It seems like she's had SRS and is now post-op, which would explain the very long absence period. On her IG, she regularly posts stories in revealing clothes (from the gym, at the beach, etc.) and it really looks like there's nothing "down there" anymore.
She is camming again on a different website (might be MyFreeCams, I'm guessing from a few screenshots she posted), but she won't give you the username unless you send her $150, which is just insane.