
She Comes First is a technique-and-philosophy guide that argues the most reliable path to female orgasm is sustained clitoral stimulation—especially through cunnilingus. Ian Kerner, Ph.D., writes as both clinician and practitioner, pushing readers to abandon penetration-first assumptions, learn accurate vulvar/clitoral anatomy, and focus on timing, pressure, and communication.
The book is organized around three layers: (1) the “why” of female pleasure—dispelling myths, explaining clitoral structure and the sexual response cycle; (2) the “how”—stepwise oral techniques, positions, and coordination of tongue, hands, and fingers; and (3) “putting it together”—routines, troubleshooting, safety, hygiene, and adaptations for real-life scenarios. The tone is direct, rule-based, and designed to be practiced, not just read.