Use terms for body parts that both partners feel comfortable with.

The heavier or larger partner is on the bottom for better support, though the person on top may have more control over movement.

While oral sex does not cause pregnancy, it can transmit STIs like herpes, gonorrhea, and syphilis.

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

Using pillows or a sex wedge can help achieve better angles and reduce neck strain. Trans-Affirming Practices