This is an acronym originating in the Middletown, OH region. The acronym is based on the following: "Worst Sex I Ever Had. aka WSIEH.

Normally this term does not apply to sex where a sexually transmitted disease was newly obtained by one of the participants in the sex - but it could.

In casual conversation, WSIEH is normally also written in all upper-case letters signifying an over-exaggerated emphasis on this acronym carrying heavy importance.

Marginalized Orientations, Gender identities, And Intersex. it’s meant to be an all inclusive umbrella term for asexuals, homosexuals, multisexuals, trans people, and intersex people. Alternative to LGBTQIAP+
Alternative to MOGII, easier to pronounce.