I *used* to have a problem getting myself off when I was young. My problem was/is that I don't produce a lot of wetness when I'm soloing it. Then I discovered Astroglide, and its become a whole. new. ballgame. Now I'm at serious risk of carpal tunnel syndrome.  Has your fiance experimented much with different ways to get herself off? Toys? Lube? It may be worth a try.
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"With all its sham, drudgery, and broken dreams,
it is still a beautiful world.
Be cheerful. Strive to be happy."
-Desiderata
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