i used to work in porn as a camera operator/general gofer. at that time a lot of the girls who eventually became junkies got started by taking painkillers for job related injuries like breaks and bruises from stripping and being thrown around in rough scenes, repetitive motion injuries, and- more relevant to the thread- vaginal tearing and subsequent infections from having too much sex in too short a time with too many people with oversized dicks or toys. point is yes, she would've noticed something- unless she just never sobered up.
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