I’m 50/50 on the tatoos, not sure if “she” got an addition to her tattoos or if her hair is covering some of it making it look bigger... But. I think Ralph fucked a man for 3 reasons.
1) he had a deep intelligent conversation with “her”. So must of been talking to a man
2) didn’t stick his trotters in “her” asshole because it was already being used by his Memphis Micro
3) that troon seems to speak English and targets English speakers so more likely to end up with Ralph as he’s their target demographic.