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Beyond performance, Alexander has leveraged her media presence for social advocacy:

: She was a prominent contract performer for Vivid Entertainment from 2004 to 2009. Her career longevity is notable, with nearly two decades of active work in the industry.

: She has been a vocal advocate for free speech and sex education.

: She made a cameo appearance in the Season 3 finale of the HBO series Entourage .

: She appeared in the mainstream film Spider's Web (2002) with Stephen Baldwin and had a role in the action film Crank: High Voltage (2009) alongside Jason Statham.

Alexander has made several forays into mainstream television and film: