We would like to extend our thanks to Irwin Goldstein for suggesting a presentation on the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-V) at the International Society for the Study of Women's Sexual Health (ISSWSH) 2010 Annual Meeting and for soliciting commentaries from well-respected clinicians and investigators in The Journal of Sexual Medicine. Our goal in publishing our literature reviews and initial proposals for revision of the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision (DSM-IV-TR) classification of sexual dysfunctions was to elicit feedback from a multidisciplinary, multinational group such as the readers of this journal.