Center of Excellence FOR
Genito-Pelvic Dysesthesia

Collaborative innovative care, focusing on spine and sexual health

The Center of Excellence for Genito-Pelvic Dysesthesias (COEGPD) is a cooperative effort between the specialists at San Diego Sexual Medicine and the Excel Spine Center. We are the first in the United States to diagnosis, treat and manage sexual dysfunctions caused from injury to the sacral spinal nerve roots (cauda equina) of the spine.
San Diego Sexual Medicine
Led by world-renowned expert Dr. Irwin Goldstein, San Diego Sexual Medicine provides compassionate, state-of-the-art, evidence-based clinical management of sexual health problems for men and women. This sexual medicine program takes into consideration multidisciplinary health concerns. Dr. Goldstein and his staff provide confidential patient care, education and research to improve sexual health through the prevention, diagnosis, treatment of symptoms and regenerative therapies for conditions that involve sexual function in both men and women.
Excel Spine Center
At the Excel Spine Center, we are dedicated to providing a revolutionary approach to complete spine care that is unsurpassed. We've combined some of the area's best board-certified experts with leading-edge technology and state-of-the-art equipment, as well as a full range of dedicated support specialists all under one roof.Our goal is to and get you back to enjoying your everyday activities. We are a multi-disciplinary program, which means that you will be cared for by a specially trained in the field of spine medicine.
Dedicated to growing and evolving
the diagnosis & treatment of sexual dysfunctions caused from injury to the spine.
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Quality care, world-renowned physicians and researchers

COEGPD provides a unique opportunity for men and women to have their sexual health managed by a variety of world-renowned physicians and researchers in various disciplines without the constraints of a traditional medical department.  

All members of the staff have been specially trained to care for patients in a compassionate and respectful manner, from the moment you call for an appointment to the time you leave with your management strategy. Our focus at COEGPD is you, the patient. We are committed to the highest level of integrity and responsibility, working to meet the needs of our patients and their families, as we constantly aim for excellence in patient care and practice management.
Irwin Goldstein, MD
Dr. Irwin Goldstein is a world-renowned expert in the field of sexual medicine, editor in chief of the Journal of Sexual Medicine and the founder and medical director of San Diego Sexual Medicine. Dr. Goldstein has pioneered the management of many sexual dysfunctions including those lesser known genital dysesthesias such as persistent genital arousal disorder.  
Choll Kim, MD, PhD
Dr. Kim has identified treatable lumbar and sacral abnormalities on MRIs that can be repaired through minimally invasive surgery resulting in an opportunity for cure of such dysesthesias, from persistent genito-pelvic arousal, persistent genito-pelvic itch and/or persistent genito-pelvic pain including lack of genito-pelvic sensation.
Barry Komisaruk, PhD
Dr. Komisaruk is a Distinguished Professor of Psychology at Rutgers University in Newark, New Jersey. His research includes identifying the brain regions that respond to genital stimulation to generate orgasm in women and men, and the neural pathways by which genital stimulation gains access to the brain via spinal cord and vagus nerves.
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