Charting paths to sexual well-being: a comprehensive research agenda for fostering sexual health in Europe and beyond

In response to the dynamic societal shifts worldwide, the European Sexual Medicine Network initiated a collective effort to advance sexual health. A team of 6 researchers, grounded in scientific inquiry, clinical practice, and policy advocacy, was tasked with developing a comprehensive research agenda to identify gaps and challenges for future study. This paper explores contemporary influences on sexual health, such as lifestyle changes, technological advancements, and health concerns. Considering the interconnected nature of our lives, we describe the impact of chronic stress, technology, and broader societal factors on sexual well-being. Our research agenda addresses critical concerns like sexual and reproductive health, family planning, and HPV vaccination, emphasizing global recognition and advocating for accessible sexual health education. In addition, we challenge societal norms surrounding female sexuality and sexual pleasure and underscore the relevance of sexual expression and intimacy, even amid conditions like cancer. With this agenda, we advocate for a transdisciplinary approach in clinical practice, recognizing the universal right to have sexual pleasure, with a specific focus on marginalized populations. We conclude with highlighting the importance of collaborative efforts from policy-makers, healthcare professionals, researchers, and community advocates to navigate the complexities of sexual health in contemporary society.