Actually .onion prostitution services exist already and have for a long time. There was at least one that was very popular around 5 years ago, but I don't remember the name.
But you are absolutely right, this is pushing sex workers further underground and therefore making their lives more dangerous.
I'd imagine they would use Monero or Zcash nowadays since those are proven fairly more anonymized. Bitcoin is wholly public so all it takes is one identifiable wallet to start profiling addresses they interact with.
But you are absolutely right, this is pushing sex workers further underground and therefore making their lives more dangerous.