The only justification for tagging this "futanari" is the x-ray inset on page 11. That looks like a vagina rather than a rectum, so we assume they all have vaginas.
'Cuz otherwise, according to a strict reading of the tag definitions, this should be tagged "shemale".
@IngmarS is Right downvote him all you want respect others fetishes futanari means hermaphrodite not transvestite this problem is so simple it's stupid