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How did you get to be so vocally female-centric? Have you always felt this way?

Oh, where do I begin... Like a lot of adolescent boys, I wanted to get through all the heavy petting and make the mad rush to experience intercourse, adult sex, "real" sex. Well, I eventually got there, and after a while, I realized that I had a sexual problem and I wasn't satisfying women. My struggles with premature ejaculation really bruised me and damaged me and led me to feel like a sexual cripple. That led me to want to pleasure women and open myself up to other models of sexual contentment beyond just intercourse. That's not to say that I didn't enjoy going down on women, but I think I thought of it as something that's optional -- not necessarily a must-have, must-do. Through analyzing my own experience, and also through reading and studying human sexuality, I was able to come up with an approach that led me down the path to sexual health and contentment. My own personal shortcomings (pun intended) really led me to become sensitive to female pleasure.

I want men to understand, respect and appreciate female sexuality, which I find awesome and inspiring. The female clitoris has twice as many nerve endings as the male penis, the innate capacity to produce multiple orgasms with no known purpose other than to provide pleasure -- you can't say that about the penis. But I don't think most men approach female sexuality with that level of understanding or appreciation.

There's a lot of hype around female ejaculation, but in the book you appear to be pretty annoyed with that discussion. What's your gripe?

For a lot of people, from a cultural or feminist perspective, what female ejaculation says is that a woman can come like a man. To some extent, we all come from the same embryonic tissue -- there are lots of similarities in our sexual anatomy and in the way men and women deal with sexual response. But female ejaculation has never been conclusively linked to physiological pleasure. Research has shown that most women don't even know whether they're ejaculating or not. There are female ejaculation sites that enthuse about women spouting a bucket of water across the room. Often, that is just simply a result of bearing down on the pelvis and -- well, peeing. Now I want to be clear here: technically, female ejaculation is not urine. It is more similar to a male prostatic fluid. However research has shown that if a woman is consciously trying to ejaculate, that ejaculate is more likely to contain elements of urine than when it's just happening spontaneously and involuntarily.

In my opinion, one of the beautiful aspects of sexual response is that it allows us to just sort of let go and slip into an involuntary state. When you tell women to focus intensely on ejaculation at the point of orgasm, you're really introducing a voluntary element to an involuntary process. It can end up diminishing pleasure rather than enhancing it. That's why I prefer not to dwell on female ejaculation and I urge my readers not to get too hung up on it, either.

Why did you decide to take such a neutral, clinical tone and not spice things or use sexier language that might increase the book's appeal to men?

The No. 2 reason for divorce in this country is sexual dissatisfaction, and I take that intensely seriously. The philosophy I put forth in the book has true value to me. I'm not trying to turn it into entertainment. The voice in the book is my voice. I use terms like "cunnilingus," "vulva," "sexual response." I had a lot of women say to me, "Why didn't you just use the word 'pussy'? It's a cool, hip, female-centric term." My response to that is, to you. But I guarantee that to someone else, it's not.

These aren't the terms I use in the bedroom, trust me. Then again, the terms I use in the bedroom are probably different from the terms used by your boyfriend or your husband. Everyone experiences sex differently, everyone talks about it differently and everyone gets turned on by different things. Turning people on wasn't my focus.
I wasn't setting out to write the great American novel. In the end I was writing a guide that was part philosophical and part practical. I want to change behavior. I want to improve people's sex lives.

Did your own sex life change with the book or afterward?

I don't think it did, but my wife says it has. Sometimes she's like, "Is that in your book? That's different!" Or, "You've got this down better!"

In the book you suggest that men should be willing to go down on their partner as long as it takes to bring her to orgasm, which can be anywhere from 15 minutes to 45 minutes. And that's even before getting to intercourse.

If you're enjoying yourself and you're stimulated, I think you should postpone that enjoyment as long as possible. If a guy says it's too long or it's boring, either he's not doing something right or he's with the wrong person.

We tend to talk a lot about sex ruts and what happens when people are together for too long and the sex becomes boring. But what we don't focus on is that familiarity also leads to knowing and understanding each other's sexuality. Clinical studies have shown that women who are married are often able to achieve orgasms much more easily than women who are single or dating. The more committed you are to knowing someone sexually, the more familiar you are and the less time it potentially takes.

I think a lot of people are going to approach the book as the definitive guide to oral sex or the definitive guide to cunnilingus. While I do believe that the tongue is mightier than the sword, it's not a means unto itself. It's a means unto an end. A study of female sexuality shows us that women require persistent clitoral stimulation in order to reach orgasm and very often don't get that stimulation. That's why so many women are able to achieve orgasm via masturbation and tell themselves, "Well, when I'm with my guy, it's not about the orgasm. Orgasms are for me and my vibrator." I'm trying to get people to move outside of the intercourse discourse and embrace a new model of female sexuality that does not exclude male gratification but ensures mutual gratification. That's why the book is called "She Comes First" and not "Tongue Tips."

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