Extreme sex marathon sends OnlyFans creator to hospital: unpacking the dangers of overexertion

Sex sells, and in the digital age, platforms like OnlyFans are proof of its profitability. What began as a space for creators to share adult content has evolved into a competitive industry where extreme stunts garner attention and money.

One such headline-grabbing feat was Australian OnlyFans creator Annie Knight’s record-breaking challenge: sleeping with 583 men in six hours.

While the stunt catapulted Knight into the spotlight, it also left her hospitalised, raising important questions about the physical and mental toll of such extreme challenges.

Being hospitalised raised important questions about the physical and mental toll of such extreme challenges.

In a photo shared to her Instagram Story on May 20, Knight posed for a selfie while wearing a blue hospital gown and lying in a bed. Atop the snap, she wrote, “I guess 583 guys in a day isn’t that good for you,” per a screenshot published by “Us Weekly”.

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Shortly after that, the 28-year-old shared another clip to her Instagram Story, showing that she was lying in a hospital room with her arms hooked up to vital signs monitors. Captioning the video, she joked, “Being hospitalised after taking 583 [men] in a day was not on my 2025 bingo card.”

Indeed, Knight said she was experiencing “bleeding” after finishing the six-hour bedroom marathon, which took place on May 18, according to various media outlets.

“I’m not doing very well,” she told “Us Weekly”, in an interview published May 21. I’ve been bleeding a lot since the challenge. It was definitely a bit raw down there, and I did get a small cut.”

This story, while not exactly shocking, is part of a growing trend among content creators who push the boundaries of sexual expression for followers and fame. But what are the dangers of prolonged sexual activity, and how does it impact one’s health?

In a saturated market, creators often go to absurd lengths to stand out. Knight’s story is not the first of its kind. OnlyFans announced in August 2021 that sexually explicit material would no longer be allowed on the site.

For example, adult performer Lily Phillips has reportedly gone ahead with her bid to sleep with 1,000 men in 24 hours.

Lisa Sparks famously set a world record in 2004 for having sex with 919 men in a single day during an event in Poland.

These creators often justify their actions as part of the job. However, the risks, both physical and psychological, are undeniable.

Knight’s challenge is a prime example of how extreme sexual activity can strain the body. After her event, Knight reported significant bleeding and pain, which she attributed to either her condition (endometriosis) or the physical toll of the challenge.

For people with endometriosis, sex can often be painful due to inflammation, scarring, and the presence of lesions.

According to sexual health experts, the pelvic tissue in women with endometriosis is often hypersensitive.

Trauma to the genital area

Prolonged sexual intercourse can cause irritation, micro-tears, and inflammation in the vaginal tissue. The vaginal walls are delicate, and repetitive friction over hours can lead to vaginal tears, bleeding, and swelling.

The vagina is designed to stretch and accommodate, but there are limits. Excessive activity without enough rest or lubrication can cause significant trauma.

Aside from the physical toll, challenges like Knight’s can have profound mental health implications.

Performance pressure

Creators often feel intense pressure to outdo themselves or others in the industry. This constant need to push boundaries can lead to anxiety, burnout, and even depression.

Post-event regret and trauma

Extreme sexual challenges may seem empowering in the moment, but the aftermath can bring feelings of regret, shame, or even trauma, especially if boundaries were pushed beyond comfort.

Research on the mental health effects of casual sex shows mixed results. Some studies say it can lead to anxiety, depression, low self-esteem, and regret.

According to a 2017 study published in the Archives of Sexual Behaviour, people who engage in frequent casual sex may experience more psychological distress.

Others, however, say it can boost confidence and bring temporary pleasure. But the problem is that many people don’t think about how they’ll feel afterwards. Even if you tell yourself, “It’s just sex,” you may end up feeling hurt, empty, or emotionally attached.

From a sexual health point of view, having too much sex, especially with multiple partners, can lead to physical problems.

According to Vinmec Women’s Health Centre, frequent sex over time may cause tiredness, a weak immune system, impotence, premature ejaculation, testicular inflammation in men, and even issues with the heart and kidneys. It can also lower your sex drive over time.

Staying sexually active is part of a healthy lifestyle, but balance, protection, and understanding your emotional needs are key. Always consider the long-term effects of casual sex on both your mind and body.

For many, the allure of fame and wealth outweighs the risks.