She Comes First cover

She Comes First

by Ian Kerner, PhD

She Comes First offers an essential guide to elevating a woman''s sexual experience by focusing on the art of cunnilingus. Ian Kerner, PhD, emphasizes the importance of understanding female anatomy and the intricate role of the clitoris, providing readers with practical techniques to enhance intimacy and satisfaction in their relationships.

The Philosophy of 'She Comes First': Rethinking Sex and Satisfaction

When was the last time you thought about whether sex truly felt equal—for both partners? Ian Kerner’s She Comes First flips traditional sexual scripts upside down by asking something radical yet simple: what if great sex begins with focusing entirely on her pleasure first? Through this provocative idea, Kerner—once a man struggling with premature ejaculation—crafts what he calls ‘the way of the tongue,’ redefining intimacy, masculinity, and sexual satisfaction for modern couples.

Kerner argues that the most enlightened form of sex is one centered around female pleasure. By making cunnilingus not a prelude but the main act, he challenges centuries of cultural conditioning that elevates penetrative sex as the ultimate goal. His message isn’t anti-intercourse—it’s pro-outercourse, advocating for sex that values stimulation, patience, and mutual satisfaction over mechanical performance or ego-driven climax.

Why Prioritizing Her Pleasure Matters

Kerner begins from experience: he was a ‘premature ejaculator,’ living with constant frustration and shame. What he discovered wasn’t a cure in pills or techniques—it was a shift in philosophy. By focusing on giving oral pleasure, he found that sex became less about anxiety and more about connection. And when he led his partner to orgasm first, everything changed for both of them. The act of ‘putting her first’ removed performance pressure, deepened intimacy, and ironically made his own orgasms more controlled and rewarding.

Kerner draws inspiration from literary and philosophical sources—Aristotle’s notion of structure, Strunk and White’s The Elements of Style, and the Taoist emphasis on patience. He shows how sex, like art or storytelling, has rhythm, syntax, and pacing. Just as writers master grammar to craft beauty, lovers must master technique to create passion and balance.

The Cultural Roots of the Pleasure Gap

The book examines how Western culture—led by Freud—wrongly labeled clitoral orgasms as ‘immature.’ For decades, women were told that penetrative, vaginal orgasms were the mark of emotional and sexual completeness. Kerner dismantles this myth with clarity and science: the clitoris, not the vagina, is the anatomical and neurological center of female pleasure. With more than 8,000 nerve endings (twice the number of the penis), the clitoris exists for one purpose—pleasure. Ignoring it is like trying to play a symphony without touching half the keys.

This misunderstanding has created what Kerner calls the sexual ‘rage and grief’ gap between men’s quick completion and women’s slower, more complex arousal cycle. The solution isn’t faster sex or more penetration—it’s slower, devoted stimulation. Cunnilingus, he insists, isn’t foreplay—it’s coreplay: the core of mutual enjoyment where rhythm, patience, and communication align.

From Technique to Philosophy

What makes She Comes First more than a manual is its tone—it’s conversational, confessional, and deeply philosophical. Kerner sees oral sex not only as a technique but as an act of reverence and love. In focusing on her orgasm before his own, a man engages in what Kerner calls sexual chivalry, echoing the quote that defines his book: “Ladies first.” The irony is that by serving her pleasure first, he ends up enhancing his own experience manifold.

He blends humor and empathy—citing both clinical research and cultural anecdotes. Lorena Bobbitt’s revenge (“He always orgasmed and didn’t wait for me”) becomes a dark reminder of what happens when male-centered sex dominates. In contrast, real intimacy comes from mutual surrender, patience, and an understanding that sex is a collaborative choreography where both partners rise together.

Why This Idea Endures

Kerner’s argument resonates for reasons beyond technique. It’s about respect, equality, and emotional connection. When men choose to prioritize the woman’s pleasure—not out of guilt or obligation but out of desire—they actively dismantle generations of bias that defined sex as something men give and women receive. They transform sex into a reciprocal language of intimacy.

In essence, She Comes First is a manifesto for sexual empathy. It urges you to replace performance anxiety with genuine curiosity, ego with devotion, and climax chasing with connection. Through this shift, Kerner argues, both partners can experience sex as art—each movement deliberate, each moment infused with awareness, each act a celebration of mutual vulnerability and trust.

“When a marriage goes on the rocks, the rocks are there, right there,” Kerner quotes Tennessee Williams. His message: remove the rocks by removing imbalance. Begin with her pleasure, and you build the foundation for lasting, reciprocal passion.”

By the end of the book, ‘She Comes First’ isn’t just a sexual strategy—it’s a worldview. It teaches that great sex isn’t mechanical; it’s emotional fluency. When you make her pleasure your priority, you aren’t just giving an orgasm—you’re creating equality, confidence, and connection. That’s the pleasure revolution Kerner invites everyone to join.


Understanding the Female Anatomy and Arousal

Kerner insists that every skilled lover must first be a student of anatomy. He demolishes myths about the female body by showing how complex, interconnected, and dynamic the clitoral network really is. The clitoris isn’t just a tiny button—it’s an entire system resembling an iceberg, with most of its structure hidden beneath the surface.

The Clitoral Network Explained

According to A New View of a Woman’s Body, which Kerner heavily references, the clitoral network includes eighteen parts—visible (like the glans and hood) and internal (like the shaft, crura, bulbs, and urethral sponge). These elements extend from the pubic bone down toward the anus, forming a pleasure dome powered by more than 8,000 nerve endings. This intricate design means that nearly all types of female orgasm—clitoral, G-spot, blended—are variations of clitoral stimulation.

Science backs him up. Research by Masters and Johnson showed that the inner two-thirds of the vagina contain few nerve endings, making deep penetration largely insensate, while the outer third—rich with clitoral tissue and surrounding nerves—is the epicenter of stimulation. This means that the traditional focus on thrusting misses the anatomical mark completely.

Thinking Clitorally, Not Vaginally

Kerner urges readers to “think clitorally, not vaginally.” Instead of aiming for depth, aim for detail. Sex, he explains, is not a mining expedition where the clitoris is a buried gem—it’s an orchestration of surface, rhythm, and patience. When men let go of the obsession with penetration, they discover that pleasure lives in nuance—pressure, timing, and the dance between stimulation and release.

“The earth isn’t flat, and neither is the clitoris,” Kerner writes, reminding readers to explore it like a vast continent rather than a lonely island.

The Process of Arousal

Every woman’s arousal follows a narrative form—a beginning, middle, and end, just like in Aristotle’s Poetics. It begins with excitement as hormones flood the bloodstream and the skin tingles. During the plateau stage, muscles stiffen, breathing quickens, and the clitoral body engorges with blood. At climax, rhythmic contractions sweep through her pelvis and uterus, sometimes accompanied by subtle ejaculation. Afterward, unlike men, women need little recovery—making multiple orgasms a natural extension of this physiological story.

Kerner’s rendering of anatomy and psychology combines poetic reverence and scientific precision. Understanding the female body, he argues, is the foundation of empathy in bed. When you know the structure, you can honor the process—and both partners become authors of their shared pleasure narrative.


Dispelling Myths and Cultural Misconceptions

Throughout history, female sexuality has been misunderstood, demonized, and repressed. Kerner walks readers through the cultural origins of this confusion—from goddess worship to Freud’s damaging theories—and then reclaims the clitoris as the rightful center of erotic power.

From Goddess to Ghost

In ancient civilizations, female orgasm was celebrated. Greek scholars like Galen believed women couldn’t conceive without climax; sexual pleasure was seen as sacred. But as patriarchy deepened, female sexuality was rewritten as passive. By the Victorian era, even medical illustrations erased the clitoris entirely. Dr. William Acton famously declared women “happily devoid of sexual feeling”—a statement that defined prudish generations.

Freud’s Fatal Error

Freud’s influence worsened the damage. He claimed that clitoral orgasms were ‘infantile’ and that mature women should find satisfaction only through vaginal penetration. This not only ignored scientific evidence but imposed a moral hierarchy of pleasure—casting women who pursued clitoral stimulation or masturbation as deviant. Kerner calls it “the Big Cigar fallacy”—a symbol of repression disguised as authority.

Women internalized this shame. Even today, many still equate orgasm during intercourse with femininity, despite overwhelming studies showing that most women require clitoral stimulation to climax. Kerner argues that sexual liberation begins by rejecting Freud’s false dichotomy and embracing what nature designed—the clitoris as humanity’s purest pleasure organ.

Modern Reclamation

The sexual revolution, feminist health movements, and researchers like Shere Hite, Betty Dodson, and Mary Jane Sherfey helped restore the clitoris to its rightful status. Today, female pleasure is political. As Paula Kamen observed, oral sex symbolizes women’s growing power and men’s respect for it. When a man pleasures a woman with his mouth, he performs an act of devotion that dismantles centuries of silencing.

By understanding these myths and their roots, readers see why ‘she comes first’ is not just sexual advice—it’s corrective justice. It’s an act of cultural restoration, reuniting men and women with the truth: pleasure is not a privilege, it’s equality made flesh.


Communication, Confidence, and Connection

Kerner emphasizes that technique alone isn’t enough—you need emotional fluency. Great cunnilingus is like learning a language, and communication is its grammar. Without conversation, even skill fails. The greatest lovers listen with their tongues but also with their hearts.

Building Trust and Confidence

Women often feel anxious about cunnilingus—about scent, taste, appearance, or taking too long. Men, in turn, worry about being clumsy or judged. Kerner advises resolving this tension through honesty and reassurance. He introduces the “Three Assurances”: (1) going down on her turns you on, (2) there’s no rush, and (3) her taste and scent are beautiful. These verbal assurances dissolve fear and invite vulnerability, transforming sex into shared surrender.

The Art of Erotic Dialogue

Kerner highlights ongoing communication—not simply feedback after sex, but real-time connection. “Keep the channels open,” he quotes from Sex: A Man’s Guide, noting that verbal expression is the strongest predictor of sexual satisfaction in marriage. Telling her what feels amazing, encouraging her responses, and adjusting rhythm based on her body’s cues—all create safety and sync.

He also tackles miscommunication: men often see silence as disinterest; women interpret impatience as rejection. Style, he says, comes from being there—mind, body, and spirit. The tongue may lead, but empathy keeps time.

Technique Meets Emotion

Kerner’s best advice for connection isn’t just mechanical—it’s mindful. He urges slowing down, reading subtle signals like breathing or muscle tension. He likens good sex to jazz: individual improvisation guided by rhythm and harmony. When both partners communicate openly and respectfully, even hesitation becomes foreplay.

The result? She doesn’t just come first—she feels seen first. And that’s the secret to all intimacy: emotional presence turns skill into art.


Patience, Rhythm, and the Art of Foreplay

Foreplay, Kerner argues, is not a prelude—it’s an entire act. The difference between good and great lovers is not speed but sequence: knowing when to build tension, when to pause, and when to let anticipation bloom.

Timing Is Everything

Kerner references Taoist wisdom—'The man must keep the situation in control and benefit from the communion without undue haste.' Women typically need fifteen to twenty minutes to reach sufficient arousal. Couples who devote that time change their outcomes completely: while two-thirds of women fail to orgasm when rushed, ninety percent succeed when partners linger on prolonged foreplay. Twenty minutes, he says, could save not just your sex life but your relationship.

To cultivate rhythm, Kerner suggests alternating motion and stillness—the dance between stimulation and suspense. He compares it to music or writing: a single overstatement (too much speed, pressure, or repetition) diminishes the entire composition. Great sex is about pacing one’s sentences until climax becomes punctuation, not chaos.

Foreplay vs. Coreplay

Kerner introduces two terms: foreplay (the build-up) and coreplay (the act of oral stimulation carried through climax). Where traditional sex books treat oral sex as appetizer, he reclassifies it as the main course. Foreplay involves full-body touch, teasing, and emotional engagement—not a checklist but a spellbinding immersion. Once foreplay transitions to coreplay, patience and rhythm become tools for mastering the language of love.

“Patience shall be my song,” Kerner quotes poet Thomas Wyatt—a mantra for every lover who values quality over haste.

By reframing time as the medium through which pleasure flows, Kerner teaches that oral sex is not an event—it’s an experience. Rushed sex ends when the man does; refined sex ends when both lay back, completely spent yet deeply fulfilled.


Safety, Hygiene, and Sexual Health

Pleasure cannot exist without safety. Kerner dedicates portions of his book to challenging misconceptions around hygiene and safe sex. His pragmatic advice redefines cleanliness not as fear, but as confidence.

The Myth of Hygiene Anxiety

Half of men in studies admitted worrying about women’s scent, while many women fear being judged for their natural aroma. Kerner's answer? Knowledge. The vagina, he explains, is a self-cleaning ecosystem, balanced by healthy bacteria. When that equilibrium shifts—due to stress, diet, or infection—odors change. It’s biological, not moral. Transform anxiety into eroticism: integrate shared showers or baths into foreplay, turning cleansing rituals into acts of bonding.

Safe Sex as Empowerment

Kerner emphasizes that oral sex can transmit STDs, and safety must be proactive, not reactive. Dental dams, gloves, and communication are part of informed intimacy. He urges readers to see protection not as inhibition but as respect—creating trust that makes true surrender possible. He even humorously calls for 'cunnilinguists of the world to unite,' reminding men that safety is as sexy as skill.

Ultimately, hygiene and safety are acts of care—not consequences of fear. When both partners feel secure, pleasure expands. Knowing her body isn’t dangerous—it’s divine.


The Emotional and Philosophical Power of Giving

At its heart, Kerner’s book celebrates giving as the purest form of sexual power. He transforms oral sex from a performance into an act of humility and devotion.

From Dysfunction to Transformation

Kerner’s personal story anchors his message. Struggling with premature ejaculation, he felt broken. But in turning to oral sex, he found redemption—he could satisfy his partners completely. The shift from insecurity to mastery wasn’t in his body—it was in his mindset. “Oral sex saved my life,” he writes, because it taught him control through generosity: when he led his wife to orgasm first, anxiety vanished, confidence grew, and the act became spiritual.

Giving as Intimate Leadership

The man who gives is not submissive; he’s self-assured. Kerner reframes chivalry for the modern bedroom—a call to honor her pleasure as an equal exchange. In focusing wholly on her, a man demonstrates emotional intelligence and erotic maturity. He becomes a partner, not a conqueror.

The Spiritual Side of Sex

Quoting thinkers from Camus to Taoist masters, Kerner suggests that oral sex borders on transcendence. It’s “mouth-music,” an intimate act blending vulnerability and artistry. When performed selflessly, it erases the boundary between giver and receiver. The result isn’t just climax—it’s communion.

“If she is my violin, then I am her bow,” Kerner writes poetically. “Play as a master, and you will create music that lasts beyond the moment.”

This philosophy reshapes love itself. To give her first is not just courteous—it’s courageous. It means choosing empathy over ego, artistry over efficiency, and equality over instinct. In that giving lies the promise of two satisfied souls, not one performer and one audience.


Reimagining Relationships Through Sexual Equality

Kerner ends his book with a broader message: sexual equality builds emotional equality. When pleasure becomes reciprocal, relationships become stronger—not because of technique, but because of connection and respect.

Beyond the Bedroom

In emphasizing her orgasm first, Kerner calls for a radical empathy that extends into everyday love. It’s not just sex—it’s partnership. Post-orgasm tenderness (“moreplay”) becomes symbolic of this ethic: hold her longer, talk softly, be present after the climax. As he puts it, ‘Don’t forget your epilogue.’ When you value her after the act as much as before, intimacy becomes continuity rather than climax.

Equality as Sustainability

Kerner invokes Milan Kundera’s The Unbearable Lightness of Being: the difference between frivolous passion and loyal love is weight. ‘She Comes First’ adds that heaviness purpose—love becomes enduring when both partners shoulder each other’s pleasure. In this way, sexual equality sustains emotional connection and prevents relationships from collapsing under inequality.

Ultimately, Kerner’s manifesto for mutual satisfaction is also a guide to relational depth. When she comes first, both partners rise together—and perhaps, as he says poetically, ‘when she comes first, she comes forever.’

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