Using only thumb and forefinger feels very dainty and feminine, but sissy’s clitty would not get erect enough for a productive outcome. (it does get erect occasionaly but rarely when wanted!).

sissy’s decended ovaries tended to get in the way, but by holding them up into their proper place with two fingers of the other hand ,like the way a Woman holds Her pussylips open , manipulating the clitty in a dainty feminine way was easier.