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Some transfeminine people use "muffing," which involves stimulating the inguinal canals through the scrotum to simulate internal penetration. Transmasculine individuals may use "strokers" designed for bottom growth to affirm their anatomy.

Libido often increases significantly. "Bottom growth"—the enlargement of the clitoris—is common, which can make genitals more sensitive and change how one reaches orgasm. Managing Gender Dysphoria msturbating trannies

Masturbating through clothing or using specialized gear like packers or prosthetics can reduce the distress of seeing or touching areas that cause dysphoria. Some transfeminine people use "muffing

For many trans people, direct contact with genitals can trigger dysphoria. Several strategies help maintain a sense of "gender euphoria" during solo sex: msturbating trannies

Hormone therapy significantly alters sexual function, libido, and the physical sensations associated with masturbation.