Sexual Medicine is concerned with the psychiatric as well as medical aspects of human sexuality and its nosology substantially influences both treatment and research. The proposed sex and gender diagnoses in the Diagnostic and Statistical Manual of Mental Disorders (DSM), fifth edition (DSM-5), to be published by the American Psychiatric Association (APA) have a major impact on that nosology [1]. The DSM is considered by some to be the definitive reference for the diagnosis of mental and sexual disorders; its influence extends beyond clinical practice and research and has far reaching medico-legal ramifications [2]. DSM-based diagnoses have influenced employment decisions, child custody determinations, security clearances, inheritance, health insurance coverage, and societal attitudes [3-5]. These diagnoses can and often do have substantial interpersonal, psychosocial, and economic repercussions for the individual so diagnosed.
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