She is executive producer and host of the long running podcast Sex Out Loud, now in its eighth year, with 3 million downloads to date. Among the hundreds of guests she’s interviewed are former U.S. Surgeon General Dr. Joycelyn Elders, Olympia Dukakis, Janet Mock, Margaret Cho, Kandi Burruss, Justin Vivian Bond, Gene Demby, Dan Savage, Sonya Renee Taylor, Soraya Chemaly, Jessica Valenti, Jen Richards, Kate Bornstein, Bridget Everett, Ignacio Rivera, Scott Turner Schofield, and Betty Dodson. The show receives about 25,000 downloads per month.
Tristan has been featured in every major media outlet. She has appeared on MSNBC’s Melissa Harris-Perry, NBC’s The Other Half, National Geographic’s Original Sin, HBO’s Real Sex, as well as shows on ABC, NBC, CBS, Fox, CNN, MSNBC, E!, The Discovery Channel, Buzzfeed, Verizon go90, and YouTube. She was the resident sex expert and recurring panelist for two seasons of Ricki Lake (2001-2002); she has created and shot three different TV pilots, most notably one for MTV in 2003. She has appeared on hundreds of radio shows and podcasts including two appearances on The Howard Stern Show. She has been featured in hundreds of publications including O: The Oprah Magazine, The New York Times, The Wall Street Journal, Redbook, Cosmopolitan, Glamour, Entertainment Weekly, New York Magazine, Men’s Health, and Playboy. She has been named to several media lists, including Out Magazine’s 100 Gay Success Stories of the Year and The Advocate’s Best and Brightest Gay & Lesbian People Under 30.
As the head of adult film production company Smart Ass Productions, she directed and produced twenty-four sex education and porn films. Her work garnered 40 award nominations, 6 AVN Awards, and 8 Feminist Porn Awards. She was the first female director to win the AVN Award for Best Gonzo Movie for her film Chemistry. She was awarded The Trailblazer Award for her body of work at the Feminist Porn Awards in 2010. Although she retired from the adult industry in 2014, she is an active champion and supporter of sex workers’ rights.