During nipple masturbation she typically uses both of her hands to stimulate both nipples simultaneously by nipple tweaking and pulling nipples. In order to reach a higher level of nipple self-stimulation, she might add the following options:
- A nipple pump during the initial phase to fully erect her nipples for nipple masturbation
- She might tie her nipples to increase sensitivity of her nipples
- She might ice her nipples to increase sensations
- She might apply nipple clothespins to increase sensations
If her breast size allows her to reach her nipples with her mouth, she usually adds oral stimulation of her nipples to her nipple masturbation routine. It can be either selflicking or sucking on her own nipples or a combination of both.
The level of self-stimulation of her nipples is intensified until she reaches her nipple orgasm.