What are some of the keys to helping a woman experience pleasure, and orgasms? If you’re a woman and you’re not having orgasms - and you want to be - then this episode could be really helpful - sure, for you - but especially for your partner. Maybe leave this episode’s transcript under their pillow? This week, our guest is Ian Kerner, New York Times bestselling author of She Comes First: The Thinking Man’s Guide to Pleasuring a Woman. Ian is a licensed psychotherapist, and nationally recognized sexuality counselor who specializes in sex therapy, couples therapy and working with individuals on a range of relational issues. Today Ian Kerner shares how he has helped couples create more intimate and satisfying sexual relationships and he addresses the knowledge gap that many of us have about a woman’s sexual anatomy.
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Neil Sattin: Hello and welcome, to another episode of Relationship Alive. This is your host, Neil Sattin. Today I have with me Ian Kerner who is a nationally recognized sexuality counselor specializing in sex therapy, couples therapy, and working with individuals on a range of related  issues. He's regularly quoted as an expert in various media outlets with recent appearances on CNN, The Today Show, The Dr. Oz show, and now...he's here on Relationship Alive. Ian is The New York Times best­selling author of numerous books including "She Comes First", which is what we're  here to talk about today, and I should say that "She Comes First" is subtitled "The Thinking Man's Guide to Pleasuring a Woman". In addition to being a clinical fellow of the American Association of Marriage and Family Therapists, Ian is also certified by the American Association of Sexuality  Educators, Counselors, and Therapists - also known as AASECT, with a doctorate in clinical sexology. If you download the transcript of today’s episode you will ALSO get a bonus show guide with highlights and action items from the show. You can do that at neilsattin.com/ian (I-A-N) or by texting the word PASSION to the number 33444 and following the instructions.

Ian Kerner - thank you so much for joining us today on Relationship Alive!

Ian Kerner: Thanks, Neil, my pleasure.

Neil Sattin: Great. Well, we are here primarily to talk about She Comes First, which is a book about how to give pleasure to a woman and before we get started I was wondering if you could just let our listeners know a little bit more about you and how you came to write this book.

Ian Kerner: Sure, well, I guess that there are two ways I came to write the book. One is sort of the professional path and the other is the personal path. Professionally, as a sex therapist at the time that I wrote the book and even through today, one of the questions I get asked most often by women is “what can I do to have an orgasm during intercourse, and what am I doing wrong?”. So I really wrote the book as a response to that question. I wanted to let women know you're not doing anything wrong. It's just that, you know, a lot of the men that you may happen to be partnered with are what I would call ill-cliterate, they know more about what's under the hood of a car than the hood of a clitoris and it's often through no fault of their own, and there's nothing wrong with you. It's just that we are sort of all trapped in what I'd call the Intercourse Discourse in terms of thinking of sex often in one way and that once you kinda break out of the intercourse discourse and think of other ways of pleasuring, and once men understand that the clitoris is the powerhouse of the female orgasm and how to stimulate the clitoris, then you really won't be asking the question, “what can I do to have an orgasm during the intercourse?”

Ian Kerner: You may not be having intercourse at all, or you may be having intercourse plus other activities. So that's kind of the professional path. Personally, I suffered for many years from a very common sexual dysfunction, premature ejaculation. It's actually more prevalent than erectile disorder but certainly much less talked about, and it's an issue that leaves many men feeling sexually crippled, leaves many partners feeling frustrated and dissatisfied. And I suffered quite a deal from this... Quite a bit from this issue to the point that it affected my desire to date, and my desire to make love to a woman, certainly my confidence and my self-esteem and...

Ian Kerner: When I began to learn more about female sexuality and about the power of the clitoris as sort of the centerpiece of female sexual arousal and I was able to learn how to pleasure a woman in other ways outside of just intercourse and with just my penis and I began to make love with not just my penis, but my mouth and my mind and my hands and every other part of my mind, body, and soul, it really liberated me and actually that liberation and that confidence and self-esteem became one of the most important tools that I gained at my disposal to manage premature ejaculation.

Ian Kerner: So that is sort of the professional and personal pathway that led to writing She Comes First and I've been, you know, amazed over the years in terms of how the book has resonated and continues to sell and I hear not just from men but from women as well, who learned from the book and give it to their partners. And probably I'm most flattered when I hear from a parent who says, whether it's a mom or a dad, "I want my son to be sexually competent and to be respectful of female sexuality and understand female sexuality. And so I gave your book to my 18-year-old son." So that's a little bit of background to She Comes First.

Neil Sattin: Yeah, that's great and it's really interesting to me because... Well, for one thing, we had Wendy Maltz on the show to talk about sexual healing and I got connected with you through Wendy and that was without really even knowing what you had done and what you were writing about. And then on the show, we've also talked a lot with a few people in particular, Diana Richardson, who wrote "Heart of Tantra" and then also Marnia Robinson, who wrote "Cupid's Poisoned Arrow", about both non-orgasmic sex and also the problems that orgasms can cause, particularly for men, in disconnecting them from their partner. And I'm bringing both of these things up because as I was reading your book, which is basically about how to perform cunnilingus, like that's what this book is about, and it does it in a very informative way, where I learned a lot about female sexuality that I didn't even know necessarily, and it's... I wanted to bring this actually to our audience because sometimes, for one thing, you may just want to go for it and have orgasms and she wanted to have some great methods and knowledge at your disposal on how to do that, so you're not just winging it.

Neil Sattin: And I appreciated how in the book you brought up that most men actually don't have a lot of sources of information for how to please a woman. It's maybe the locker room, probably porn and apart from that, there's not a lot of guidance being offered. So I liked how you offer it from that perspective as a way to help bring people up the curve.

Ian Kerner: Yeah, no, thank you. I mean, certainly on one level, the book is a very practical guide in how to pleasure a woman and how to, you know, create or get help to mutually co-construct and create orgasmic satisfaction and that is, I believe, through cunnilingus, not only in my own experiences, but you know, study after study shows that women, not that they prefer oral sex to intercourse, just that they most more consistently orgasm from cunnilingus as opposed to intercourse. That has a lot to do with the distance between the clitoris and the vaginal entrance, and in some women, it can be anywhere from two centimeters to four centimeters and many sexual positions or most sexual positions miss the clitoris altogether and the greater the distance, they call it the vaginal clitoral distance, the greater the distance between the clitoris with the clitoral glans, the head of the clitoris, what's visible and the vaginal entrance, the greater that distance, the harder it is for a woman to orgasm through intercourse. So, certainly manual stimulation, whether with your hand or with a sex toy and oral stimulation are more direct and consistent ways of eliciting orgasms. And I wanted and I hope that the book... I think actually the staying power of the book has been that it's a little more than just a cunnilingus guide and that it is both a real introduction to understanding female sexuality and hopefully there's a little bit of a fun philosophy in it as well.

Ian Kerner: And I just came across a really interesting statistic that related to porn use and that heterosexual women are the biggest consumers of lesbian porn. So heterosexual women are the biggest consumers of lesbian porn and that's for a couple of reasons. One, that heterosexual porn often really objectifies women and that's not a turn on to women who are watching porn. And then of course lesbian porn features a lot more cunnilingus. And when you look at the top search terms by women that women enter into porn sites... How explicit is this show, Neil? How G-rated, PG-rated or R-rated do you want me to keep it?

Neil Sattin: We're good, we rate it explicit on iTunes.

Ian Kerner: Okay. So when you look at the top five search...

Neil Sattin: However, let me just interrupt you and say if you're listening with your eight-year-old in the car right now, it might be a good time to hit pause and then come back to it.


Ian Kerner: Okay, I would say you should have hit pause like 10 minutes ago.


Ian Kerner: But if you need to hit pause now go ahead and hit pause now. But the top terms are things like "pussy licking", "pussy eating", "pussy touching". I mean, they're all terms that really come back to clitoral stimulation and particularly oral stimulation of the clitoris. So I guess, I just wanted to provide a little bit of context and both around the importance of direct clitoral stimulation and the way that I'm trying through the book to take an act that's traditionally considered foreplay and turn it into coreplay, a complete act of love making that really vouchsafes and guarantees almost the female orgasm.

Neil Sattin: Yeah, I love that, especially because we are arriving at a very similar place where we're talking about expanding the definition of intimacy and expanding what it means to be making love with your partner, coming at it from different directions. But you arrive at this very similar place which is, how are you really exploring sensuality with your partner and are you doing it in a way that's actually not objectifying your partner, but really about tapping into what really makes them tick and feel good? So let's start with that because one of the most fascinating things in reading your book was that there are 18 parts to the clitoris, and I'm not expecting you to necessarily remember what all of those are right here now.

Ian Kerner: [chuckle] Okay.

Neil Sattin: But I was like, "What are you even talking about?" And then you went on to elucidate. And so I'm hoping that you can just give us a little bit of a taste of what you're talking about.

Ian Kerner: So male and female sexual anatomy, although they look very different, they're actually homologous and that means during the early months of gestation, when a woman is pregnant with a baby, the baby isn't really differentiated as male or female until around the 12th or 13th week and up until that time, the baby doesn't really have an assigned sex, and all of the tissue that's ultimately going to form the genital structures, it's really up for grabs, which way is it going to go, male or female? And then around the 12th or 13th week, there's some different bursts of hormones, namely testosterone. And the fetus is either differentiated as male or female, but all of the same tissue is used and male sexual anatomy will grow outward into a penis and scrotum with testicles and it's all very visible.

Ian Kerner: But those same structures really exist for women, they just kind of grow... Everything grows inwards. And so what you end up seeing is a vulva that includes a vaginal entrance and inner and outer labia, as well as what we would also call the clitoris. Really what we tend to think of as the clitoris and sometimes people refer to it as a bump or the little man in the boat or the pea in the pod. I mean, there's a lot of sort of vernacular around the clitoris but really that what you're seeing is the head of the clitoris, or the clitoral glans just as a guy has a head on his penis, and really for a woman that clitoral glans is really just kind of the tip of the iceberg. And there's a whole internal development of sexual anatomy and really the latest science is really showing that all of that material really encompasses what you would consider sort of like the clitoral network, and so that even the g-spot is probably just the back and roots of the clitoris.

Ian Kerner: And so that's really what I mean when I say that the clitoris has 18 parts, that the part that we normally associate with... Usually are generally associated with the clitoris again, is really just the tip of the iceberg and there are other parts that are internal and external that constitute the totality of the clitoral network, and it would be extremely... It's really rather rare for a woman to really experience arousal and certainly orgasm without clitoral stimulation.

Neil Sattin: Right. So even if you're having, say vaginal orgasms, that's probably because you're stimulating the part of the clitoris that is actually surrounding...

Ian Kerner: Correct, correct. And those... That part of... Those parts of the clitoris tend to be either on the surface of the vulva or within the first inch or two of the vaginal entrance and the deeper you go into the vagina, the less nerve endings, there are... The less sensitivity there is. And so really when you think about making love, making love to a woman, rather than thinking vaginally, you should really be thinking clitorally. And rather than thinking about penetration, you should be thinking about stimulation and rather than thinking about really internal stimulation, you should be thinking about external stimulation of the vulva.

Neil Sattin: Yeah, so hence what you were talking about earlier, about how the penetration really doesn't even have to happen at all.

Ian Kerner: No, it really doesn't. And that's why, you know, when men obsess over penis size, not to say that size is totally irrelevant, or that size doesn't matter, or that it doesn't feel good to a woman to have a penis inside a vagina. I'm not trying to discredit entirely the role of the penis in pleasuring a woman, but I don't think that really size is as relevant as men think it is.

Neil Sattin: And when you're talking to people about performing oral sex on a woman, what kind of problems or obstacles do you run into around actually someone diving into doing that?

Ian Kerner: Okay, well, I mean, first of all, it is about thinking of oral sex, not just as sort of an optional appetizer but is a required entree and understanding, thinking of oral sex, clitoral stimulation as a complete act of love making that often can include the female orgasm. It's also not just what you're doing, but when you're doing it and being tuned into a woman's arousal arc and thinking about it as a dance in which you are both participants in which she's often leading the dance in order to cue to you the type of stimulation that at the time feels good and right. I mean, as we sort of know the more you get aroused, the more tolerance you have for sensation. So certain things that may feel not so great at the beginning may feel really great towards the end of an act of love making closer to orgasm. The other thing that I deal with is probably just self-esteem issues, misconceptions. I often am working with couples in which ironically, believe it or not, it's often the male partner who's very eager to engage in oral sex, really loves going down on his partner, really enjoys it, wants to sort of liberate himself from the tyranny of his penis.

Ian Kerner: I'm using rather a hyperbolic language today on this podcast. And very often, it's a female partner who has genital self-esteem issues, so maybe she feels like she doesn't look beautiful down there, or taste wonderful, or smell is great, or maybe she feels like she's taking too long. Women often can bring a lot of anxiety around receiving oral sex, and for many women, especially women who have experienced faking orgasms, it's sometimes easier to give pleasure than it is to receive pleasure. I know a lot of women who really enjoy giving pleasure and can really participate in that way, but when it comes to receiving pleasure, they tend to get very anxious or very inhibited. And so a lot of times that's the point at which I'm kind of entering into this situation and certainly there are men who are ambivalent about oral sex who don't understand it as being important, who don't understand clitoral stimulation, who maybe have had some negative experiences in the past, or were brought up to feel that maybe a woman's vulva or vagina is unhygienic in some ways. So there can be a lot of myths and misconceptions, and opportunities for discomfort around oral sex.

Neil Sattin: Yeah, that brings up so many questions from me. I guess the first one would be, well, let's talk about those hang ups. So if someone is really feeling self-conscious about their own vagina or vulva, how do you work with someone like that so that they can relax into receiving?

Ian Kerner: Well, it's sort of like throwing a stone into a pond and watching the ripples. How close to the stone are you going to get? Like at what point do you address the rippling? Do you think that... Well, really, I want to be in the kind of relationship that lends itself to intimate connected sex, and I really need to focus more on the positivity in the relationship and being in a sex-positive relationship and being able to communicate openly and constructively and arousingly around sex and then maybe you need to get closer to the sex act itself. And what are you really doing to stimulate desire and arousal? Some studies really show that the closer a woman gets to orgasm the more parts of the brain that are associated with stress, anxiety, high emotion deactivate and that as a woman is having an orgasm, she's actually entering into almost a kind of a trance-like state. And so what is happening to facilitate that process of deactivation where a woman can shut down those stress centers in the brain and those anxiety centers? And what are you doing in the actual environment around sex to create a sex-conducive environment to actually create sort of a love nest? And does that require music? Does it require lighting? Does it require certain types of being dressed or undressed? Like what does it take for a woman to feel really comfortable?

Ian Kerner: And then I think the most important factor is really to be able to hear from a guy, hopefully a guy with whom she loves and has a secure, trusting attachment that she can really let go with, to hear from a guy, to be reassured like, "You are absolutely beautiful. I love doing this and it's arousing to me and I get so turned on by this and the longer it takes actually, the more I'm just postponing my own gratification and the more intense my own gratification is going to be." I think so many women just wonder, "Does he like doing this or is it a chore?" And you ask so many men and they say, "Well, I love doing it. It's the last thing from a chore. It's completely arousing. I get into my own kind of zen headspace." And then just the way you would look into a woman's eyes and let her know how beautiful you find her, I think, you want to be able to let her know how beautiful you find her vulva and you want to contribute to, again, that concept of genital self-esteem, positive genital self-esteem, that doesn't come from just your own sense of your body, like you need to be told by your partner that you are beautiful. And I think we often are focused on, "Oh, your hair looks great, or that dress looks great, or you look so hot and sexy right now." And we need to be able to extend those compliments to our mutual genitals.

Neil Sattin: Yeah, yeah and I noticed you were using the pronoun he but, I mean, this can apply to both...

Ian Kerner: Right. Absolutely, absolutely. I didn't mean to take the words out of your mouth, but yes, it can apply to... I work with a lot of lesbian women who have bought She Comes First because they may have some inhibitions around oral sex or they want to be more proficient. And so, yes, I didn't mean to be gender-specific although I do have to say, I didn't write the book in a gender-neutral way. A lot of sex books and I've written a bunch of them can be written in a gender-neutral way, but I really wanted to send a specific message to heterosexual men.

Neil Sattin: Yeah and probably rightly so, because if nothing else, we don't have a woman's body, so we don't have... And in fact, our penises can probably take a lot more and a lot different kinds of stimulation that we don't even think about than we might practice if we didn't know any better when we are with a woman.

Ian Kerner: Yeah, I think that's true. When you look at the age at which men start having nocturnal emissions or wet dreams and they start masturbating and having their first orgasms, there's a huge concentration all in those early teen years, 13, 14, 15, and men have their first ejaculations and they figure out how to give them themselves these ejaculations repeatedly, and for most men orgasm and sex are very tied together, and most men wouldn't really think twice if you ask them, “do you know how to give yourself an orgasm?” But when you look at women, it's a very different story across the board. Women have their first orgasms at vastly different ages, many women who have had orgasms early in their teen years don't necessarily know exactly how to replicate them. Even today, I have a number of women in my practice who weren't really sure they've ever had orgasms. They've certainly enjoyed sex and they've felt a lot of arousal, but they're not sure that they've had orgasms.

Neil Sattin: Yeah. One thing that you mentioned in just a few moments ago, it came out as part of how you reassure a partner, but I heard you talking about this what you call The Three Assurances. So I'm wondering if we can just enumerate those for people listening, so they know exactly what you're talking about that... because these seem really key.

Ian Kerner: Yeah, do you mind if I go grab the book off my shelf then? I don't have it, so...

[overlapping conversation]

Neil Sattin: You know what I can... I'll read them out loud.

Ian Kerner: Oh, that would be lovely.

Neil Sattin: Because I have it right in front of me.

Ian Kerner: Why don't you do that? Yeah, well, okay.

Neil Sattin: Yeah, I didn't mean this for this to be a pop quiz...

Ian Kerner: No, no, no, no, but I think the book says it better than I would just impromptu.

Neil Sattin: Yeah, so what you write are, "To that end, the three assurances of the cunnilinguist manifesto are as follows: Number one, going down on her turns you on. You enjoy it as much as she does." So, I would paraphrase that, something like your pleasure gives me pleasure.

Ian Kerner: Absolutely.

Neil Sattin: "Number two, there's no rush. She has all the time in the world. You want to savor every moment." So that's taking the time pressure off and letting it just be what it is. And I have a question about that, but I'll come back to it.

Ian Kerner: Okay.

Neil Sattin: And then the third thing is that, "Her scent is provocative, her taste powerful. It all emanates from the same beautiful essence." So basically, where you're saying the whole visceral experience of being there is great, is amazing for me. So the question I had about the second one, the all the time in the world is... The book is about bringing a woman to orgasm and yet we also talk a lot about not being orgasm-focused and being real sort of process-oriented instead of product-oriented.

Ian Kerner: Well, that's interesting, I don't... Yeah, let's talk about this. I don't think that there is anything necessarily wrong with being orgasm-focused. Our body participates in the process of arousal. There is a vasocongestion but blood flow to the genitals. There's myotonia, there's sexual tension being developed throughout the body and when those two processes kind of reach a tipping point, that muscular tension causes orgasm which is a flood of different sort of feel good hormones that are all triggered and connected to the release of sexual attention, and men and women have capacities to orgasm. Women have an innate capacity to experience multiple orgasms, and certainly, over the course of the life cycle, our relationship with orgasm changes and orgasms can feel differently and happen at different intervals. And we can lose our ability to have orgasms, but I don't think that there's anything wrong with being focused on, or wanting to have an orgasm, or wanting a partner to have an orgasm. And very often you will hear in the media and in writing and from professional therapists, many of whom are my colleagues, you'll sometimes hear, "Well, men tend to be orgasm-focused. Women tend to be more process-focused, more pleasure-focused, can enjoy sex without necessarily having an orgasm every time."

Ian Kerner: I think that there is some truth to that, but I also want to just say that I meet with women every day in my practice who are sometimes on their own or sometimes as part of a couple and they are often very, very, very frustrated that they're not having orgasms in the sex that they're having. And given the choice between not having an orgasm and having an orgasm, they would much rather have one. And certainly there are times in life when you don't always have an orgasm, but if you're in a relationship where you are having sex and you are consistently not having orgasms, I'm going to wager that there's going to be a lot of distress and dissatisfaction. And I think also that one of the reasons we often tend to say, "Oh, women can be pleasure-focused or less concerned, or care less about orgasms," is because as men, we don't live in a culture where men really consistently are tuned in, care, and can kind of elicit orgasms consistently. So I think a lot of that sort of verbiage around being pleasure-focused and non-orgasm-focused is also justifying a paradigm in which men always get to have orgasms during sex and women do not. And so... My dogs are barking incessantly in the background.

Neil Sattin: They agree with you.


Ian Kerner: So I just want to challenge that assumption again. Listen, I understand that we should all be pleasure-focused. I've been working with a client for the last few weeks, and he's a gay man and he experiences erectile issues and delayed ejaculation, and one of the biggest changes he made on his OkCupid profile is saying that he is pleasure-focused as opposed to orgasm-focused. So I don't want to say that I don't understand the sentiment and that there aren't certain people for whom they really are going to be more pleasure-focused than orgasm-focused, but I also really don't want to discount the value and importance of orgasm, and I don't want to live in a world where we think that, "Oh, men consistently get to have their orgasms and women don't and that's okay, because women are more pleasure-focused and less orgasm-focused than men.

Neil Sattin: Yeah, I really appreciate your taking a stand for the orgasm just now. And it makes a lot of sense that the mechanism is there. So if the experience of not having an orgasm is about the inability to have an orgasm or about... Well, not being able to take the time to have an orgasm which is what brought us down this topic, this line of conversation, then yeah, don't let it be an excuse by any means.

Ian Kerner: Right. Now the other myth that's out there, it's not exactly a myth but it's sort of a semi-truth is that it takes women longer to get aroused and reach orgasm than it does men. And that's certainly something that I see in my practice all the time that I wrote in She Comes First, that I pretty much stand by. But when you also talk to women about masturbation and their sort of approach to self-pleasure, many if not most women will say, "Well, if I want to I can get there in three minutes." And it kind of starts to really resemble the way men masturbate and the road to orgasm can be as short for women as it is for men, that doesn't always translate into relational sex between two people, but I would say it's also something of a myth that it always takes women longer to reach orgasm, and that's so... Even in my reassurance about time, when you have all the time in the world then you're just happy to be there, it doesn't have to be a chore and it doesn't have to take so long.

Neil Sattin: Yeah. Yeah, and another thing I wanted to just clarify for you, too, is that when I say that here on the show we've talked a lot about non-orgasmic sex, we've been really approaching it from the perspective of well, for one thing, the way that for a man having an orgasm changes the level of connection that they're experiencing with their partner when they're making love. So in a way it's like taking it off the table so that you can actually prolong what's happening when you are doing the rest of the stuff, which is affecting you, obviously, biochemically and also energetically.

Ian Kerner: Absolutely. I would agree with that. Very often when I'm working with couples and there's a sex issue, or they're not having mutual orgasms, or they're not enjoying sex as much as they could or there's some kind of dysfunction, I'll often say, "Well, let's take orgasms and sex off the table and let's just sort of go back to a ground zero and build up from there."

Neil Sattin: Yeah, well, I think that this podcast episode would not be complete without talking about some actual techniques and details of how to do it and we don't have to cover everything. There's a lot of information in Ian's book, She Comes First, and that makes me think of another question but before I ask that, let's just talk about a few things that are important and that maybe you find to be the biggest problems when people are actually performing oral sex on a woman and how to do it differently?

Ian Kerner: I think one misconception is that the tongue or an oral sex, it's about penetration or that the tongue is kind of a stand-in for the penis. And then a lot of guys sort of focus on sort of showing off a little bit. And again, all of the nerve endings that really contribute to the female orgasm are located on the surface of the vulva. They respond to gentle stimulation rather than penetration. Some women have told me, when complaining about their partner's oral sex techniques, "Oh, it's like the running of the bulls in Spain, a mad stampede for my clit." That's not what you want to be doing. They're like, "When he goes down on me, it's like a cobra fighting a mongoose." It's just like a...you don't want to be that vicious cobra. You want to approach oral sex again as a dance in which a woman is often leading, sometimes just providing a very flat still tongue or a simple point of resistance.

Ian Kerner: There's an area of the vulva, of the clitoris, that's actually just above the clitoral glans which would be more in the area of the hood that kind of covers the glans but it's just that area, just sort of a little above and behind the clitoral glans that's called the Front Commissure and it's a little smooth area that's so kinda like the... As big as... Less than the size of a fingernail of your pinky, but there's a lot of nerve endings there and that area responds very well to pressure, not necessarily friction but pressure and if you just sort of get into a groove and get into a position where a woman is...

Ian Kerner: Where there's contact between the front commissure and either a tongue or even better, something that's firmer than a tongue like your front gum just above your tooth, if you just sort of raise your lip into kind of like a little bit of an Elvis Presley snarl and just kinda nestle your gum against that front commissure which is, again, not exactly on the clitoral glans but more sort of just above and behind the clitoral glans a little, and then just kinda get right into that. And let her do... Let her sort of set the routine. It's a little like when a woman is on top during the intercourse. One of the reasons the female superior position is the position that most consistently leads to orgasms for women is because in that position they can really get a lot of clitoral stimulation by pressing the clitoris against a guy's pelvis and pubic bone and also really control the frequency and pressure and the nature of the stimulation against the clitoris as well. If you can do the same thing during oral sex and really let her sort of press into a point of resistance, again, sort of like the soft area of your gum just above your tooth might be, I would say, is ideal.

Ian Kerner: And really let her lead the dance. In some ways you don't have to do anything more than that. You can certainly use your tongue to be providing, to be going back and forth against the clitoris or looking inside the vulva and the vaginal entrance, you can also... You should also certainly think about enhancing oral stimulation with manual stimulation, whether your fingers or a sex toy. You can raise your fingers and sort of press into the g-spot area, but certainly a combination of manual stimulation and oral stimulation and again where you're less of the lead dancer and more of following her lead is one approach that I often recommend for people who are just sort of entering the world of oral sex.

Neil Sattin: Yeah, and one thing that made a huge impression on me was you mentioned stillness, as being really important as well as movement.

Ian Kerner: Uh-huh, yeah, and part of that is because men reach a point of ejaculatory inevitability and this has a lot to do with evolution and the importance of the male ejaculation to reproduction of the human race, but men can very quickly, often very quickly reach a point of ejaculatory inevitability. You're going to have an orgasm, you're going to ejaculate and there's no pulling back, and you get to that point of no return. And I think for men that's sort of how we conceptualize the sexual response cycle. But most women will tell you that they can very easily lose an orgasm, and that even as an orgasm is starting to happen, it can still be lost. There is no point of inevitability, there is no real point of no return, and that's why I emphasize both stillness and predictable routines. If you're doing something and it's working, keep doing it until she lets you know otherwise. Too many men I hear from their partners are doing great jobs, a woman is very close to having an orgasm, she's very excited. And based on that excitement, they will sort of get excited themselves or change what they're doing. And it's in that change that a woman often loses her orgasm. So, I do emphasize tuning in, I do emphasize stillness, I do emphasize following her lead, and I do emphasize predictable, consistent, rhythmic routines.

Neil Sattin: Great, well, Ian Kerner, thank you so much for your time and for all the valuable  information that you've given us today on the podcast. And I just wanna say that Ian's book "She  Comes First: The Thinking Man's Guide to Pleasuring a Woman" is available on Amazon and also probably at your local bookseller. You can visit Ian on the web, his address is iankerner.com. And again, if you’d like to  download the transcript AND the bonus action guide for this episode, just visit neilsattin.com/ian, that's I­A­N or you can just text the word "passion", P­A­S­S­I­O­N to the number 33444 and follow the instructions there.  Ian, thanks again for coming on the show today, and for defending the orgasm, and also giving us some great words of wisdom for how to have more pleasure in our intimate lives.

Ian Kerner: You're very welcome. I can't think of anything I'd rather be defending, so thank you.
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