SDSM Co-Founder · Head Physician

Meet Dr. Irwin Goldstein

Dr. Goldstein is a global pioneer in sexual medicine and lead author of the 1998 New England Journal of Medicine trial that established Viagra as the first oral therapy for ED. As one of the founders of sexual medicine as a clinical specialty, he leads our multidisciplinary team in caring for the full range of sexual health conditions in adults at every life stage.

Clinical Leadership and Training

Fifty Years in Sexual Medicine

Dr. Goldstein has been involved in sexual dysfunction research since the late 1970s. He earned a bachelor's degree in engineering from Brown University, with an honors thesis in biomedical engineering, and his medical degree from McGill University Faculty of Medicine in his hometown of Montreal in 1975. He served on the faculty of Boston University School of Medicine for 25 years as Professor of Urology and Gynecology and founding Director of the former Institute for Sexual Medicine at BUSM, where he began training fellows in sexual medicine in 1984. He has since trained more than 36 sexual medicine fellows, many of whom now lead the field. In 2006, he founded The Institute for Sexual Medicine, a non-profit organization dedicated to basic science research and education in sexual medicine. Today he is Director of San Diego Sexual Medicine and Director of Sexual Medicine at University of California San Diego East Campus, where he holds appointments as Clinical Professor of Urology and Voluntary Clinical Professor of Obstetrics, Gynecology, and Reproductive Sciences.
Shaping the Field

Putting Sexual Healing on the Map

In 1998, Dr. Goldstein was lead author of the New England Journal of Medicine trial that established sildenafil (Viagra) as the first oral therapy for erectile dysfunction. Since then, he has co-authored the field's defining international consensus statements, including the Princeton IV Consensus on erectile dysfunction and cardiovascular disease (2024) and the first ISSWSH consensus on persistent genital arousal disorder (2021). He is the founding editor of The Journal of Sexual Medicine and past Editor-in-Chief of Sexual Medicine Reviews, both official journals of the International Society for Sexual Medicine. He is a past president of ISSWSH and the Sexual Medicine Society of North America (SMSNA), and currently serves as president of The Institute for Sexual Medicine. He has authored more than 380 publications cited more than 14,000 times, and edited six textbooks in the field, including the definitive Textbook of Female Sexual Function and Dysfunction, published by Wiley and officially endorsed by ISSWSH. His research has received more than two decades of continuous funding from the National Institutes of Health.
Recognition and areas of expertise

Awards and Clinical Focus

The World Association for Sexual Health awarded Dr. Goldstein its Gold Medal in 2009 in recognition of his lifelong contributions to the field. In 2012 he received the ISSWSH Award for Distinguished Service in Women's Sexual Health, in 2013 the Lifetime Achievement Award from the Sexual Medicine Society of North America, and in 2014 the Lifetime Achievement Award from the International Society for Sexual Medicine. His clinical and research interests include regenerative therapies, surgery for dyspareunia, persistent genital arousal disorder and genito-pelvic dysesthesia, physiologic investigation of sexual function, and the diagnosis and treatment of complex sexual dysfunction across all gender identities.