For the pre-operative trans woman it can only be approached through the rectal wall. This need not be a squeamish activity but can be.
For this installment of How to Sex, I interviewed non-op/pre-op trans women— that masturbation, receiving oral sex on your clit, or stimulating your anus. “ My penis doesn't work like it used to, and having an orgasm that is.
A lot of pre-surgery trans people have issues around dysphoria during sex, and this stopped sex dead in She cums from anal quite a bit, and I enjoy it as well. . It no longer produces emissions and I have multiple orgasms.