Sydney-based adult creator Reyna Nguyen is earning more than $1.5 million a year online and saying she wants to walk away from it. According to news.com.au‘s Gabriela Amoils, Nguyen plans to leave her adult-content business for medical school and a career as a dermatologist.

From pre-med to paid content

Nguyen studied bioengineering with a pre-med concentration and was preparing for the medical entrance exam before her online career took off. She also worked as a tech start-up developer and competed as a top-ranked poker player. Speaking to news.com.au, she said she put medicine on hold once adult content became a faster path to money — and now she wants the path she started with.

According to OK!‘s Olivia Salamone, Nguyen told the outlet she wants dermatology because she loves skin and how the field mixes science and technology, the same mix that drew her to engineering.

Why she says creator work is harder

Nguyen has been blunt about the grind. According to Amoils’s report, she regularly puts in 10- to 14-hour days making new TikToks, handling admin, talking to assistants and management, and running her brand — and on a recent collab trip she worked 16-hour days even with help. Early on, she slept about four hours a night trying to do everything herself.

“In my current job, there’s no switch. Content, ad management, flags, editing, strategy, and networking are always in motion, and I’m solely responsible for all of it,” Nguyen told news.com.au. “Even on a weekend away or an evening at night when I’m just trying to relax, part of my brain is still working.”

She has also said adult content creation can feel harder than medicine — not because clinical work is easy, but because creator life never clocks out. “I think being an [adult content] creator is harder than being a doctor,” she told OK!. “It’s a different type of work, but I think they’re both really hard.”

Stability over seven figures

The bigger push, in her telling, is money that comes and goes. “We have months where we do really well and months where we don’t … You’re stuck in this phase of being in panic constantly because you’re like, ‘Okay, I don’t know when this money is going to run out,'” she said, per news.com.au.

She has wanted to be a doctor since she was about six, after her family immigrated and a pediatrician treated them gently. She says she has saved and invested enough that she could retire from content work now, and that business income can cover living costs and tuition while she studies. “I just think I’ll love medicine more,” she told Amoils.

OK! reported she expects a pay cut if she practices in Australia, and that U.S. pay in some specialties could eventually look closer to what she makes now. She also wants to be fully open with her family about what she does — and to feel like the work changes people’s lives.

She knows the stigma is coming

Nguyen expects pushback from admissions panels and colleagues over her adult-content history. She told news.com.au she is comfortable showing her record rather than arguing about it: a science background, years running a business, hospital volunteering, shadowing, a high GPA, and MCAT prep. Doctor friends who interview applicants, she told OK!, advised her to lead with startups and business ownership rather than the adult work.

The takeaway

A top-earning OnlyFans creator volunteering for med school is a rare headline — and Nguyen’s version is less about quitting fame than chasing a schedule that stops at the end of a shift. Whether hospitals and admissions boards buy the pivot is the next test. For now, she is betting years of residency against a seven-figure feed that never turns off.

Image: Stethoscope on an open book, photo by Dr. Farouk (CC BY 2.0), via Wikimedia Commons.