Latin America's missing voice in sexual medicine: a call to confront an invisible inequity.

Sexual medicine is inseparable from culture, yet the evidence base that guides its practice is generated almost entirely outside many of the regions where much of the world's population lives. A bibliometric review of 9 530 articles published between 2015 and 2025 in eight leading sexual medicine and andrology journals found that only 501 (5.26%) included an author affiliated with a Latin American institution, and that three countries, Brazil, Mexico, and Argentina, accounted for 91.2% of that limited output. Of the twenty countries conventionally classified as Latin America, seven contributed no qualifying article at all and eight more contributed fewer than ten each, so that fifteen of twenty nations were effectively absent from the specialty literature across an eleven-year period. We argue that this is not a peripheral statistical curiosity but a structural failure with direct clinical consequences: guidelines, normative data, and treatment paradigms in sexual medicine are being built on a narrow, culturally specific evidentiary base and then extended to populations that had no part in generating it. Journals, societies, and funders share responsibility for correcting this imbalance, and concrete measures exist to do so.