Head or balls? POHT combined with ballbusting.

She gives him a hand (or hand/blow) job, then he ejaculates. She has his testicles in one hand, separated from his body with a ring and index finger making a ring, holding the testicles in one hand, the other hand is stroking him. He ejaculates. She wipes that up really fast with a wet wipe to keep the semen from causing abraisions, then with a lubed hand, she alternates between stroking his head hard and squeezing his testicles.

She says, "Head or balls?" If he says 'head' she stops squeezing the balls and strokes his sensitive head hard enough to make him regret his decision. If he says 'balls', she gently strokes the base of the external penis up to the frenulum or base of the corona and squeezes the balls hard enough for him to regret his decision. She keeps asking. If he doesn't answer in a second or so, she does both at the same time.