You can sit on the fit ball and make circles with your hips, you can use it to sit on in the shower, you just put a towel down underneath it so you don't slip, bath, tens machine, massage oil and massage, a tennis ball for massage, as hard as your partner can in the nape of your back, I find if you use enough pressure where you think you are going to be hurting the woman...thats how they like it, different positions, aromatherapy, massage, hynobirthing and other relaxation excercises, heat packs