Oh it’s a term linked to that industry…
…It’s tangentially related to the porn industry, but primarily, it is also the actual medical terminology many are probably more familiar with, so still wouldn’t be a great idea even in that context. (You get a pass if English is not your first language, otherwise, it should be fairly common knowledge.)
That’s kind of like telling a poor person they could always go back to school and study to become a doctor, i.e., technically possible but extremely difficult. My understanding is that it is next to impossible to immigrate to Japan unless you have a Japanese parent or are rich and/or a celeb, but would love to be proven wrong! I would love to live there!