new cases of syphilis and nine cases of HIV were also diagnosed. It is of grave concern that spread of HIV among the young population of Tver is exclusively sexual and is increasing!

Conclusion The STI morbidity of the young population, aged 15–24 years, is high in Tver and Tver region, Russia. Among the risk factors for acquiring STIs in Tver and Tver region are early sexual debut, active sexual life with frequent change of sexual partners, casual sex and unprotected sex. More active sexual education within this young age group is essential.