胡桃阳菜的第四张作品是“Anal SEX”。从未有过肛交经验的阳菜逐渐扩大了肛门，并开始从痛苦和焦虑中感受到快乐。在强忍着疼痛的同时，她在第一次令人兴奋的肛交中不由自主地失禁，这让她说“Fuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜呜……>最后，完整的双插和肛门课程。希娜的肛门终于苏醒了……