Lily Phillips has revealed how she’s preparing for her latest so-called ‘sex-challenge’, but her methods have left doctors concerned.
Lily announced she would be having anal sex ‘with as many guys as possible’, sharing the news just days after OnlyFans star Bonnie Blue had sex with 1,057 men in a day.
Concerns have been raised for both women’s sexual health, and now Lily, 23, has acknowledged that STIs are ‘something that could happen’.
While Lily said she was on PrEP (Pre-Exposure Prophylaxis, a medication used to reduce the risk of HIV) she told The News Movement that STIs are ‘just the nature of the job’.
She said: ‘Stuff can go wrong… it’s a con of being in our industry. I make sure everyone is tested… but if someone tests the week before and then has sex in between that… it’s something I can’t really stop.’
As well as taking PrEP, Lily said she was preparing in other ways ahead of her ‘all anal gang bang’.
‘I’ll probably stop eating, I also wear a butt plug for quite a while the day before and then the morning of I’m douching quite a few times, making sure everything’s really cleaned out,’ she explained.
‘Then I usually go in with toys and really stretch it out quite a bit.’
However, NHS GP, Dr Hana Patel tells Metro that there are ‘several potential risks’ associated with Lily’s methods.
Anal douching
Anal douching is the process of rinsing the rectum with water or a specialised cleansing solution, typically using a bulb syringe, enema kit or shower attachment.
Dr Hana, who works with Superdrug Online Doctor, explains: ‘It involves inserting some lukewarm water or douching solution into the rectum, allowing it to be retained briefly before expelling it into the toilet. The process is repeated until the water runs clear.
‘It’s important to use body-temperature water, as water that is too hot or too cold can cause discomfort or damage the delicate rectal lining. Some people opt for commercial enema solutions, but these can cause irritation if used frequently.’
Douching regularly carries a number of potential health risks too, as Dr Hana sayd: ‘Overuse can strip away the natural mucus lining of the rectum, which serves as a protective barrier against irritation and infection.
‘It may also disrupt the natural balance of gut bacteria, potentially leading to irritation, inflammation, or an increased susceptibility to infection.’
And alongside these issues, inserting the water with too much pressure could cause a tear to the rectal tissue, making infection or STIs – including HIV – more likely, as micro-tears in your rectum allow the infection to enter the system more easily.
The common signs of HIV in women
Dr Babak Ashrafi tells Metro: ‘Early HIV symptoms in women can look a lot like the flu — things like fever, fatigue, sore throat, swollen lymph nodes, and muscle aches — often showing up about two to four weeks after exposure.
‘Another key sign is night sweats, which can drench your clothes and sheets. If left untested and untreated, HIV can affect the immune system and women might also notice persistent vaginal infections, like bacterial vaginosis or yeast infections, as well as menstrual irregularities or pelvic pain caused by recurring pelvic inflammatory disease (PID).
‘These symptoms can overlap with other conditions, so testing is crucial if there’s a risk of HIV exposure.’
Unexplained weight loss, chronic diarrhoea and persistent headaches are also warning signs, as are neurological changes like difficulty concentrating or memory problems.
‘Skin issues, like prolonged eczema or psoriasis, and recurring urinary tract infections could also hint at a weakened immune system,’ Dr Babak adds. ‘These aren’t symptoms people usually associate with HIV, but HIV testing is recommended if they happen alongside risk factors or other signs.’
Persistent and recurring yeast infections are another red flag, so consult your GP if you experience any of the above.
Want to learn more about HIV? Here’s everything you need to know.
Butt plugs
The OnlyFans star revealed that she plans to stretch her anus with a butt plug.
Dr Hana explains: ‘The anal muscles are naturally tight, and sudden penetration can cause pain if they are not adequately relaxed. Gradual dilation using a small-to-medium-sized butt plug can help the muscles become accustomed to penetration.’
But using a butt plug for a long time in the way that Lily plans isn’t a good idea.
‘Care should be taken not to overuse a plug,’ says Dr Hana. ‘Prolonged wear can cause irritation or desensitisation.’
Fasting
When it comes to Lily’s decision to fast, the doctor stresses there are numerous risks: low blood sugar, dizziness, fatigue and decreased stamina.
Plus, given her ‘challenge’ is also going to last for hours, a lack of food could increase the star’s risk of fainting or exhaustion, or make sex more painful.
‘Dehydration is another concern,’ adds Dr Hana. ‘Inadequate fluid intake can lead to muscle cramps and reduced lubrication, increasing discomfort during sex’.
The dangers of 'extreme' anal sex
Anal sex can be totally safe when done correctly, but Lily’s challenge is taking the practice to the extremes, and could have serious long-term physical and mental health implications.
You don’t have to go as far as her to experience consequences either, which is why education about what the body can handle is so important.
Health implications include incontinence and fissures, sexually transmitted diseases, other infections like gastroenteritis, shigellosis and Hepatitis A, as well as dissociation and emotional distress.
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