Reimagining sexual health: gender, environment, and the pursuit of equity

Sexual health and contraception research has historically emphasized the prevention of pregnancy and sexually transmitted infections, often overlooking broader dimensions of well-being and equity. This editorial introduces the Sexual Health and Contraception Collection and highlights a shift toward a more holistic, interdisciplinary framework centered on autonomy, access, and reproductive justice. Across the Collection, key themes include persistent inequities in care and the complex biological, psychosocial, and environmental determinants of sexual health. Emerging diagnostic and methodological innovations offer new opportunities for early identification and targeted interventions. Together, these contributions underscore the need for inclusive, systems-level approaches that translate evidence into equitable care and advance sexual well-being across populations and life stages.