That's the thing with languages, it doesn't. Which is why you can never directly translate words.
Words always have slight variations and meanings in different languages which is why the nuances I have given are important to distinguish between what people in the west call hermaphrodites, and what people in the east call futanari.
In fact if you wanted to go biologically, it would be impossible to have pussy+balls because balls are a reverse pussy.
So the two together are already implied fantasy.
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Which is why people call both of those futa. Calling the one in the right trans would be very disingenuous especially to trans people in my opinion since that character did not go through any transition.