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If gender dysphoria arises, have a plan or safeword to pause or stop.

Be aware that hormone therapy can affect natural lubrication and arousal. Using body-safe lubricants can prevent discomfort and microtears. Sexual Health and Safety sexy ladyboy 69 anne

The heavier or larger partner is on the bottom for better support, though the person on top may have more control over movement. If gender dysphoria arises, have a plan or

For trans women and their partners, sexual health involves both physical safety and emotional affirmation. If gender dysphoria arises

In the classic variation, one partner lies on their back while the other lies on top of them, facing the opposite direction. This aligns each person's mouth with the other's genitals.