This special issue of IJIR: Your Sexual Medicine Journal focuses on rare male sexual disorders — conditions that are under-recognized, often misunderstood, and rarely given the academic attention they deserve. These disorders, ranging from drug-induced sexual dysfunctions to neurovascular syndromes and sleep-related phenomena, are not just rare in prevalence but also rare in clinical awareness. This collection of studies offers new insights, reminds us of our clinical blind spots, and provides direction for future investigations. Below are the key take-home messages from each contribution.