Your sexuality has both gas and brakes—and context determines which one dominates.
The dual control model shows sexual response depends on both excitatory and inhibitory factors working in balance.

Book summary
by Emily Nagoski
The Surprising New Science That Will Transform Your Sex Life
Revolutionary science-based approach to female sexuality
Topics
Read this book with a journal to track your personal accelerators and brakes. Use Readever to highlight key scientific concepts like the dual control model and responsive desire. Focus on understanding your unique sexual response patterns rather than comparing to cultural norms. The AI can help translate complex neuroscience into practical applications for your specific relationship context and personal goals.
Things to know before reading
Come as You Are dismantles harmful myths about female sexuality through groundbreaking neuroscience and psychology research. Emily Nagoski reveals that women's sexual responses are normal, healthy, and highly individual—shaped by a unique combination of biological factors and environmental contexts. The book provides practical tools to understand desire, arousal, and satisfaction on your own terms.
Nagoski's research reveals that female sexuality operates through a sophisticated system of accelerators and brakes—understanding this model transforms how we approach desire.
The dual control model shows sexual response depends on both excitatory and inhibitory factors working in balance.
Most women experience responsive rather than spontaneous desire, which means arousal typically precedes conscious wanting.
Safety, stress levels, and emotional connection dramatically influence sexual responsiveness more than any biological factor alone.
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This summary gives you the scientific framework to stop comparing yourself to unrealistic standards and start embracing your authentic sexual self. You'll learn how to work with your body's natural responses rather than fighting against them, creating space for more pleasure and connection.
Key idea 1
The dual control model shows sexual response depends on both excitatory and inhibitory factors working in balance.
Nagoski introduces the dual control model of sexual response, which explains that everyone has both sexual accelerators (factors that turn you on) and sexual brakes (factors that turn you off). For women, the brake system is often more sensitive and easily activated by stress, distraction, or safety concerns. Understanding this system helps explain why desire can feel unpredictable—it's not about being broken, but about the complex interplay between your unique biological wiring and your current environment.
Remember
Key idea 2
Most women experience responsive rather than spontaneous desire, which means arousal typically precedes conscious wanting.
Nagoski challenges the cultural assumption that desire should always be spontaneous and immediate. Research shows that for most women, desire often follows arousal rather than preceding it. This responsive desire pattern means you might not feel "in the mood" until after you start engaging in sexual activity. Understanding this normal variation helps reduce performance anxiety and allows for more authentic sexual experiences that build gradually rather than requiring immediate readiness.
Remember
Key idea 3
Safety, stress levels, and emotional connection dramatically influence sexual responsiveness more than any biological factor alone.
The book emphasizes that sexual response is profoundly contextual. Factors like feeling safe, being emotionally connected to a partner, having adequate time and privacy, and managing stress levels all significantly impact sexual experience. Nagoski explains that when women feel pressured, rushed, or unsafe, their brake systems activate strongly, making arousal difficult. Creating supportive contexts—emotionally, physically, and temporally—can dramatically improve sexual satisfaction.
Remember
Come as You Are is a groundbreaking exploration of female sexuality that combines rigorous scientific research with compassionate, accessible guidance. Drawing from neuroscience, psychology, and sexology, Emily Nagoski dismantles harmful cultural myths about women's bodies and desires. The book provides a comprehensive framework for understanding sexual response as a normal, healthy, and highly individual process.
Rather than offering prescriptive advice or one-size-fits-all solutions, Nagoski empowers readers to understand their unique sexual wiring. She explains complex concepts like the dual control model, responsive desire, and sexual concordance in clear, relatable terms, helping women develop self-compassion and practical strategies for enhancing sexual wellbeing.
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Nagoski's writing combines scientific authority with warm, conversational tone that makes complex research feel immediately applicable. She skillfully balances data-driven insights with real-world examples and practical exercises, creating a book that's both intellectually rigorous and emotionally resonant. The combination of neuroscience, psychology, and personal stories makes the content accessible without sacrificing depth.
Critical Reception: Come as You Are became an instant New York Times bestseller and has been praised by therapists, educators, and readers worldwide for its revolutionary approach to female sexuality. It has been described as "the book about sex that women have been waiting for" and has transformed how many women understand their bodies and desires.
Women seeking to understand their unique sexual responses and patterns
Couples wanting to improve sexual communication and connection
Therapists and educators working with sexuality and relationships
Anyone interested in evidence-based approaches to sexual wellbeing
Individuals recovering from sexual shame or performance anxiety
Emily Nagoski holds a PhD in Health Behavior with a concentration in human sexuality from Indiana University, where she also earned her master's degree in counseling. She completed her undergraduate work at St. John's College in Annapolis, Maryland. As a sex educator and researcher, Nagoski has spent her career translating complex scientific research into practical, accessible information for the general public.
Nagoski has taught courses on human sexuality, relationships, and communication at the university level and has provided sexuality education to diverse audiences through workshops, speaking engagements, and media appearances. Her work is informed by her background in both scientific research and counseling, allowing her to address sexuality from both evidence-based and therapeutic perspectives.

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Come as You Are offers a revolutionary framework for understanding female sexuality that replaces shame and confusion with science and self-compassion. Nagoski's research demonstrates that there is no "normal" when it comes to sexual response—only individual variations that reflect our unique biological wiring and life experiences. By understanding the dual control model, responsive desire, and the profound impact of context, readers can develop more authentic, satisfying sexual lives.
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